准确性在实践中:对使用德斯弗和塞沃弗的低流麻醉技术进行审计研究,以实现成本效益和可持续的护理
Gopinath Kenkare Chowdappa1, Svetoslav Ivanov Iolov1, Khaled Saleh Abuamra1
1Department of Anesthesia, Dubai Hospital, Al Baraha, Dubai, UAE.
Saudi journal of anaesthesia
|August 16, 2024
概括
低流动麻醉 (LFA) 显著降低了麻醉剂的消耗和成本,94.29%的患者遵守医院标准. 这种做法提供了经济效益,并支持麻醉管理中的环境安全.
科学领域:
- 麻醉学 麻醉学
- 医疗保健经济学 医疗保健经济学
- 资源管理 资源管理
背景情况:
- 医疗保健成本的上升需要在麻醉中有效地利用资源.
- 低流动麻醉 (LFA) 是一个潜在的成本控制和资源优化策略.
- 评估医院对LFA标准的遵守对于其有效实施至关重要.
研究的目的:
- 评估对低流动麻醉 (LFA) (<1 L/min) 的医院标准的遵守情况.
- 评估与LFA相关的经济影响和麻醉剂消耗.
- 为了比较LFA与高流动麻醉的成本效益.
主要方法:
- 700名成年患者进行了回顾性审计,他们接受了全身麻醉的选择性手术.
- 麻醉记录和新鲜气体流量 (FGFRs),最小气泡度 (MAC) 和挥发性麻醉剂消耗的电子数据的分析.
- 成本比较指标应用于低流和高流麻醉组.
主要成果:
- 维护期间平均FGFR为0.45 ± 0.88 L/min,94.29%的人遵守LFA标准.
- 与高流量相比,使用LFA消耗德斯弗兰和塞沃弗兰的统计显著减少.
- 每名患者的计算节约为德斯弗兰109.25AED,而塞沃弗兰为6.74AED.
结论:
- 倡导广泛采用LFA作为标准麻醉实践.
- 通过LFA,可以节省大量的经济成本,并支持环境安全.
- 实施LFA与医院标准保持一致,并提高了患者的护理.
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