Frequency of Use and Cost of Selected Anesthetic Induction and Neuromuscular Blocking Agents
AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH
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The purpose of this study was to identify the most frequently used agents for induction and neuromuscular blockade for intubation, and to identify variables which affected these choices. Anesthetic records n77 were obtained to examine the frequency of use of induction agents and neuromuscular blockers. Anesthesia care providers completed a survey n19 which provided information on induction and neuromuscular relaxation agent preferences, factors influencing their choices, and estimated costs of anesthesia induction and neuromuscular relaxation drugs. Cost estimates were compared to published costs of selected anesthesia drugs. The average cost of each of four combinations of induction and neuromuscular relaxation agents was compared to the average PACU time. Propofol was found to be the most frequently used agent for induction 75.3. Succinylcholine was chosen most often for use as a neuromuscular relaxation agent 98.7. The three most important factors influencing the choice of either agent was the physical status of the patient, the incidence of side effects produced by the drug, and the duration of action of the drug. Patients who received propofol had a shorter PACU stay x92.3 minutes than those patients who received sodium thiopental x110.5 minutes. The estimated cost for propofolsuccinylcholine per patient was 11.16 versus 2.38 for sodium thiopental succinylcholine. Based on a cost of 8.12 per minute for PACU care, the cost savings was estimated to be 139.00 for a patient who received propofolsuccinylcholine compared to a patient who received sodium thiopentalsuccinylcholine.
- Anatomy and Physiology