Comparison of costs of different anaesthetic techniques

Abstract

The costs of anaesthetic drugs, intravenous agents as well as gases, were studied for different anaesthetic techniques in a medium-sized operative procedure, cholecystectomy. Three anaesthetic breathing systems were used: a non-rebreathing system, a circle absorber system with medium fresh gas flows of 3-6 l/min, and a low-flow circle system. Anaesthesia without volatile inhalation agents used with a low-flow technique was the least expensive, and anaesthesia with isoflurane in a non-rebreathing system was the most expensive. The costs of anaesthesia without volatile inhalation agents in a non-rebreathing system, enflurane anaesthesia in a circle system with medium fresh gas flows, and isoflurane anaesthesia with low-flow technique were similar.

Low‐flow isoflurane‐nitrous oxide anaesthesia offers substantial economic advantages over high‐and medium‐flow isoflurane‐nitrous oxide anaesthesia

“…Barton & Nunn (6) found a reduction in consumption of halothane in the same magnitude as in our study when comparing closed circuit anaesthesia with high FGF in a Magill circuit ( 7 1.min-I). I n a retrospective study based on anaesthetic charts, Bengtson et al (7), in 1988, compared the cost of different anaesthetic techniques. With respect to isoflurane-nitrous oxide anaesthesia, the saving using a low FGF in a circle system (approximately 0.5 1 * min-l) compared with a high FGF using a non-rebreathing system (FGF 9-13 1. min-') was 54% in their study (68% in our study).…”

Low-flow anesthesia: Theory, practice, technical preconditions, advantages, and foreign gas accumulation

“…They are related to the duration of the anesthetic procedure, the price of the anesthetic agent, and the extent of flow reduction [42][43][44]. If a high-flow (4.5 l·min Ϫ1 ) technique is companed with a minimal-flow (0.5 l·min Ϫ1 ) technique lasting 2 h, assuming the inspired anesthetic concentration at MAC, savings of about US$ 15 can be achieved if enflurane is used, about US$ 21 if isoflurane is used, and about US$ 47 if desflurane is used [16].…”

A new ventilator converter with the Siemens Servo Ventilator ‐ evaluation in a lung model

“…There are several advantages in using circle anaesthesia systems and low fresh gas flows in the delivery of inhalational anaesthesia, among them economy and preservation of airway humidity ( 1,2). Many departments have, however, made substantial investments in anaesthesia ventilators that cannot be directly attached to a circle system.…”