Anesthetic drug wastage in the operation room: A cause for concern.

Journal of Anaesthesiology, Clinical Pharmacology
Kapil ChaudharyKk Girdhar

Abstract

The cost of anesthetic technique has three main components, i.e., disposable supplies, equipments, and anesthetic drugs. Drug budgets are an easily identifiable area for short-term savings. To assess and estimate the amount of anesthetic drug wastage in the general surgical operation room. Also, to analyze the financial implications to the hospital due to drug wastage and suggest appropriate steps to prevent or minimize this wastage. A prospective observational study conducted in the general surgical operation room of a tertiary care hospital. Drug wastage was considered as the amount of drug left unutilized in the syringes/vials after completion of a case and any ampoule or vial broken while loading. An estimation of the cost of wasted drug was made. Maximal wastage was associated with adrenaline and lignocaine (100% and 93.63%, respectively). The drugs which accounted for maximum wastage due to not being used after loading into a syringe were adrenaline (95.24%), succinylcholine (92.63%), lignocaine (92.51%), mephentermine (83.80%), and atropine (81.82%). The cost of wasted drugs for the study duration was 46.57% (Rs. 16,044.01) of the total cost of drugs issued/loaded (Rs. 34,449.44). Of this, the cost of wastage of propofol...Continue Reading

References

Sep 1, 1994·Journal of Clinical Anesthesia·H J DeMonaco, A S Shah
Oct 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C HawkesM Tierney
Apr 1, 1993·Anesthesia and Analgesia·R E Johnstone, C L Martinec
May 1, 1997·Anesthesiology·M F Watcha, P F White
Oct 31, 2001·Langenbeck's Archives of Surgery·B PålssonR Andersson

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Citations

Aug 8, 2012·Journal of Anaesthesiology, Clinical Pharmacology·Rakhee Goyal, Rohit Malhotra
Apr 5, 2016·Journal of Clinical Anesthesia·Carrie Leigh Hamby AtchesonEthan O Bryson
Feb 20, 2015·American Journal of Clinical Pathology·Ryan A CollinsMark H Yazer
May 17, 2019·Journal of Pharmacy Practice·Dawn K TsangEnrico M Camporesi
Oct 6, 2020·Journal of Anaesthesiology, Clinical Pharmacology·Rohit MalhotraAruna Jain
Mar 6, 2021·Anesthesia and Analgesia·Federico BarbariolAmato De Monte
Nov 23, 2016·Journal of Clinical Anesthesia·Balazs IttzesIstvan Batai

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