Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopia
Autor(a) principal: | |
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Data de Publicação: | 2001 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://www.sba.com.br/arquivos/revista/rba/jan01010.pdf http://hdl.handle.net/11449/66469 |
Resumo: | Background and Objectives - It is essential to reduce health care costs without impairing the quality of care. Propofol is associated to faster recovery and it is known that post-anesthesia care unit (PACU) costs are high. The aim of this study was to evaluate the advantages of two anesthesia regimens - propofol continuous infusion or isoflurane - taking into account the cost of both techniques on PACU stay. Methods - Forty seven patients, physical status ASA I, II and III, undergoing laparoscopic cholecystectomy were divided into 2 groups according to the anesthetic agent: G1, conventional propofol continuous infusion (100-150 μg.kg-1.min-1) and G2, isoflurane. All patients were induced with sufentanil (1 μg.kg-1) and propofol (2 mg.kg-1) and were kept in a re-inhalation circuit (2 L.min-1 of fresh gas flow) with 50% N2O in O2, sufentanil (0.01 μg.kg-1.min-1) and atracurium (0.5 mg.kg-1), or pancuronium (0.1 mg.kg-1) for asthma patients. All patients received atropine and neostigmine at the end of the surgery. Prophylactic ondansetron, dipyrone and tenoxican were administered and, when necessary, tramadol and N-butylscopolamine. Costs of anesthetic drugs (COST), total PACU stay (t-PACU), and PACU stay after extubation (t-EXT) were computed for both groups. Results - Costs were significantly lower in the isoflurane group but t-PACU was 26 minutes longer and t-EXT G1<G2, although not statistically significant, t-PACU x t-EXT and t-EXT x COST were significant for G1 only. Therefore, in G1, t-PACU was a function of propofol doses. Conclusions - We concluded that the use of isoflurane as anesthesia maintenance agent for laparoscopic cholecystectomy showed lower drug costs as compared to propofol. However, isoflurane group patients stayed longer in PACU as compared to propofol continuous infusion group. |
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Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopiaAnalysis of the advantages of two anesthetic techniques - Venous and inhalational - For laparoscopic cholecystectomyAnesthetic techniques, venous, inhalationalAnesthetics, volatile: isofluraneHypnotics: propofolatracuriumdipyroneisofluraneneostigmineondansetronpancuroniumpropofolscopolamine butyl bromidesufentaniltenoxicamtramadoladultcholecystectomyclinical articlecontinuous infusioncost controlcost minimization analysiscost utility analysisdrug costdrug infusionextubationfemalehealth care costhospitalizationhumaninhalation anesthesiaintermethod comparisonintravenous anesthesiamaleBackground and Objectives - It is essential to reduce health care costs without impairing the quality of care. Propofol is associated to faster recovery and it is known that post-anesthesia care unit (PACU) costs are high. The aim of this study was to evaluate the advantages of two anesthesia regimens - propofol continuous infusion or isoflurane - taking into account the cost of both techniques on PACU stay. Methods - Forty seven patients, physical status ASA I, II and III, undergoing laparoscopic cholecystectomy were divided into 2 groups according to the anesthetic agent: G1, conventional propofol continuous infusion (100-150 μg.kg-1.min-1) and G2, isoflurane. All patients were induced with sufentanil (1 μg.kg-1) and propofol (2 mg.kg-1) and were kept in a re-inhalation circuit (2 L.min-1 of fresh gas flow) with 50% N2O in O2, sufentanil (0.01 μg.kg-1.min-1) and atracurium (0.5 mg.kg-1), or pancuronium (0.1 mg.kg-1) for asthma patients. All patients received atropine and neostigmine at the end of the surgery. Prophylactic ondansetron, dipyrone and tenoxican were administered and, when necessary, tramadol and N-butylscopolamine. Costs of anesthetic drugs (COST), total PACU stay (t-PACU), and PACU stay after extubation (t-EXT) were computed for both groups. Results - Costs were significantly lower in the isoflurane group but t-PACU was 26 minutes longer and t-EXT G1<G2, although not statistically significant, t-PACU x t-EXT and t-EXT x COST were significant for G1 only. Therefore, in G1, t-PACU was a function of propofol doses. Conclusions - We concluded that the use of isoflurane as anesthesia maintenance agent for laparoscopic cholecystectomy showed lower drug costs as compared to propofol. However, isoflurane group patients stayed longer in PACU as compared to propofol continuous infusion group.Dept. de Anestesiologia da FMB UNESP, Distrito de Rubião Junior, 18618-970 Botucatu, SPDept. de Anestesiologia da FMB UNESP, Distrito de Rubião Junior, 18618-970 Botucatu, SPUniversidade Estadual Paulista (Unesp)Stolf, A. A. [UNESP]Castiglia, Yara Marcondes Machado [UNESP]Brandão Machado, L. [UNESP]2014-05-27T11:20:14Z2014-05-27T11:20:14Z2001-02-19info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10-16application/pdfhttp://www.sba.com.br/arquivos/revista/rba/jan01010.pdfRevista Brasileira de Anestesiologia, v. 51, n. 1, p. 10-16, 2001.0034-7094http://hdl.handle.net/11449/664692-s2.0-00351464612-s2.0-0035146461.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporRevista Brasileira de Anestesiologia0.8500,320info:eu-repo/semantics/openAccess2023-10-16T06:10:10Zoai:repositorio.unesp.br:11449/66469Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-16T06:10:10Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopia Analysis of the advantages of two anesthetic techniques - Venous and inhalational - For laparoscopic cholecystectomy |
title |
Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopia |
spellingShingle |
Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopia Stolf, A. A. [UNESP] Anesthetic techniques, venous, inhalational Anesthetics, volatile: isoflurane Hypnotics: propofol atracurium dipyrone isoflurane neostigmine ondansetron pancuronium propofol scopolamine butyl bromide sufentanil tenoxicam tramadol adult cholecystectomy clinical article continuous infusion cost control cost minimization analysis cost utility analysis drug cost drug infusion extubation female health care cost hospitalization human inhalation anesthesia intermethod comparison intravenous anesthesia male |
title_short |
Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopia |
title_full |
Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopia |
title_fullStr |
Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopia |
title_full_unstemmed |
Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopia |
title_sort |
Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopia |
author |
Stolf, A. A. [UNESP] |
author_facet |
Stolf, A. A. [UNESP] Castiglia, Yara Marcondes Machado [UNESP] Brandão Machado, L. [UNESP] |
author_role |
author |
author2 |
Castiglia, Yara Marcondes Machado [UNESP] Brandão Machado, L. [UNESP] |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Stolf, A. A. [UNESP] Castiglia, Yara Marcondes Machado [UNESP] Brandão Machado, L. [UNESP] |
dc.subject.por.fl_str_mv |
Anesthetic techniques, venous, inhalational Anesthetics, volatile: isoflurane Hypnotics: propofol atracurium dipyrone isoflurane neostigmine ondansetron pancuronium propofol scopolamine butyl bromide sufentanil tenoxicam tramadol adult cholecystectomy clinical article continuous infusion cost control cost minimization analysis cost utility analysis drug cost drug infusion extubation female health care cost hospitalization human inhalation anesthesia intermethod comparison intravenous anesthesia male |
topic |
Anesthetic techniques, venous, inhalational Anesthetics, volatile: isoflurane Hypnotics: propofol atracurium dipyrone isoflurane neostigmine ondansetron pancuronium propofol scopolamine butyl bromide sufentanil tenoxicam tramadol adult cholecystectomy clinical article continuous infusion cost control cost minimization analysis cost utility analysis drug cost drug infusion extubation female health care cost hospitalization human inhalation anesthesia intermethod comparison intravenous anesthesia male |
description |
Background and Objectives - It is essential to reduce health care costs without impairing the quality of care. Propofol is associated to faster recovery and it is known that post-anesthesia care unit (PACU) costs are high. The aim of this study was to evaluate the advantages of two anesthesia regimens - propofol continuous infusion or isoflurane - taking into account the cost of both techniques on PACU stay. Methods - Forty seven patients, physical status ASA I, II and III, undergoing laparoscopic cholecystectomy were divided into 2 groups according to the anesthetic agent: G1, conventional propofol continuous infusion (100-150 μg.kg-1.min-1) and G2, isoflurane. All patients were induced with sufentanil (1 μg.kg-1) and propofol (2 mg.kg-1) and were kept in a re-inhalation circuit (2 L.min-1 of fresh gas flow) with 50% N2O in O2, sufentanil (0.01 μg.kg-1.min-1) and atracurium (0.5 mg.kg-1), or pancuronium (0.1 mg.kg-1) for asthma patients. All patients received atropine and neostigmine at the end of the surgery. Prophylactic ondansetron, dipyrone and tenoxican were administered and, when necessary, tramadol and N-butylscopolamine. Costs of anesthetic drugs (COST), total PACU stay (t-PACU), and PACU stay after extubation (t-EXT) were computed for both groups. Results - Costs were significantly lower in the isoflurane group but t-PACU was 26 minutes longer and t-EXT G1<G2, although not statistically significant, t-PACU x t-EXT and t-EXT x COST were significant for G1 only. Therefore, in G1, t-PACU was a function of propofol doses. Conclusions - We concluded that the use of isoflurane as anesthesia maintenance agent for laparoscopic cholecystectomy showed lower drug costs as compared to propofol. However, isoflurane group patients stayed longer in PACU as compared to propofol continuous infusion group. |
publishDate |
2001 |
dc.date.none.fl_str_mv |
2001-02-19 2014-05-27T11:20:14Z 2014-05-27T11:20:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://www.sba.com.br/arquivos/revista/rba/jan01010.pdf Revista Brasileira de Anestesiologia, v. 51, n. 1, p. 10-16, 2001. 0034-7094 http://hdl.handle.net/11449/66469 2-s2.0-0035146461 2-s2.0-0035146461.pdf |
url |
http://www.sba.com.br/arquivos/revista/rba/jan01010.pdf http://hdl.handle.net/11449/66469 |
identifier_str_mv |
Revista Brasileira de Anestesiologia, v. 51, n. 1, p. 10-16, 2001. 0034-7094 2-s2.0-0035146461 2-s2.0-0035146461.pdf |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
Revista Brasileira de Anestesiologia 0.850 0,320 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
10-16 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1799964590269792256 |