1. [Use of ephedrine prefilled syringes reduces anesthesia costs].
- Author
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Bellefleur JP, Milhaud Y, Beconcini G, Zieleskiewicz L, Ortega D, Martin C, and Leone M
- Subjects
- Adrenergic Agents economics, Adrenergic Agents therapeutic use, Adult, Analgesia, Epidural adverse effects, Analgesia, Epidural economics, Analgesia, Obstetrical adverse effects, Anesthesia, Epidural adverse effects, Anesthesia, Epidural economics, Anesthesia, Obstetrical adverse effects, Anesthesia, Spinal adverse effects, Anesthesia, Spinal economics, Anesthetics, Local adverse effects, Cesarean Section, Cost Savings, Drug Packaging, Ephedrine economics, Ephedrine therapeutic use, Female, France, Hospitals, University economics, Hospitals, University statistics & numerical data, Humans, Hypotension economics, Hypotension etiology, Obstetric Labor Complications economics, Obstetric Labor Complications etiology, Obstetrics and Gynecology Department, Hospital statistics & numerical data, Pregnancy, Prospective Studies, Adrenergic Agents administration & dosage, Anesthesia, Obstetrical economics, Drug Costs statistics & numerical data, Ephedrine administration & dosage, Hypotension drug therapy, Obstetric Labor Complications drug therapy, Obstetrics and Gynecology Department, Hospital economics, Syringes economics
- Abstract
Objective: The aim of the present study was to compare the consumption and cost of ephedrine in parturients with respect to two packagings: ampoules and prefilled syringes., Study Design: Prospective observational study in a French university obstetrical unit., Patients and Methods: Assessing the consumption and cost of ephedrine during two consecutive periods of 14 days: use of ampoules for period 1 (P1) versus use of prefilled syringes for period 2 (P2). Consumption was daily evaluated. The costs (ampoules and consumable supplies for P1 and prefilled syringes for P2) were calculated on the basis of the price list given by our institutional pharmacy. The number of parturients and the anaesthetic techniques which were performed were prospectively recorded., Results: One hundred and thirteen parturients were managed for the present study. The number of parturients and the anaesthetic care were similar between the two periods. In contrast, 155 ampoules were used for P1 versus 45 prefilled syringes for P2 (p<0.0001). The cost per parturient was 3.1 euro for P1 versus 2.6 euro for P2, i.e. 0.5 euro was saved for each parturient., Conclusion: The results of the present study show that the use of prefilled syringes reduces significantly the wastage of ephedrine, allowing subsequent cost minimization in obstetrical anaesthesia.
- Published
- 2009
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