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- Title
Precision in practice: An audit study on low-flow anesthesia techniques with desflurane and sevoflurane for cost-effective and sustainable care.
- Authors
CHOWDAPPA, GOPINATH KENKARE; IOLOV, SVETOSLAV IVANOV; ABUAMRA, KHALED SALEH; KULKARNI, PRASAD PADMAKAR; SHARIFF, JAMEELULLA ALEEMULLA; KHAIRY ABDELAZIZ, HATEM MOHAMMED; KUMAR, JUSTIN ARUN
- Abstract
Introduction: In the backdrop of escalating healthcare costs and an increasing focus on resource optimization, this audit study delves into the realm of anesthesia management, specifically exploring the application of low-flow anesthesia (LFA). The primary objective was to assess adherence to hospital standards and evaluate the economic implications of LFA (<1 L/min). Materials and Methods: This retrospective audit focused on 700 adult patients undergoing elective surgeries with general anesthesia. Data sources included anesthesia records, electronic recording systems, and audits by a dedicated team. Fresh gas flow rates (FGFRs), minimum alveolar concentration (MAC), and volatile anesthetic consumption were analyzed. Cost comparisons between low-flow and high-flow anesthesia were conducted, employing specific cost per milliliter metrics. Results: The average FGFR during the maintenance phase was found to be 0.45 ± 0.88 L/min. Adherence to hospital standards was notably high, with 94.29% of patients being maintained on low-flow gas rates. The differences in anesthetic consumption between low-flow and high-flow FGFR were statistically significant for both desflurane (12.17 ± 10.84 ml/MAC hour versus 43.12 ± 27.25 ml/MAC hour) and sevoflurane (3.48 ± 7.22 ml/MAC hour versus 5.20 ± 5.20 ml/MAC hour, P < 0.001). The calculated savings per patient with low-flow desflurane and sevoflurane anesthesia compared to high flow were found to be 109.25 AED and 6.74 AED, respectively. Conclusion: This audit advocates for the widespread adoption of LFA as a standard practice. Beyond aligning with hospital standards, the study highlights the multi-faceted benefits of LFA, encompassing economic savings, environmental safety, and enhanced patient care.
- Subjects
DESFLURANE; SEVOFLURANE; GENERAL anesthesia; ANESTHESIA; GAS flow; ECONOMIC impact; MEDICAL audit; INHALATION anesthesia
- Publication
Saudi Journal of Anaesthesia, 2024, Vol 18, Issue 3, p388
- ISSN
1658-354X
- Publication type
Article
- DOI
10.4103/sja.sja_142_24