A cost comparison of spontaneously ventilated patients: the universal anaesthesia machine as a possible cost effective alternative

 

Show simple item record

dc.contributor.advisor Nieuwveld, Robert en_ZA
dc.contributor.advisor James, Michael Frank Mansel en_ZA
dc.contributor.author Van Rensburg, G P en_ZA
dc.date.accessioned 2016-02-09T12:16:01Z
dc.date.available 2016-02-09T12:16:01Z
dc.date.issued 2015 en_ZA
dc.identifier.citation Van Rensburg, G. 2015. A cost comparison of spontaneously ventilated patients: the universal anaesthesia machine as a possible cost effective alternative. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/16930
dc.description Includes bibliographical references en_ZA
dc.description.abstract Background: A new appreciation of relevant risks, as well as the increased availability of technologies that facilitate the use of regional techniques, have increased the number of patients that are allowed to breathe spontaneously during their procedures. The ever-growing caseload of surgical patients in resource poor environments demands an anaesthetic service and equipment capable of meeting with these demands. Methods: Patients were recruited to receive their general anaesthesia by means of either the Universal Anaesthesia Machine (UAM) or the standard plenum system available. Anaesthesia was administered according to a protocol and the consumption of electricity, carrier gases, volatile hypnotic agent and carbon dioxide absorbent was measured. The cost per minute was then calculated for each device respectively. Results: Our study recruited 50 patients (25 into each group) across several surgical specialties. We found that when calculated as a total South African Rand (ZAR) per minute cost (for our centre) the UAM was statistically significantly more expensive (R 0.974/min vs. R 0.459/min, p < 0,00001). We were able to derive equations to predict the cost consumption of the respective devices, allowing the use of this data in a wide array of clinical settings. Conclusion: Whilst our finding is by no means surprising, it allowed us to produce formulae by which individual centres can calculate the implications of each option using the specific costs of the various consumables available to them. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Anaesthesiology en_ZA
dc.title A cost comparison of spontaneously ventilated patients: the universal anaesthesia machine as a possible cost effective alternative en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Anaesthesia en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MMed en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Van Rensburg, G. P. (2015). <i>A cost comparison of spontaneously ventilated patients: the universal anaesthesia machine as a possible cost effective alternative</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Anaesthesia. Retrieved from http://hdl.handle.net/11427/16930 en_ZA
dc.identifier.chicagocitation Van Rensburg, G P. <i>"A cost comparison of spontaneously ventilated patients: the universal anaesthesia machine as a possible cost effective alternative."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Anaesthesia, 2015. http://hdl.handle.net/11427/16930 en_ZA
dc.identifier.vancouvercitation Van Rensburg GP. A cost comparison of spontaneously ventilated patients: the universal anaesthesia machine as a possible cost effective alternative. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Anaesthesia, 2015 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/16930 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Van Rensburg, G P AB - Background: A new appreciation of relevant risks, as well as the increased availability of technologies that facilitate the use of regional techniques, have increased the number of patients that are allowed to breathe spontaneously during their procedures. The ever-growing caseload of surgical patients in resource poor environments demands an anaesthetic service and equipment capable of meeting with these demands. Methods: Patients were recruited to receive their general anaesthesia by means of either the Universal Anaesthesia Machine (UAM) or the standard plenum system available. Anaesthesia was administered according to a protocol and the consumption of electricity, carrier gases, volatile hypnotic agent and carbon dioxide absorbent was measured. The cost per minute was then calculated for each device respectively. Results: Our study recruited 50 patients (25 into each group) across several surgical specialties. We found that when calculated as a total South African Rand (ZAR) per minute cost (for our centre) the UAM was statistically significantly more expensive (R 0.974/min vs. R 0.459/min, p < 0,00001). We were able to derive equations to predict the cost consumption of the respective devices, allowing the use of this data in a wide array of clinical settings. Conclusion: Whilst our finding is by no means surprising, it allowed us to produce formulae by which individual centres can calculate the implications of each option using the specific costs of the various consumables available to them. DA - 2015 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - A cost comparison of spontaneously ventilated patients: the universal anaesthesia machine as a possible cost effective alternative TI - A cost comparison of spontaneously ventilated patients: the universal anaesthesia machine as a possible cost effective alternative UR - http://hdl.handle.net/11427/16930 ER - en_ZA


Files in this item

This item appears in the following Collection(s)

Show simple item record