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

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dc.contributor.advisorNieuwveld, Roberten_ZA
dc.contributor.advisorJames, Michael Frank Manselen_ZA
dc.contributor.authorVan Rensburg, G Pen_ZA
dc.date.accessioned2016-02-09T12:16:01Z
dc.date.available2016-02-09T12:16:01Z
dc.date.issued2015en_ZA
dc.descriptionIncludes bibliographical referencesen_ZA
dc.description.abstractBackground: 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.identifier.apacitationVan 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/11427/16930en_ZA
dc.identifier.chicagocitationVan 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/11427/16930en_ZA
dc.identifier.citationVan 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.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
dc.identifier.urihttp://hdl.handle.net/11427/16930
dc.identifier.vancouvercitationVan 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/11427/16930en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Anaesthesiaen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherAnaesthesiologyen_ZA
dc.titleA cost comparison of spontaneously ventilated patients: the universal anaesthesia machine as a possible cost effective alternativeen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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