Comparative cost analysis of three different anesthesia methods in gynecological laparoscopic surgery

Comparative cost analysis of three different anesthesia methods in gynecological laparoscopic surgery

Abstract

In the current study, we assessed and evaluated the costs and benefits of three popular methods of general anesthesia practiced in our department for gynecological laparoscopic surgery in recent years. Sixty adult female patients who underwent elective gynecological laparoscopic surgery under general anesthesia were randomly divided into three groups: group V, group I and group C. In group V, anesthesia was induced intravenously with midazolam, remifentanil, propofol and vecuronium, and maintained with continuous infusion of propofol and remifentanil. In group I, anesthesia was intravenously induced with midazolam, fentanyl, propofol and vecuronium, and maintained with inhaled isoflurane and intravenous bonus of fentanyl. In group C, anesthesia was induced as in group I, but maintained with isoflurane inhalation combined with propofol-remifentanil infusion. All patients received vecuronium for muscle relaxation. Perioperative incidences of complications and total anesthesia costs for patients in all groups were recorded. In addition, postoperative satisfaction of the patients was also noted, and similar outcomes of the satisfaction were reported in all 60 patients. Although there was no statistical significance among groups, the incidence of postoperative nausea and vomiting were higher in group C, and the rates of shivering and the needs for analgesics were higher in group V. Anesthesia costs in group I were the lowest. Therefore, it is concluded that the costs of anesthesia induced with midazolam, fentanyl, propofol, vecuronium, and maintained with isoflurane, fentanyl and vecuronium are cheapest, and there is no significant difference in patients’ satisfaction and safety among the three above-mentioned methods of anesthesia in our department.

Keywords

general anesthesia / economics / cost

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Acknowledgements

The authors would like to thank the patients, gynoclogicists and nurse staff both in operating room and recovery room. We thank all staff in Department of Anesthesiology (Tongji Hospital) for their advice and assistance. In addition, we gratefully acknowledge the expertise of Dr. Alfred Omo (Department of Cardiothoracic Surgery, Tongji Hospital) and Mr. Edwin V. Alexander (Department of Neuroscience, Baylor College of Medicine) in the preparation of the manuscript. This work was supported by the research fund from Tongji Hospital to Xueren Wang.

版权

2014 Higher Education Press and Springer-Verlag Berlin Heidelberg