Kendell J, Wildsmith J A, Gray I G
Department of Anaesthesia, Ninewells Hospital & Medical School, Dundee DD1 9SY, UK.
Anaesthesia. 2000 Nov;55(11):1106-13. doi: 10.1046/j.1365-2044.2000.01547.x.
A computerised database of operating theatre activity was used to estimate the costs of regional and general anaesthesia for varicose vein and inguinal hernia surgery. Data retrieved for each procedure included the anaesthetic technique and drugs used, and the duration of anaesthesia, surgery and recovery. The costs of anaesthetic drugs and disposables, salary costs of the anaesthetic personnel and maintenance costs for anaesthetic equipment were considered. Drugs and disposables accounted for approximately 25% of the total cost of an anaesthetic. Anaesthetic times were 5 min longer for regional anaesthesia, but recovery times were 10 min shorter following regional anaesthesia for varicose vein surgery. Staff costs were dependent on the length of time each staff member spent with the patient. Although the number of cases was small, provision of a field block and sedation for inguinal hernia repair was considerably cheaper than other anaesthetic techniques.
利用一个手术室活动的计算机数据库来估算静脉曲张和腹股沟疝手术的区域麻醉和全身麻醉费用。为每个手术检索的数据包括麻醉技术和使用的药物，以及麻醉、手术和恢复的持续时间。考虑了麻醉药物和一次性用品的成本、麻醉人员的薪资成本以及麻醉设备的维护成本。药物和一次性用品约占麻醉总成本的25%。静脉曲张手术采用区域麻醉时，麻醉时间长5分钟，但区域麻醉后的恢复时间短10分钟。人员成本取决于每个工作人员陪伴患者的时间长度。尽管病例数量较少，但腹股沟疝修补术采用局部阻滞加镇静的费用比其他麻醉技术要便宜得多。
