Navegando por Palavras-chave "Anesthesia, local"

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    Análise de custo dos materiais usados para realizar as técnicas anestésicas na cirurgia programada de extração de catarata por facoemulsificação
    (Conselho Brasileiro de Oftalmologia, 2004-02-01) Barreiro, Jefferson; Barreiro, Telma Pereira [UNIFESP]; Rehder, José Ricardo Carvalho Lima; Fundação Universitária do ABC Faculdade de Medicina Setor de Catarata; Universidade Federal de São Paulo (UNIFESP); Faculdade de Medicina do ABC
    PURPOSE: To compare the costs of local anaesthesia (retrobulbar block, peribulbar block, sub-Tenon and topical) to perform phacoemulsification cataract extraction. METHODS: We studied the costs of the materials that are necessary to perform the local anaesthesia (retrobulbar block, peribulbar block, sub-Tenon and topical). We adopted the standard technique used for the Cataract Sector of the Department of Ophthalmology, ABC University. For each technique the total price of the each item to perform the above described local anaesthesia was analyzed. Prices were obtained from three different stores which sell hospitals materials and we considered for this study the item with a lower price. RESULTS: The costs of topical anaesthesia were 0.06 reais, for the retrobulbar it was 7.42 reais, 24.96 reais for the peribulbar was and 48.12 reais for the sub-Tenon. CONCLUSIONS: 1. Topical anaesthesia showed the lowest cost. 2. Retrobulbar anaesthesia showed low cost when compared with the peribulbar and sub-Tenon 3. Sub-Tenon's anaesthesia showed the highest cost.
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    Cost-effectiveness analysis on spinal anesthesia versus local anesthesia plus sedation for loop colostomy closure
    (Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED, 2010-06-01) Vaz, Filinto Aníbal Alagia; Abreu, Rone Antônio Alves; Soárez, Patrícia Coelho De [UNIFESP]; Speranzini, Manlio Basílio; Fernandes, Luís Cesar [UNIFESP]; Matos, Delcio [UNIFESP]; Hospital Complex Digestive System Surgery Mandaqui; Instituto Tocantinense Presidente Antonio Carlos Department of Surgery; Universidade Federal de São Paulo (UNIFESP)
    CONTEXT: Studies in the area of health economics are still poorly explored and it is known that the cost savings in this area is becoming more necessary, provided that strict criteria. OBJECTIVE: To perform a cost-effectiveness analysis of spinal anesthesia versus local anesthesia plus sedation for loop colostomy closure. METHODS: This was a randomized clinical trial with 50 patients undergoing loop colostomy closure either under spinal anesthesia (n = 25) or under local anesthesia plus sedation (n = 25). The duration of the operation, time spent in the post-anesthesia recovery room, pain, postoperative complications, length of hospital stay, laboratory and imaging examinations and need for rehospitalization and reoperation were analyzed. The direct medical costs were analyzed. A decision tree model was constructed. The outcome measures were mean cost and cost per local and systemic postoperative complications avoided. Incremental cost-effectiveness ratios were presented. RESULTS: Duration of operation: 146 ± 111.5 min. vs 105 ± 23.6 min. (P = 0.012); mean time spent in post-anesthesia recovery room: 145 ± 110.8 min. vs 36.8 ± 34.6 min. (P<0.001). Immediate postoperative pain was lower with local anesthesia plus sedation (P<0.05). Local and systemic complications were fewer with local anesthesia plus sedation (P = 0.209). Hospitalization + rehospitalization: 4.5 ± 4.1 days vs 2.9 ± 2.2 days (P<0.0001); mean spending per patient: R$ 5,038.05 vs 2,665.57 (P<0.001). Incremental cost-effectiveness ratio: R$ -474.78, indicating that the strategy with local anesthesia plus sedation is cost saving. CONCLUSION: In the present investigation, loop colostomy closure under local anesthesia plus sedation was effective and appeared to be a dominant strategy, compared with the same surgical procedure under spinal anesthesia.
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    Randomized clinical study on the analgesic effect of local infiltration versus spinal block for hemorrhoidectomy
    (Associacao Paulista Medicina, 2017) Borges, Luis Antonio [UNIFESP]; Leal, Plinio da Cunha [UNIFESP]; Rey Moura, Ed Carlos [UNIFESP]; Sakata, Rioko Kimiko [UNIFESP]
    BACKGROUND AND OBJECTIVES: Postoperative analgesia and early recovery are important for hospital discharge. The primary objective of this study was to compare the analgesic effectiveness of perianal infiltration and subarachnoid anesthesia for hemorrhoidectomy. The secondary objective was to compare time to discharge, adverse effects and complications. DESIGN AND SETTING: Randomized, prospective and comparative study at Dr. Mario Gatti Hospital. METHODS: Forty patients aged 18-60, in American Society of Anesthesiologists physical status category 1 or 2, were included. The local group (LG) received local infiltration (0.75% ropivacaine) under general anesthesia