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[Drug expenses from anesthesiologists].

OBJECTIVES: To assess expenses generated by prescriptions from anaesthesiologists in the operating theatre, recovery rooms, surgical intensive therapy units, postoperative care on surgical wards (digestive surgery, orthopaedics, gynaecology, obstetrics, paediatric surgery). METHODS: Prospective study (one year) with evaluation of the costs induced by intravenous and volatile anaesthetics, morphinic and non morphinic analgesics, neuromuscular blocking agents, crystalloids, antibiotics, intravenous nutrient solutions, blood substitutes, anticoagulants, vitamins and vasoactive drugs. RESULTS: The expenses resulting from these prescriptions reached the quarter of the total drug hospital budget. They were equally distributed between anaesthesia and intensive therapy units on the one hand and postoperative care on surgical wards on the other hand. Intravenous anaesthetic agents, antibiotics, crystalloids, represented each one more than 10% of the total cost. CONCLUSIONS: This study demonstrates the weight of prescriptions by anaesthesiologists in the hospital budget. At our hospital, it was mainly due to their activity outside the operating theatre, especially on surgical wards. Therefore anaesthesiologists are essential partners for the elaboration of a cost containment policy.

Anesthesiology↗

A long-acting cephalosporin in short-term prophylaxis in obstetric and gynecologic surgery.

The efficacy of single-dose (1 g i.v.) ceftriaxone (Rocephin) was evaluated in 175 patients undergoing emergency cesarean section (62 patients) or elective cesarean section (113 patients). The overall rate of postoperative infectious morbidity was 8% (14/175), with 9.6% (6/62) of the group undergoing emergency surgery and 7.0% (8/113) of the patients choosing elective cesarean section.

Adult↗