This study was performed to compare the efficacy, cost-effectiveness, and safety of general, regional, and local anesthesia when performing outpatient knee arthroscopy.
The study consisted of two portions.
A retrospective review of 256 outpatient knee arthroscopies was performed.
The types of anesthesia used were general endotracheal, regional (epidural or spinal), and local.
Comparisons were made between operative procedure, anesthesia procedure time, need for supplemental anesthesia, recovery room time and cost, pharmaceutical cost. and complications.
A prospective study consisted of 100 consecutive outpatient knee arthroscopies performed using local anesthesia.
Data identical to the retrospective portion were obtained.
Visual analog scales were used in a patient questionnaire completed at the first postoperative visit to assess patient satisfaction with local anesthesia.
The retrospective data showed similar demographics and operative procedures performed in the three study groups.
The difference between operative time and total anesthetic time for the local group was 35 minutes less than for regional, and 23 minutes less than for the general group.
These differences were statistically significant (P<. 05).
Total pharmaceutical cost was significantly less for the local group (P ¾. 05).
Recovery room cost for the local anesthesia group averaged $134 compared with $450 for regional and $527 for general.
This difference was significant (P<. 05). (...)
Mots-clés Pascal : Arthroscopie, Genou, Coût, Analyse coût efficacité, Efficacité, Anesthésie locale, Anesthésie générale, Anesthésie régionale, Ambulatoire, Homme, Etats Unis, Amérique du Nord, Amérique, Etude comparative, Endoscopie, Système ostéoarticulaire pathologie, Genou pathologie, Economie santé
Mots-clés Pascal anglais : Arthroscopy, Knee, Costs, Cost efficiency analysis, Efficiency, Local anesthesia, General anesthesia, Regional anesthesia, Ambulatory, Human, United States, North America, America, Comparative study, Endoscopy, Diseases of the osteoarticular system, Knee disease, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0400498
Code Inist : 002B27A05D. Création : 10/04/1997.