Erektör spina plan bloğunun perkütan nefrolitotomi cerrahisi maliyetine etkisi

Abstract

Amaç: ESPB’nun perkütan nefrolitotomi cerrahisinde analjezik etkileri çok az bir çalışma ile rapor edilmiştir. Ancak ESPB’nun anestezi maliyeti üzerine etkisi hakkında henüz bir çalışma yoktur. Bu çalışmanın amacı ESPB’nun perkütan nefrolitotomi cerrahisi için sevofluran ve opioid tüketimi ve maliyeti üzerine etkisini değerlendirmektir. Materyal ve metod: Bu prospektif gözlemsel çalışmada perkütan nefrolitotomi geçiren hastalar ESPB’u yapılan (Grup B; 30) ve blok yapılmayan (Grup K; 31) şeklinde iki gruba ayrılmıştır. Sevofluran, remifentanil ve tramadol toplam tüketim miktarları kaydedilmiştir. Maliyet tahmini için sevofluran, remifentanil ve tramadolün toplam tüketilen miktarları ilaçların birim fiyatları (mililitre ve miligram) ile çarpılmıştır. Bulgular: Toplam tüketilen remifentanil miktarı, sevofluran miktarı ve tramadol miktarı Grup B’de anlamlı olarak düşüktü (sırasıyla; p = 0.009, p = 0.001, p < 0.001). Toplam remifentanil, sevofluran maliyeti ve tramadol maliyeti Grup B’de istatistiksel olarak anlamlı derecede düşük idi (sırasıyla; p = 0.006, p = 0.001, p < 0.001). Sonuç: ESPB’u maliyet etkin bir uygulamadır ve multimodal anesteziye katkı sağlamaktadır.

Keywords

• ESPB
• maliyet etkinlik
• anestezi
• analjezi
• perkütan nefrolitotomi

The effect of erector spinae plane block on cost of percutaneous nephrolithotomy surgery

Abstract

Keywords

• ESPB
• cost estimation
• anesthesia
• analgesia
• percutaneous nephrolithotomy

Supporting Institution

Kırıkkale Üniversitesi Tıp Fakültesi

Thanks

Teşekkür ederim

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