Use of total intravenous anaesthesia in Colombia: A national survey among active anaesthetists in Colombia

Echeverry-Marín, Piedad Cecilia; Arevalo, Jimmy J.; Pinzón, Paola Vernaza; Vanegas-Saavedra, Alberto; Leguizamón, Miryam

doi:10.1016/j.rcae.2017.03.003

Colombian Journal of Anesthesiology

2017

DOI: 10.1016/j.rcae.2017.03.003

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Use of total intravenous anaesthesia in Colombia: A national survey among active anaesthetists in Colombia

Piedad Cecilia Echeverry-Marín

Jimmy J. Arevalo

Paola Vernaza Pinzón

et al.

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2022

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Total intravenous anesthesia vs inhalational anesthesia in patients undergoing surgery under general anesthesia. Cost-minimization study

Casas-Arroyave¹

2022

Colomb. J. Anesthesiol.

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Introduction: The methods most frequently used at the present time in Colombia for the administration of general anesthesia are based on halogenated and intravenous drugs. However, in view of the lack of differential clinical outcomes, the existence of cost variations between the two is not clear. Objective: To determine the expected cost of the use of both techniques in patients taken to surgery, within the framework of the Colombian national health system. Methods: A cost minimization study was carried out using the decision tree as the analytical model. A time frame of 6 postoperative hours was used as the assumption. Only direct healthcare-related costs were included using a case study approach. An econometric model was used based on the frequency with which each technology is applied and the type of drug used, and a deterministic and probabilistic sensitivity analysis was performed. Results: For the case study, total intravenous anesthesia (TIVA) is more costly than the inhalational technique, with an incremental cost of $102,718 per patient. The deterministic analysis shows that both the incidence of postoperative nausea and vomiting (PONV) as well as the use of target controlled infusion (TCI) techniques are the main cost determinants. The probabilistic analysis shows that the cost difference can even be nil in more than 50% of the simulated settings, when the difference in the risk of PONV is higher. Conclusions: Although the total intravenous technique can be more costly than the inhalational technique, this difference is offset by a lower cost of the postanesthesia care unit, given the lower risk of postoperative nausea and vomiting.

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Total intravenous anesthesia vs inhalational anesthesia in patients undergoing surgery under general anesthesia. Cost-minimization study

Casas-Arroyave¹

2022

Colomb. J. Anesthesiol.

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Use of total intravenous anaesthesia in Colombia: A national survey among active anaesthetists in Colombia

Cited by 1 publication

References 21 publications

Total intravenous anesthesia vs inhalational anesthesia in patients undergoing surgery under general anesthesia. Cost-minimization study

Total intravenous anesthesia vs inhalational anesthesia in patients undergoing surgery under general anesthesia. Cost-minimization study

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