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内科手术成本比较内镜手腕道释放与WALANT对抗MAC麻醉的内镜手腕道释放
Jenna M Godfrey1, John Benda2, Won Jin Choi2
1Slocum Center for Orthopedics and Sports Medicine, Eugene, OR, USA.
概括
使用完全清醒的局部麻醉 (WALANT) 进行内镜手掌道释放 (ECTR) 比监控麻醉护理 (MAC) 更具成本效益. 在门诊外科中心 (ASC) 设置中的这种方法为手腕道治疗提供了显著的节省.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 卫生经济学 卫生经济学
背景情况:
- 内镜道释放 (ECTR) 通常比开放式道释放 (OCTR) 更昂贵.
- 门诊外科中心 (ASC) 设置和局部麻醉可以降低手术费用.
- 麻醉技术和手术设置显著影响手术成本.
研究的目的:
- 为了比较清醒局部麻醉技术 (WALANT) 与监控麻醉护理 (MAC) 的成本效益,用于ECTR.
- 用不同的麻醉技术在ASC环境中评估ECTR.
主要方法:
- 从2019年1月到2021年12月,在ASC中对WALANT下的481个ECTR程序和MAC下的405个ECTR程序进行了回顾性研究.
- 计算总程序成本,包括直接的手术室成本,开销和材料.
- 报告并发症率,包括内科转换为OCTR和OCTR的晚期修订.
主要成果:
- 根据WALANT的ECTR,与MAC (25分钟) 相比,术内时间 (22分钟) 较短.
- 在WALANT下,ECTR的成本效益更高 (1341.28美元),而不是在MAC (1634美元).
- 这两种麻醉技术都显示出较低的并发症率.
结论:
- 优化操作内工作流程,人员配置和ASC设置有助于为ECTR节省成本.
- ECTR是手腕道治疗的经济可行的选择.
- 在ASC中,WALANT为ECTR提供了MAC的经济有效的替代方案.
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