定量监测最大限度地节省成本的策略,当与Sugammadex对抗神经肌肉阻断时
Steve Haberkorn1, Mark Twite1, Katherine Klockau2
1Department of Anesthesiology, University of Colorado, Aurora, USA.
Cureus
|October 4, 2024
概括
阿利克托制备的sugammadex和定量神经肌肉监测显著降低了儿童麻醉的成本. 这一策略通过尽量减少药物浪费和避免不必要的sugammadex管理,每例大约节省了46美元.
科学领域:
- 麻醉学 麻醉学
- 药物经济学 药物经济学
- 提高质量 提高质量
背景情况:
- 儿科麻醉经常涉及大量的药物浪费,原因是基于体重的剂量和一次性使用的瓶子.
- 昂贵的药物,比如苏加马德克斯 (sugammadex),尤其受到这种浪费的影响.
- 目前的sugammadex剂量依赖于定量监测,但这种监测并非常规使用.
研究的目的:
- 为了证明节省成本,从大瓶中引用sugammadex.
- 使用定量神经肌肉监测来准确和适当的sugammadex剂量.
- 为了减少药物浪费和相关费用在儿科麻醉.
主要方法:
- 在手术室的药房里,Sugammadex的分量被无菌地准备好.
- 定量神经肌肉监测 (基于电肌图) 指导苏格玛克斯的使用.
- 成本分析比较了小额配方与一次性使用瓶子的节省,并避免了管理.
主要成果:
- 总共分析了200名患者.
- 在86名患者中,Sugammadex从aliquots中进行了管理.
- 由于自发恢复 (TOF比率≥90%),41名患者不需要sugammadex.
结论:
- 在量化监测的指导下,从额度中管理sugammadex,导致每例约46美元的净成本节省.
- 该机构预计每年节省的资金达到了近37万美元.
- 定量监测通过识别不需要sugammadex的患者,有助于节省40%的成本.
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