Target-controlled inhalation anaesthesia: A cost-benefit analysis based on the cost per minute of anaesthesia by inhalation - 21/02/17
, Antoine Galy a , Jérôme Cros a , Armelle Marie Daragon a , Nathalie Nathan a, b Bienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Background |
End-tidal target-controlled inhalational anaesthesia (TCIA) with halogenated agents (HA) provides a faster and more accurately titrated anaesthesia as compared to manually-controlled anaesthesia. This study aimed to measure the macro-economic cost-benefit ratio of TCIA as compared to manually-controlled anaesthesia.
Methods |
This retrospective and descriptive study compared direct drug spending between two hospitals before 2011 and then after the replacement of three of six anaesthesia machines with TCIA mode machines in 2012 (Aisys carestation®, GE). The direct costs were obtained from the pharmacy department and the number and duration of the anaesthesia procedures from the computerized files of the hospital.
Results |
The cost of halogenated agents was reduced in the hospital equipped with an Aisys carestation® by 13% as was the cost of one minute of anaesthesia by inhalation (€0.138 and €0.121/min between 2011 and 2012). The extra cost of the implementation of the 3 anaesthesia machines could be paid off with the resulting savings over 6 years.
Discussion |
TCIA appears to have a favourable cost-benefit ratio. Despite a number of factors, which would tend to minimise the saving and increase costs, we still managed to observe a 13% savings. Shorter duration of surgery, type of induction as well as the way HA concentration is targeted may influence the savings results obtained.
Le texte complet de cet article est disponible en PDF.Keywords : Target-controlled inhalational anaesthesia, Halogenated agent, Economic analysis
Plan
| ☆ | Notation of prior abstract publication/presentation: Target-controlled inhalation anaesthesia: A cost-benefit macro-economic analysis. S. Ponsonnard, A. Galy, J. Cros, A. Marie Daragon, N. Nathan. European Society of Anaesthesiology meeting, Stockholm 2014. 9AP6-4. Impact of target-controlled inhalation on the health costs of an anaesthesiology department. S. Ponsonnard, J. Cros, G. Philippe, P. Champy, A. Marie Daragon, N. Nathan. French Society of Anaesthesiology and Intensive Care meeting, Paris 2013. R427. |
Vol 36 - N° 1
P. 33-37 - février 2017 Retour au numéro
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