Cost of Total Intravenous Anesthesia Versus Inhalation Anesthesia in Obstructive Sleep Apnea Surgery

• DOI: 10.1002/lary.30094
• Publication Date: 2022-03-02T10:59:11Z
• Authors: Angela Alnemri; Sarah Sussman; Leonard Estephan; Callum Hamilton; Matthew Stewart; Tingting Zhan; Adam Thaler; Ashwin Ananth; Maurits Boon; Colin Huntley; Patrick Hunt
• Keywords: Uvulopalatopharyngoplasty

To compare cost and time spent in surgical postoperative courses patients with obstructive sleep apnea (OSA) undergoing surgery either total intravenous anesthesia (TIVA) or inhalational anesthesia.Retrospective chart review.Retrospective review on for OSA under general from January 2019 to October 2020. Cost per service was acquired the day of surgery.A 230 were included: 95 received TIVA; 135 inhalation anesthesia. Total significantly higher TIVA nasal group by $286 (P = .035). produced pharmacy operating room costs across all surgeries severities. These increased offset lower supply upper airway stimulator (UAS, -$419.50; P .007) uvulopalatopharyngoplasty (UPPP, -$115.16; .015) receiving TIVA. In cohort, there a trend toward recovery after UAS (-$111.09; .063) (-$64.45; .096) (-$36.67; .054). reduced 18 minutes .004) surgery, 25 .043) UAS, 27 .147) UPPP TIVA.When used an outpatient setting OSA, adds costs, but this is usually supply, anesthesia, costs. We found decreased times cohort. has proven benefits patient outcomes can be cost-effective surgery.3 Laryngoscope, 132:1487-1494, 2022.