COMPARISON OF ANESTESIA DRUG AND SUPPLY COSTS AND EFFECTIVENESS BETWEEN GENERAL AND SPINAL ANESTHESIA FOR TOTAL OR SSUBTOTAL HIP REPLACEMENT SURGERY

Résumé fourni par la source

Total or subtotal hip replacement surgeries are common orthopedic interventions which are usually performed in spinal anesthesia (SA) or general anesthesia (GA). The economic aspects of the anesthetic techniques SA or GA used for this common type of surgery are investigated only in several studies. So we investigated these two techniques and made comparison about the drugs and costs we used.Objectives. The aim of the study was to compare the cost effectiveness of the drugs and supply used in spinal anesthesia (SA) and general anesthesia (GA) for the hip replacement surgery.Material and method. The study was performed in Clinical Hospital Stip. The costs of drugs and supplies for anesthesia and recovery time,were analyzed in 78 patients undergoing total or subtotal hip replacement surgery receiving either spinal anesthesia (SA) or general anesthesia(GA). Anesthesia related time and pain scores during the anesthesia, in the end of the operation and in postanesthesia care unit (PACU) were also recorded.Results. The obtained results show that total costs per case, without personnel costs, were almost half in the spinal anesthesia(SA) group compared with those in general anesthesia(GA) group. This founds were result of less costs for anesthetics and short time of recovery. There were no relevant differences regarding anesthesia-related times. Patients in the general anesthesia(GA) group were admitted to the postanesthesia care unit (PACU) with a higher pain score and needed more analgesics than patients in the spinal anesthesia (SA) group. We conclude that spinal anesthesia(SA) is a more cost-effective alternative to general anesthesia (GA) in patients undergoing “total and subtotal hip replacement surgeries”, as it is associated with lower fixed and variable costs. Moreover, spinal anesthesia (SA) seems to be more effective, as patients in the spinal anesthesia (SA) group showed lower postoperative pain scores during their stay in the postanesthesia care unit (PACU).

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