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

Yıl 2020, Cilt: 3 Sayı: 4, 409 - 414, 22.10.2020

Kevser Peker , Seydi Ali Peker

https://doi.org/10.32322/jhsm.774520

Cited By: 1

Öz

Anahtar Kelimeler

ESPB, cost estimation, anesthesia, analgesia, percutaneous nephrolithotomy

Destekleyen Kurum

Kırıkkale Üniversitesi Tıp Fakültesi

Proje Numarası

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Teşekkür

Teşekkür ederim

Erektör spina plan bloğunun perkütan nefrolitotomi cerrahisi maliyetine etkisi

Öz

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.

Anahtar Kelimeler

ESPB, maliyet etkinlik, anestezi, analjezi, perkütan nefrolitotomi

Proje Numarası

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Kaynakça

• Visscher SL, Naessens JM, Yawn BP, Reinalda MS, Anderson SS, Borah BJ. Developing a standardized healthcare cost data warehouse. BMC Health Serv Res 2017; 17: 396.
• French KE, Guzman BA, Rubio AC, Frenzel JC, Feeley TW. Value based care and bundled payments: Anesthesia care costs for outpatient oncology surgery using time-driven activity-based costing. Healthcare 2016; 4: 173-80.
• Chan SM, Horng Huei-Chi, Huang ST, et al. Drug cost analysis of three anesthetic regimens in prolonged lumbar spinal surgery. J Med Sci 2009: 29; 75-80.
• Tabing AK, Ehrenfeld JM, Wanderer JP. Limiting the accessibility of cost-prohibitive drugs reduces overall anesthetic drug costs: a retrospective before and after analysis. Can J Anesth 2015; 62: 1045–54.
• Brioni JD, Varughese S, Ahmed R, Bein B. A clinical review of inhalation anesthesia with sevoflurane: from early research to emerging topics. J Anesth 2017; 31: 764–78.
• Singh PM, Trikha A, Sinha R, Ramachandran R, Rewari V, Borle A. Pharmaco-economics: Minute-based cost of sevoflurane in pediatric short procedures and its relation to demographic variables. J Anaesthesiol Clin Pharmacol 2013; 29: 328-32.
• Brown EN, Pavone KJ, Naranjo M. Multimodal general anesthesia: theory and practice. Anesth Analg 2018; 127: 1246-58.
• Koepke EJ, Manning EL, Miller TE, Ganesh A, Williams DGA, Manning MW. The rising tide of opioid use and abuse: the role of the anesthesiologist. Perioper Med 2018; 7: 16.
• Tulgar S, Ahiskalioglu A, De Cassai A, Gurkan Y. Efficacy of bilateral erector spinae plane block in the management of pain: current insights. J Pain Res 2019; 12: 2597-613. doi:10.2147/JPR.S182128
• Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med 2016; 41: 621–7.
• Goktas U, Isik D, Kati I, Atik B, Soyoral L. Effects of lidocaine infiltration on cost of rhinoplasty made under general anesthesia. J Craniofac Surg 2011; 22: 2176–8.
• Senturk M, Pembeci K, Menda F, et al. Effects of intramuscular administration of lidocaine or bupivacaine on induction and maintenance doses of propofol evaluated by Bispectral Index. Br J Anaesth 2002; 89: 849–52.
• Tulgar S, Kapakli MS, Senturk O, Selvi O, Serifsoy TE, Ozer Z. Evaluation of ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: A prospective, randomized, controlled clinical trial. J Clin Anesth 2018; 49: 101-6.
• Gultekin MH, Erdogan A, Akyol F. Evaluation of the Efficacy of the Erector Spinae Plane Block for Postoperative Pain in Patients Undergoing Percutaneous Nephrolithotomy: A Randomized Controlled Trial. J Endourol 2020; 34: 267-72. doi:10.1089/end.2019.0777.
• Ibrahim M, Elnabtity AM. Analgesic efficacy of erector spinae plane block in percutaneous nephrolithotomy. Anaesthesist 2019; 68: 755–61. doi.org/10.1007/s00101-019-00673-w.
• Biro P. Calculation of volatile anaesthetics consumption from agent concentration and fresh gas flow. Acta Anaesthesiol Scand 2014; 58: 968–72.
• Sindhu F. Are non-pharmacological nursing interventions for the management of pain effective? A meta-analysis. J Adv Nurs 1996; 24: 1152-9.
• Kendall MC, Alves L, Traill LL, Oliveira GS. The effect of ultrasound-guided erector spinae plane block on postsurgical pain: a meta-analysis of randomized controlled trials. BMC Anesthesiol 2020; 20: 99. doi.org/10.1186/s12871-020-01016-8
• Brown EN, Pavone KJ, Naranjo M. Multimodal general anesthesia: theory and practice. Anesth Analg 2018; 127: 1246-58.
• Greenberg CP. Practical, cost-effective regional anesthesia for ambulatory surgery. J Clin Anesth 1995; 7: 614-21.
• Fozzard HA, Lee PJ, Lipkind GM. Mechanism of local anesthetic drug action on voltage-gated sodium channels. Curr Pharm Des 2005; 11: 2671-86.
• Kokulu S, Bakı ED, Kaçar E, et al. Effect of transversus abdominis plane block on cost of laparoscopic cholecystectomy anesthesia. Med Sci Monit 2014; 20: 2783-7.
• Egan TD. Are opioids indispensable for general anaesthesia? Br J Anesth 2019; 122: e127-35. doi.org/10.1016/j.bja.2019.03.005.
• Grant MC, Sommer PM, He C, et al Preserved analgesia with reduction in opioids through the use of an acute pain protocol in enhanced recovery after surgery for open hepatectomy. Reg Anesth Pain Med 2017; 42: 451–7.
• Johnstone RE, Jozefczk KG. Costs of anesthetic drugs: Experience with a cost education trial. Anesth Analg 1994; 78: 766–71.
• Hogan PF, Seifert RF, Moore CS, Simonson BE. Cost effectiveness analysis of anesthesia providers. Nurs Econ 2010; 28: 159-69.
• Li S, Coloma M, White PF, et al. Comparison of the costs and recovery profiles of three anesthetic techniques for ambulatory anorectal surgery. Anesthesiology 2000; 93: 1225-30.
• Epple J, Kubitz J, Schmidt H, et al. Comparative analysis of costs of total intravenous anaesthesia with propofol and remifentanil vs. balanced anaesthesia with isoflurane and fentanyl. Eur J Anaesthesiol 2001; 18: 20-8.
• Kaniyil S, Krishnadas A, Parathody AK, Ramadas KT. Financial implications of intravenous anesthetic drug wastage in operation room. Anesth Essays Res 2017; 11: 304-8.
• Tomin J, Živanov-Čurlis J, Popović D, Glogovac S, Bašić D. Differences in local anesthetic effects of optically active isomers of local anesthetic compounds. Biotechnology & Biotechnological Equipment 2006; 20: 9-14.