Relative costs of anesthesiologist prepared, hospital pharmacy prepared and outsourced anesthesia drugs

Jelačić, Srdjan; Craddick, Karen; Nair, Bala G.; Bounthavong, Mark; Yeung, Kai; Kusulos, Dolly; Knutson, Jennifer; Somani, Shabir M.; Bowdle, Andrew

doi:10.1016/j.jclinane.2016.10.015

Cited by 15 publications

(7 citation statements)

References 13 publications

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“…This should be shown if requested by a client or by any other person who has reason to verify the identity of the drug (14,15). The medicine transport is a very important point to be raised, since all the integrity of the product, durability, reliable use, is not only defined by the manufacturer, since the route that the medicine travels until reaching the final recipients are also of extremely importance for their quality (16,17).…”

Section: Resultsmentioning

confidence: 99%

Implantation Process of Medicine Suppliers Qualification used in a Domiciliary Assistance Service

Coqueiro¹,

Sanros²,

Dorado³

et al. 2019

IJAERS

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The Hospital Pharmacy, is subjectively known as a "clinical care, technical and administrative unit, in which the activities performed are directed to pharmaceutical assistance, by constituting the organizational structure of the hospital and functionally integrated with the other administrative units and patient care," by having as responsible the pharmacist. The present study is about a descriptive research, using quantitative methods, in which the drugs suppliers of the Pharmaceutical Supply Center (PSC) of a Home Care in the city of Vitória da Conquista were evaluated in the period from February to April of 2019. The research field is an establishment classified as Home Care, that is a care service with patients in home care and urgency and emergency removals, specialized in the care from low to high complexity, with a spread of municipal care, regional and in some cities of the south, southwest and west of Bahia. It was identified in our results that a large number of drug suppliers had their own delivery, delivered the drug by the deadline, maintained the integrity of the drug, and all the ones had the lot equal to the electronic invoice (NFE). However, some suppliers did not have the vehicle suitability for transporting the medicines, the validity of the drug supplied was less than 12 months. It is perceived the importance of the pharmaceutical professional, both in storage as well as in transportation so that everything is done within the established standards by the health agencies. The handling of the medicines so that be prevented all kind of adverse events, be it contamination, expiration date, fake lots, damaged boxes must be taken into consideration all the aspects of safety.

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Section: Resultsmentioning

confidence: 99%

Implantation Process of Medicine Suppliers Qualification used in a Domiciliary Assistance Service

Coqueiro¹,

Sanros²,

Dorado³

et al. 2019

IJAERS

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show abstract

“…Although this is an interesting discovery, discharge times are impacted by many variables such as postoperative pain, emetic symptoms, and system-related delays that was not included in our statistical model. Further exploration is warranted because liposome bupivacaine is considerably more expensive than plain bupivacaine or ropivacaine [ 47 , 48 ] and may not have a pharmacoeconomic advantage when compared to plain bupivacaine or ropivacaine [ 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Liposome Bupivacaine Compared to Plain Local Anesthetics to Reduce Postsurgical Pain: An Updated Meta-Analysis of Randomized Controlled Trials

Kendall

Alves

Oliveira

2018

Pain Research and Treatment

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Objective Peripheral nerve blocks for postoperative analgesia have improved block success, but analgesia efficacy has been limited by the short duration of traditional local anesthetics. The results of randomized trials comparing liposome bupivacaine with conventional local anesthetic formulations (e.g., plain bupivacaine and ropivacaine) have generated conflicting results. This study was conducted to systematically review the effectiveness of analgesic efficacy of liposome bupivacaine infiltration at the surgical site versus plain local anesthetic bupivacaine or ropivacaine in patients undergoing surgery. Methods PRISMA statement guidelines were followed. A search of electronic databases National Library of Medicine's PubMed database, Cochrane Database of Systematic Reviews, Embase, and Google Scholar from January 2012 to September 2017 was performed. Among the 1,612 records identified, 9 randomized controlled trials involving 779 patients were eligible for data extraction and meta-analysis. Results Liposome bupivacaine did not reduce postsurgical pain at rest compared to plain local anesthetics at 24 and 48 hours after surgery. Moreover, liposome bupivacaine did not reduce postoperative opioid consumption at 24, 48, or 72 hours when compared to plain local anesthetics. Liposome bupivacaine did reduce postoperative nausea when compared to plain local anesthetics (P =<0.3). There was no significant difference in hospital length of stay between study groups, the use of plain bupivacaine or ropivacaine, or among orthopedic or nonorthopedic procedures. No manifestations of local anesthetic toxicity were reported. Conclusions Our results suggest that liposome bupivacaine does not have an analgesic advantage when compared to plain local anesthetics at the surgical site for patients undergoing surgical procedures.

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“…The cost of prefilled syringes can be problematic, as discussed in our recent article on the economics of prefilled syringes. 3 Finally, concerns have been expressed about the quality control and sterility of i.v. medications prepared by commercial compounding facilities (e.g.…”

Section: Why We Scan the Barcodes Of Anaesthetic Medicationsmentioning

confidence: 99%

Why we scan the barcodes of anaesthetic medications

Bowdle

Jelačić

Nair

et al. 2019

British Journal of Anaesthesia

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Relative costs of anesthesiologist prepared, hospital pharmacy prepared and outsourced anesthesia drugs

Cited by 15 publications

References 13 publications

Implantation Process of Medicine Suppliers Qualification used in a Domiciliary Assistance Service

Implantation Process of Medicine Suppliers Qualification used in a Domiciliary Assistance Service

Liposome Bupivacaine Compared to Plain Local Anesthetics to Reduce Postsurgical Pain: An Updated Meta-Analysis of Randomized Controlled Trials

Why we scan the barcodes of anaesthetic medications

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