Análise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopia

Página do item simplificado
dc.contributor.authorStolf, A. A. [UNESP]
dc.contributor.authorCastiglia, Yara Marcondes Machado [UNESP]
dc.contributor.authorBrandão Machado, L. [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:20:14Z
dc.date.available2014-05-27T11:20:14Z
dc.date.issued2001-02-19
dc.description.abstractBackground and Objectives - It is essential to reduce health care costs without impairing the quality of care. Propofol is associated to faster recovery and it is known that post-anesthesia care unit (PACU) costs are high. The aim of this study was to evaluate the advantages of two anesthesia regimens - propofol continuous infusion or isoflurane - taking into account the cost of both techniques on PACU stay. Methods - Forty seven patients, physical status ASA I, II and III, undergoing laparoscopic cholecystectomy were divided into 2 groups according to the anesthetic agent: G1, conventional propofol continuous infusion (100-150 μg.kg-1.min-1) and G2, isoflurane. All patients were induced with sufentanil (1 μg.kg-1) and propofol (2 mg.kg-1) and were kept in a re-inhalation circuit (2 L.min-1 of fresh gas flow) with 50% N2O in O2, sufentanil (0.01 μg.kg-1.min-1) and atracurium (0.5 mg.kg-1), or pancuronium (0.1 mg.kg-1) for asthma patients. All patients received atropine and neostigmine at the end of the surgery. Prophylactic ondansetron, dipyrone and tenoxican were administered and, when necessary, tramadol and N-butylscopolamine. Costs of anesthetic drugs (COST), total PACU stay (t-PACU), and PACU stay after extubation (t-EXT) were computed for both groups. Results - Costs were significantly lower in the isoflurane group but t-PACU was 26 minutes longer and t-EXT G1<G2, although not statistically significant, t-PACU x t-EXT and t-EXT x COST were significant for G1 only. Therefore, in G1, t-PACU was a function of propofol doses. Conclusions - We concluded that the use of isoflurane as anesthesia maintenance agent for laparoscopic cholecystectomy showed lower drug costs as compared to propofol. However, isoflurane group patients stayed longer in PACU as compared to propofol continuous infusion group.en
dc.description.affiliationDept. de Anestesiologia da FMB UNESP, Distrito de Rubião Junior, 18618-970 Botucatu, SP
dc.description.affiliationUnespDept. de Anestesiologia da FMB UNESP, Distrito de Rubião Junior, 18618-970 Botucatu, SP
dc.format.extent10-16
dc.identifierhttp://www.sba.com.br/arquivos/revista/rba/jan01010.pdf
dc.identifier.citationRevista Brasileira de Anestesiologia, v. 51, n. 1, p. 10-16, 2001.
dc.identifier.file2-s2.0-0035146461.pdf
dc.identifier.issn0034-7094
dc.identifier.scopus2-s2.0-0035146461
dc.identifier.urihttp://hdl.handle.net/11449/66469
dc.language.isoeng
dc.language.isopor
dc.relation.ispartofRevista Brasileira de Anestesiologia
dc.relation.ispartofjcr0.850
dc.relation.ispartofsjr0,320
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectAnesthetic techniques, venous, inhalational
dc.subjectAnesthetics, volatile: isoflurane
dc.subjectHypnotics: propofol
dc.subjectatracurium
dc.subjectdipyrone
dc.subjectisoflurane
dc.subjectneostigmine
dc.subjectondansetron
dc.subjectpancuronium
dc.subjectpropofol
dc.subjectscopolamine butyl bromide
dc.subjectsufentanil
dc.subjecttenoxicam
dc.subjecttramadol
dc.subjectadult
dc.subjectcholecystectomy
dc.subjectclinical article
dc.subjectcontinuous infusion
dc.subjectcost control
dc.subjectcost minimization analysis
dc.subjectcost utility analysis
dc.subjectdrug cost
dc.subjectdrug infusion
dc.subjectextubation
dc.subjectfemale
dc.subjecthealth care cost
dc.subjecthospitalization
dc.subjecthuman
dc.subjectinhalation anesthesia
dc.subjectintermethod comparison
dc.subjectintravenous anesthesia
dc.subjectmale
dc.titleAnálise das vantagens de duas técnicas anestésicas - Venosa e inalatória - Para colecistectomia por videolaparoscopiapt
dc.title.alternativeAnalysis of the advantages of two anesthetic techniques - Venous and inhalational - For laparoscopic cholecystectomyen
dc.typeArtigo
dcterms.licensehttp://www.scielo.br/revistas/rba/paboutj.htm
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

Arquivos

Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
2-s2.0-0035146461.pdf
Tamanho:
74.47 KB
Formato:
Adobe Portable Document Format
Baixar

Coleções

Artigos - Anestesiologia - FMB