dc.contributor.author
Borck, Michael
dc.contributor.author
Wandrey, Jan D.
dc.contributor.author
Höft, Moritz
dc.contributor.author
Kastelik, Joanna
dc.contributor.author
Perka, Carsten
dc.contributor.author
Tafelski, Sascha
dc.contributor.author
Treskatsch, Sascha
dc.date.accessioned
2023-11-15T12:15:04Z
dc.date.available
2023-11-15T12:15:04Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/41531
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-41250
dc.description.abstract
Background: A superior analgesic method in perioperative pain-management of patients receiving total knee arthroplasty is the subject of controversial debate. Although higher cost-efficiency is claimed for the local infiltration analgesia (LIA), there is a lack of data on its costs compared to peripheral nerve block anaesthesia (PNBA). The goal of this study was to investigate the differences in immediate perioperative costs between the LIA and PNBA in treatment of patients receiving total knee arthroplasty.
Methods: The comparison was conducted based on a randomized controlled clinical trial examining 40 patients with elective, primary total knee arthroplasty (TKA, 20 patients with LIA and 20 patients with PNBA). The analysis included surgical case costs, anaesthesiological case costs, material, costs of postoperative opioid requirements and catheter review visits for patients receiving PNBA.
Results: The overall mean costs for the LIA-group were 4328.72(sic) and 4368.12(sic) for the PNBA (p = 0.851). While there was no statistically significant difference in surgical case costs, the anaesthesiological costs were lower with the LIA procedure (1370.26(sic) vs. 1542.45(sic), p = 0.048). Material costs in the LIA group were 4.18(sic)/patient and 94.64(sic)/patient with the PNBA. Costs for postoperative opioid requirements showed no statistically significant difference between the two procedures.
Conclusions: There is no relevant difference in immediate perioperative costs between LIA and PNBA. Shorter induction times lead to lower anaesthesiological case costs with the LIA. Overall economic aspects seem to play a less important role for determining an adequate procedure for perioperative pain management.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Local infiltration analgesia
en
dc.subject
Peripheral nerve block
en
dc.subject
Pain management
en
dc.subject
Cost comparison
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Local infiltration analgesia versus peripheral nerve block anaesthesia in total knee arthroplasty: a pharmaco-economic comparison
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
80
dcterms.bibliographicCitation.doi
10.1186/s12871-022-01620-w
dcterms.bibliographicCitation.journaltitle
BMC Anesthesiology
dcterms.bibliographicCitation.number
1
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.volume
22
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
35337268
dcterms.isPartOf.eissn
1471-2253