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Cost-effectiveness and high patient satisfaction in the elderly: sevoflurane versus propofol anaesthesia

Published online by Cambridge University Press:  23 December 2004

S. P. Luntz ,
E. Janitz ,
J. Motsch ,
A. Bach ,
E. Martin  and
B. W. Böttiger
S. P. Luntz
Affiliation:
University of Heidelberg, Department of Anaesthesiology, Heidelberg, Germany
E. Janitz
Affiliation:
University of Heidelberg, Department of Anaesthesiology, Heidelberg, Germany
J. Motsch
Affiliation:
University of Heidelberg, Department of Anaesthesiology, Heidelberg, Germany
A. Bach
Affiliation:
University of Heidelberg, Department of Anaesthesiology, Heidelberg, Germany
E. Martin
Affiliation:
University of Heidelberg, Department of Anaesthesiology, Heidelberg, Germany
B. W. Böttiger
Affiliation:
University of Heidelberg, Department of Anaesthesiology, Heidelberg, Germany
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Abstract

Summary

Background and objective: The use of propofol compared with isoflurane is associated with improved patient comfort and decreased costs. However, as the cost saving, the quicker recovery time and patient comfort may not be evident if sevoflurane is substituted for isoflurane; these two anaesthetic agents were analysed in elderly patients.

Methods: In a prospective randomized study, 96 patients undergoing elective ophthalmic surgery received either total intravenous anaesthesia with propofol (Group P), propofol for induction and sevoflurane for maintenance (Group P/S) or sevoflurane for inhalation induction and maintenance (Group S). Analyses focussed on haemodynamics, the quality of recovery, and the costs for the anaesthetic and the entire procedure.

Results: Bradycardia or hypotension, mainly registered in Groups P and P/S, did not influence patients' recovery. In Group S, postoperative nausea and vomiting occurred frequently, and 50% of patients complained of discomfort during induction. In Group P/S, the costs for anaesthetics and total costs were lower than those in Groups P and S.

Conclusions: Propofol- and sevoflurane-based maintenance of anaesthesia were similar with regard to patient comfort and recovery in the elderly. Cost analysis revealed that it was less expensive to use propofol for induction and sevoflurane for maintenance than to use either propofol or sevoflurane as sole agents for anaesthesia.

Keywords

AGE GROUPS, adult, agedANAESTHESIA, GENERALECONOMICS, costs and cost analysis
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 21 , Issue 2 , February 2004 , pp. 115 - 122
Copyright
2004 European Society of Anaesthesiology

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