Análise de custos entre a raquianestesia e a anestesia venosa com propofol associada ao bloqueio perianal local em operações anorretais

Kotze, Paulo Gustavo; Freitas, Cristiano Denoni; Steckert, Juliana Stradiotto; Martins, Juliana Ferreira; Sobrado-Junior, Carlos Walter; Bahten, Luiz Carlos Von; Tambara, Elisabeth Mila

doi:10.1590/s0102-67202009000300001

Cited by 1 publication

(3 citation statements)

References 13 publications

(37 reference statements)

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“…Kotze et al demonstrated, in a similar study, reduced utilization time of the operating room in patients submitted to surgeries with combined anesthesia 6 . In the same study, published later, the overall costs were similar when comparing spinal and combined anesthesia 21 . However, in these four studies, the analysis was of direct and indirect costs.…”

Section: Discussionsupporting

confidence: 53%

“…The experience acquired in some years with this anesthetic technique, combined with a good relationship with the anesthesiology service, shows that the selection of combined anesthesia is more suitable to most patients. In addition, the service study group on this theme showed equivalent overall costs of the procedures, not only regarding the anesthetic materials, when comparing the two techniques 6,21 . At the final decision on the technique selected for the service procedures, indirect costs were also taken into account (shorter time in the operating room and hospitalization, among others), as well as the additional clinical benefits to the patient from the significant reduction of complications (mainly urinary retention and cephalalgia).…”

Section: Discussionmentioning

confidence: 97%

“…The international literature is still incipient regarding themes involving economic aspects associated with proctologic or anesthetic surgical procedures 7,20 . Few Brazilian articles on this subject have been published 21,22 . Given the significant prevalence of hemorrhoidal disease and the high proportion of patients that will require a surgical treatment, the anesthetic procedure costs have become an important factor in the selection of the best technique for these surgeries, as the surgical procedure per se is unvarying.…”

Section: Methodsmentioning

confidence: 99%

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Analysis of direct costs of anesthesia-related materials between spinal and venous anesthesia with propofol associated with local perianal block in hemorrhoidectomy

Kotze¹,

Junior²,

Freitas³

et al. 2011

J. Coloproctol. (Rio J.)

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There is no consensus on the ideal anesthesia for hemorrhoidectomy in ambulatory facilities. Spinal anesthesia and venous propofol associated with local perianal block (combined anesthesia) are frequently used, and their direct costs may be crucial for the anesthesia type selection. The objective of this study was to compare the direct costs of anesthesia-related materials in hemorrhoidectomy between these two anesthetic techniques.Retrospective and cross-section analysis, comparing the direct costs of the materials of spinal and venous anesthesia with propofol associated with local perianal block, in hemorrhoidectomy. Twenty patients were included, ten submitted to each anesthesia type (five from each gender). The mean age in the spinal anesthesia group was 46.5 years and in the combined anesthesia group, 42.5 years (p=0.334). The mean cost of anesthesia-related materials was R$ 58.50 (R$ 36.48 - R$ 85.79) in the first group versus R$ 190.31 (R$ 98.16 - R$ 358.51) in the second - 69.27% difference between them (p<0.001). The mean costs according to gender analysis were R$ 50.32 and R$ 66.69 (p=0.263) in the spinal anesthesia group versus R$ 222.52 and R$ 158.10 (p=0.221) in the combined anesthesia group, respectively. The direct costs of anesthesia-related materials were significantly lower in patients submitted to hemorrhoidectomy using spinal anesthesia. No difference was observed between the genders in each group analyzed.
Não há consenso sobre a técnica anestésica de escolha para hemorroidectomias em regime ambulatorial. A raquianestesia e a anestesia combinada (venosa com propofol + local) são frequentemente utilizadas, e os custos das mesmas podem ser determinantes na escolha do melhor tipo de anestesia. O objetivo deste trabalho foi avaliar e comparar os custos diretos dos materiais anestésicos utilizados em hemorroidectomias entre essas duas técnicas. Foi feito um estudo retrospectivo e transversal, comparativo entre os custos diretos dos materiais anestésicos entre a raquianestesia e a anestesia venosa com poropofol associada ao bloqueio perianal local, em hemorroidectomias. Foram analisados 20 pacientes, 10 operados com cada técnica anestésica (5 de cada gênero). A média de idade do grupo da raquianestesia foi de 46,5 anos e do grupo da anestesia combinada foi de 42,5 anos (p=0,334). O custo médio do procedimento anestésico no primeiro grupo foi de R$ 58,50 (R$ 36,48 - R$ 85,79), no segundo foi de R$ 190,31 (R$ 98,16 - R$ 358,51). A diferença das médias foi de 69,27%, com significância estatística (p<0,001). A média dos custos dos gêneros masculino e feminino no grupo da raquianestesia foi de R$ 50,32 e R$ 66,69 (p=0,263) e no grupo da anestesia combinada foi de R$ 222,52 e R$ 158,10 (p=0,221), respectivamente. Os custos diretos médios dos materiais anestésicos dos pacientes submetidos a hemorroidectomias foram significativamente menores no grupo da raquianestesia. Não houve significância estatística na diferença entre os gêneros em cada grupo

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 97%