Sevoflurane을 이용한 마취와 propofol과 remifentanil을 병용한 마취의 비용 분석을 통한 비교 (Cost analysis of sevoflurane anesthesia compared with propofol and remifentanil infusion)

서지정보

· 발행기관 : 대한마취통증의학회
· 수록지 정보 : Anesthesia and Pain Medicine / 6권 / 3호 / 231 ~ 235페이지
· 저자명 : 이상훈, 신우종, 전우재

초록

Background: Cost control in general anesthesia is no longer an option; it is a necessity. New anesthetics have entered the market,but economic differences in comparison to standard anesthetic regimens are not exactly known. The purpose of this study was to compare the cost of a sevoflurane-based strategy with a propofol-based general anesthetic technique.
Methods: Eighty patients undergoing elective surgery were randomly divided into two groups, with 40 patients each. The propofol group received propofol with remifentanil infusion, and the sevoflurane group received sevoflurane with N2O 50%, O2 50% for anesthesia. Sevoflurane consumption was measured by weighing the vaporizer using a precision weighing machine. We recorded the use of all drugs for the induction and maintenance of anesthesia,and postoperative pain control in the postoperative anesthesia care unit.
Results: The recovery characteristics were not significantly different in the two groups. Total (intra and postoperative) cost were significantly higher in the propofol group than in the sevoflurane group.
Conclusions: We conclude that in today’s climate of cost savings,a comprehensive pharmacoeconomic approach is needed. (Anesth Pain Med 2011; 6: 231∼235)

영어초록

Background: Cost control in general anesthesia is no longer an option; it is a necessity. New anesthetics have entered the market,but economic differences in comparison to standard anesthetic regimens are not exactly known. The purpose of this study was to compare the cost of a sevoflurane-based strategy with a propofol-based general anesthetic technique.
Methods: Eighty patients undergoing elective surgery were randomly divided into two groups, with 40 patients each. The propofol group received propofol with remifentanil infusion, and the sevoflurane group received sevoflurane with N2O 50%, O2 50% for anesthesia. Sevoflurane consumption was measured by weighing the vaporizer using a precision weighing machine. We recorded the use of all drugs for the induction and maintenance of anesthesia,and postoperative pain control in the postoperative anesthesia care unit.
Results: The recovery characteristics were not significantly different in the two groups. Total (intra and postoperative) cost were significantly higher in the propofol group than in the sevoflurane group.
Conclusions: We conclude that in today’s climate of cost savings,a comprehensive pharmacoeconomic approach is needed. (Anesth Pain Med 2011; 6: 231∼235)

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