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dc.contributor.authorSneyd, JRen
dc.contributor.authorHolmes, KAen
dc.date.accessioned2012-11-09T22:01:12Z
dc.date.accessioned2013-05-20T15:58:33Z
dc.date.available2012-11-09T22:01:12Z
dc.date.available2013-05-20T15:58:33Z
dc.date.issued2011-04en
dc.identifier.urihttp://hdl.handle.net/10026.1/1466
dc.description.abstract

PURPOSE OF REVIEW: The comparison of inhalational and intravenous anaesthesia has been the subject of many controlled trials and meta-analyses. These reported diverse endpoints typically including measures of the speed and quality of induction of anaesthesia, haemodynamic changes, operating conditions, various measures of awakening, postoperative nausea and vomiting and discharge from the recovery area and from hospital as well as recovery of psychomotor function. In a more patient-focused Health Service, measures with greater credibility are overall patient satisfaction, time to return to work and long-term morbidity and mortality. In practice, studies using easier to measure proxy endpoints dominate - even though the limitations of such research are well known. RECENT FINDINGS: Recent study endpoints are more ambitious and include impact on survival from cancer and the possibility of differential neurotoxic impact on the developing brain and implications for neuro-behavioural performance. SUMMARY: Economic analysis of anaesthesia is complex and most published studies are naive, focusing on drug acquisition costs and facility timings, real health economics are much more difficult. Preferred outcome measures would be whole institution costs or the ability to reliably add an extra case to an operating list, close an operating room and reduce the number of operating sessions offered or permanently decrease staffing. Alongside this, however, potential long-term patient outcomes should be considered.

en
dc.format.extent182 - 187en
dc.languageengen
dc.language.isoengen
dc.relation.replaceshttp://hdl.handle.net/10026.1/1214
dc.relation.replaces10026.1/1214
dc.subjectAnesthesia, Inhalationen
dc.subjectAnesthesia, Intravenousen
dc.subjectCosts and Cost Analysisen
dc.subjectHumansen
dc.subjectNeoplasmsen
dc.subjectNervous System Diseasesen
dc.subjectPatient Dischargeen
dc.subjectRecovery Roomen
dc.subjectTreatment Outcomeen
dc.titleInhalational or total intravenous anaesthesia: is total intravenous anaesthesia useful and are there economic benefits?en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/21252648en
plymouth.issue2en
plymouth.volume24en
plymouth.publication-statusPublisheden
plymouth.journalCurr Opin Anaesthesiolen
dc.identifier.doi10.1097/ACO.0b013e328343f3acen
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/00 Groups by role
plymouth.organisational-group/Plymouth/00 Groups by role/Professional Services staff
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA01 Clinical Medicine
dc.publisher.placeUnited Statesen
dc.identifier.eissn1473-6500en
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1097/ACO.0b013e328343f3acen
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.typeJournal Article/Reviewen


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