Key result
Epidural anesthesia during cesarean section was associated with lower intraoperative trimeperidine use compared to spinal anesthesia but resulted in nearly 10 times higher medication costs.
Why the study?
To evaluate the use and cost of pain management medications during cesarean section and the first day after surgery.
Does spinal anesthesia compared to epidural anesthesia reduce the cost and use of analgesics in women undergoing cesarean section?
Cohort (n=117)
No
Does spinal anesthesia compared to epidural anesthesia reduce the cost and use of analgesics in women undergoing cesarean section?
Epidural anesthesia for cesarean section is associated with a nearly 10-fold higher cost for pain management compared to spinal anesthesia, despite lower intraoperative opioid requirements.
Answers are grounded in this paper and cite their sources.
Epidural's lower opioid use may not justify higher costs; leaves open preferred cesarean technique in randomized trials.
Aim.To study the use of drugs for pain management for cesarean section and their cost on time and the first day after surgery. Methods.A retrospective analysis of 117anesthesia cards and childbirth histories of women after a cesarean section was performed. We analyzed drug therapy aimed at reducing pain during 1day after cesarean section and performed a comparative analysis of the cost of drugs used in spinal and epidural anesthesia. Results.Regional methods of anesthesia, epidural and spinal, were used in 95% of all cases. Spinal anesthesia was performed in 77women, epidural in 34women. The frequency of prescribing opioid analgesics was higher with spinal anesthesia compared with epidural: trimeperidine (intramuscular) was used in 62(83%) of 77patients for spinal anesthesia and 1(3%) of 34 for epidural anesthesia (p0.05). There were no differences in the use of ketoprofen in the postoperative period with epidural and spinal anesthesia. The total cost of medicines used to control pain during and on the 1st day after surgery, with epidural anesthesia, was almost 10times higher than that of spinal anesthesia: 938 and 98rubles, respectively. Conclusion.To control pain during cesarean section, in addition to local anesthetics, trimeperidine was used more often with spinal than epidural anesthesia; in the postoperative period, ketoprofen and trimeperidine were used with the equal frequency with greater use of ropivacaine with epidural anesthesia through a stored catheter; this has caused a higher cost of pain management during and in the first day after cesarean section with epidural anesthesia.
No takes yet. Share an insight, caveat, or question.
Tashtanbekova et al. (2020) conducted a cohort in Cesarean section (n=117). Epidural anesthesia vs. Spinal anesthesia was evaluated on Intraoperative use of trimeperidine (p=<0.05). Epidural anesthesia during cesarean section was associated with lower intraoperative trimeperidine use compared to spinal anesthesia but resulted in nearly 10 times higher medication costs.
Synapse has enriched 10 related papers. Consider them for comparative context: