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Cost analysis of injection laryngoplasty performed under local anaesthesia versus general anaesthesia: an Australian perspective

Published online by Cambridge University Press:  06 July 2017

D Chandran ,
C M Woods ,
M Schar ,
N Ma ,
E H Ooi  and
T Athanasiadis
D Chandran
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Flinders University and Flinders Medical Centre, Adelaide, South Australia, Australia
C M Woods
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Flinders University and Flinders Medical Centre, Adelaide, South Australia, Australia
M Schar
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Flinders University and Flinders Medical Centre, Adelaide, South Australia, Australia
N Ma
Affiliation:
School of Population Health, University of Adelaide, South Australia, Australia
E H Ooi*
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Flinders University and Flinders Medical Centre, Adelaide, South Australia, Australia
T Athanasiadis
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Flinders University and Flinders Medical Centre, Adelaide, South Australia, Australia Adelaide and Hills ENT Adelaide Voice Specialists, South Australia, Australia
*
Address for correspondence: A/Prof Eng H Ooi, Otolaryngology, Head and Neck Surgery, Department of Surgery, Flinders Medical Centre and Flinders University, Bedford Park, Adelaide, SA 5042, Australia E-mail: [email protected]
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Abstract

Objective:

To conduct a cost analysis of injection laryngoplasty performed in the operating theatre under local anaesthesia and general anaesthesia.

Methods:

The retrospective study included patients who had undergone injection laryngoplasty as day cases between July 2013 and March 2016. Cost data were obtained, along with patient demographics, anaesthetic details, type of injectant, American Society of Anesthesiologists score, length of stay, total operating theatre time and surgeon procedure time.

Results:

A total of 20 cases (general anaesthesia = 6, local anaesthesia = 14) were included in the cost analysis. The mean total cost under general anaesthesia (AU$2865.96 ± 756.29) was significantly higher than that under local anaesthesia (AU$1731.61 ± 290.29) (p < 0.001). The mean operating theatre time, surgeon procedure time and length of stay were all significantly lower under local anaesthesia compared to general anaesthesia. Time variables such as operating theatre time and length of stay were the most significant predictors of the total costs.

Conclusion:

Procedures performed under local anaesthesia in the operating theatre are associated with shorter operating theatre time and length of stay in the hospital, and provide significant cost savings. Further savings could be achieved if local anaesthesia procedures were performed in the office setting.

Keywords

LaryngoplastyOffice SurgeryHyaluronic AcidVocal Cord Paralysis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 2 , February 2018 , pp. 168 - 172
Copyright
Copyright © JLO (1984) Limited 2017 

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