Cost Analysis of Three Techniques of Administering Sevoflurane

Background. This study aimed to evaluate and compare total cost of sevoflurane and propofol for 1.0 MAC-hour of anaesthesia, employing three anaesthetic techniques. Methods. Adult patients scheduled for surgical procedures under general anaesthesia anticipated to last approximately an hour were rand...

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Main Authors: Asha Tyagi, Vineeta Venkateswaran, Ajai Kumar Jain, Uttam Chandra Verma
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Anesthesiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/459432
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author Asha Tyagi
Vineeta Venkateswaran
Ajai Kumar Jain
Uttam Chandra Verma
author_facet Asha Tyagi
Vineeta Venkateswaran
Ajai Kumar Jain
Uttam Chandra Verma
author_sort Asha Tyagi
collection DOAJ
description Background. This study aimed to evaluate and compare total cost of sevoflurane and propofol for 1.0 MAC-hour of anaesthesia, employing three anaesthetic techniques. Methods. Adult patients scheduled for surgical procedures under general anaesthesia anticipated to last approximately an hour were randomized into three groups (n=15 each), to receive anaesthesia using one of the following techniques: low flow technique involving induction with propofol, followed by sevoflurane delivered using initial fresh gas flows of 6 L/min till MAC reached 1.0 and then reduced to 0.5 L/min; alternate method of low flow entailing only a difference in fresh gas flow rates being maintained at 1 L/min throughout; the third technique involving use of sevoflurane for both induction and maintenance of anaesthesia. Results. Cost of sevoflurane to maintain 1 MAC-hour of anaesthesia was clinically least with low flow anaesthesia, though statistically similar amongst the three techniques. Once the cost of propofol used for induction in two of the three groups was added to that of sevoflurane, cost incurred was least with the technique using sevoflurane both for induction and maintenance of anaesthesia, as compared to low flow and alternative low flow techniques, a 26% and 32% cost saving, respectively (P<0.05).
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series Anesthesiology Research and Practice
spelling doaj-art-b54c81b097da4c368376eb960d439c2f2025-02-03T06:07:04ZengWileyAnesthesiology Research and Practice1687-69621687-69702014-01-01201410.1155/2014/459432459432Cost Analysis of Three Techniques of Administering SevofluraneAsha Tyagi0Vineeta Venkateswaran1Ajai Kumar Jain2Uttam Chandra Verma3Department of Anaesthesiology and Critical Care, University College of Medical Sciences and GTB Hospital, Shahdara, Delhi 110095, IndiaDepartment of Anaesthesiology and Critical Care, University College of Medical Sciences and GTB Hospital, Shahdara, Delhi 110095, IndiaDepartment of Anaesthesiology and Critical Care, University College of Medical Sciences and GTB Hospital, Shahdara, Delhi 110095, IndiaDepartment of Anaesthesiology and Critical Care, University College of Medical Sciences and GTB Hospital, Shahdara, Delhi 110095, IndiaBackground. This study aimed to evaluate and compare total cost of sevoflurane and propofol for 1.0 MAC-hour of anaesthesia, employing three anaesthetic techniques. Methods. Adult patients scheduled for surgical procedures under general anaesthesia anticipated to last approximately an hour were randomized into three groups (n=15 each), to receive anaesthesia using one of the following techniques: low flow technique involving induction with propofol, followed by sevoflurane delivered using initial fresh gas flows of 6 L/min till MAC reached 1.0 and then reduced to 0.5 L/min; alternate method of low flow entailing only a difference in fresh gas flow rates being maintained at 1 L/min throughout; the third technique involving use of sevoflurane for both induction and maintenance of anaesthesia. Results. Cost of sevoflurane to maintain 1 MAC-hour of anaesthesia was clinically least with low flow anaesthesia, though statistically similar amongst the three techniques. Once the cost of propofol used for induction in two of the three groups was added to that of sevoflurane, cost incurred was least with the technique using sevoflurane both for induction and maintenance of anaesthesia, as compared to low flow and alternative low flow techniques, a 26% and 32% cost saving, respectively (P<0.05).http://dx.doi.org/10.1155/2014/459432
spellingShingle Asha Tyagi
Vineeta Venkateswaran
Ajai Kumar Jain
Uttam Chandra Verma
Cost Analysis of Three Techniques of Administering Sevoflurane
Anesthesiology Research and Practice
title Cost Analysis of Three Techniques of Administering Sevoflurane
title_full Cost Analysis of Three Techniques of Administering Sevoflurane
title_fullStr Cost Analysis of Three Techniques of Administering Sevoflurane
title_full_unstemmed Cost Analysis of Three Techniques of Administering Sevoflurane
title_short Cost Analysis of Three Techniques of Administering Sevoflurane
title_sort cost analysis of three techniques of administering sevoflurane
url http://dx.doi.org/10.1155/2014/459432
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