Aanesthetic Agents for Day Surgery - NIHR Health Technology ...

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© Queen’s Printer and Controller of HMSO 2002. All rights reserved. Health Technology Assessment 2002; Vol. 6: No. 30 The medicines used to keep you asleep ‘Imagine that when you have the operation you have been given a medicine to put you to sleep. Then you need to be kept asleep during the operation. There are two different medicines that could be used for this. Like all medicine used to keep you asleep during an operation they may both have some side-effects such as sickness [you may feel sick or actually be sick].’ ‘Medicine C’ May cause sickness, either feeling sick or being sick. This seems to happen in about 7 out of 10 patients. People are rarely actually sick after the first day, but some people may feel sick for up to 2 days and sometimes for up to 4 days after the operation. ‘Medicine D’ May cause sickness, either feeling sick or being sick. This seems to happen in about 3 out of 10 patients. People are rarely actually sick after the first day, but some people may feel sick for up to 2 days and sometimes for up to 4 days after the operation. Scale Appendix 15 Contingent valuation scenario for maintenance of anaesthesia £25 £50 £75 £100 £125 £150 £175 £200 £225 0 £250 ..................................................................................................................................... Or more than £250 Reproduced from Elliott and co-workers, 33 by permission of Swedish Pharmacuetical Press. 197
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Which anaesthetic agents are costef
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Which anaesthetic agents are costef
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NHS R&D HTA Programme The NHS R&D H
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Contents Appendix 6 Adult patient-b
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Background The aim of the project w
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• The incidence of PONV was low d
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2 Introduction dizziness or disorie
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4 Introduction a reduced incidence
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6 Introduction willingness to pay f
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8 Literature review included in the
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10 Literature review TABLE 1 Compar
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12 Literature review intermediate a
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18 Literature review Patient-based
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20 Literature review TABLE 5 contd
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22 Literature review No studies fol
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24 Literature review (30%) and meth
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26 Literature review • There are
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28 National survey of anaesthetic p
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36 Economic evaluation methods (inc
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38 Economic evaluation methods The
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40 Economic evaluation methods Tabl
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42 Economic evaluation methods simi
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44 Economic evaluation methods Prob
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Recruitment to the CESA RCT The stu
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Clinical outcome data PONV by anaes
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The findings from the logistic regr
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TABLE 29 The length of stay and pri
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140 120 100 80 60 40 20 0 No. of pa
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250 200 150 100 50 0 No. of patient
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TABLE 37 Deterministic sensitivity
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20 15 10 5 0 -5 Difference in varia
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Patient admitted for day surgery an
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500 400 300 200 100 0 -100 -200 -30
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Recruitment to the CESA RCT The stu
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TABLE 49 The occurrence of any PONV
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60 50 40 30 20 10 0 No. of patients
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a scale effect for scenario A, but
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The mean CVs for avoidance of PONV
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1.80 The new variable cost and tota
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100 90 80 70 60 50 40 30 20 10 0 Su
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The structure and content of this d
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nurses to have an in-depth knowledg
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agent used (see appendix 18). It wa
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Furthermore, anaesthetists operate
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The CESA project was designed to as
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practice, such as the use of midazo
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1. Royal College of Surgeons of Eng
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60. Cheng KI, Chu KS, Fang YR, Su K
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112. Raeder J, Gupta A, Pedersen FM
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162. Viitanen H, Baer G, Annila P.
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220. Rosenberg KM, Bridge P, Brown
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The range of databases interrogated
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24. preferen$.mp. [mp=title, abstra
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110 Appendix 2 TABLE 65 contd Summa
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112 Appendix 3 Quality assessment o
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Page 160 and 161: 146 Appendix 5 TABLE 67 contd Summa
Page 173 and 174: TABLE 69 Summary of paediatric pati
Page 175 and 176: TABLE 69 contd Summary of paediatri
Page 177 and 178: TABLE 70 Characteristics of cost or
Page 179 and 180: TABLE 71 Quality of cost or economi
Page 181 and 182: TABLE 71 contd Quality of cost or e
Page 189 and 190: Abbott J, Abbott P. Psychological a
Page 191 and 192: Hall JE, Stewart JIM, Harmer M. Sin
Page 193: Struys M, Versichelen L, Thas O, He
Page 196 and 197: 182 Appendix 11
Page 205 and 206: The aim of this study was to develo
Page 207 and 208: anaesthetics in day surgery, using
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Page 214 and 215: 200 Appendix 16 theme occurred. Som
Page 216 and 217: 202 Appendix 16 The majority of par
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Page 220 and 221: 206 Appendix 16 “No, I felt rushe
Page 222 and 223: 208 Appendix 16 Five patients gave
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Page 226 and 227: 212 Appendix 17 • the patient had
Page 228 and 229: 214 Appendix 17 TABLE 87 Unit costs
Page 230 and 231: 216 Appendix 18 concerning the accu
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Page 234 and 235: 220 Appendix 18 TABLE 89 Limits of
Page 237 and 238: Background Semi-fixed costs account
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Page 242 and 243: 228 Appendix 20 TABLE 94 contd Unit
Page 245 and 246: Quality assurance is defined as “
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Page 249: 288 randomised to propofol/propofol
Page 252 and 253: 238 Appendix 25 Peritoneum T34.9 op
Page 254 and 255: 240 Appendix 25 V41.2 anterior atta
Page 256 and 257: 242 Appendix 26 TABLE 98 Occurrence
Page 258 and 259: 244 Appendix 26 TABLE 104 Occurrenc
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The adverse events observed in the
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© Queen’s Printer and Controller
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252 Appendix 29 TABLE 116 Occurrenc
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Members Chair, Professor Kent Woods
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Members Chair, Professor Bruce Camp
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