Przeglšd doniesień naukowych dotyczšcych efektywno?ci klinicznej i opłacalno?ci stosowania remifentanilu

*Paweł Kawalec

Summary
Anaesthesiology is in constant progress. The variety of new drugs opens new possibilities, increasing the safety of patients and the confidence of anaesthesiologists. In Poland, similar to other countries of the world, cost analysis plays a more and more important role, with the increasing cost of modern medical services and effective pharmacological treatment.
Various authors have discussed the issue of cost effectiveness of use new and heavily advertised pharmaceutics. Factors taken into consideration during analysis of the total cost of surgery are not only the price of the drug, but its pharmacokinetics and pharmacodynamics, its involvement in perioperative complications, the necessity to use additional drugs, and the work hours of the medical personnel. Owing to higher clinical efficacy, most of the new generation products make it possible to shorten the time of anaesthesia, recovery and postoperative care, resulting in a shortened hospital stay.
The article describes the pharmacoeconomics of remifentanil. Based on available publications, the author concludes that the introduction of remifentanil attained improved clinical anaesthetic effects, but also considerable economic benefit. This was demonstrated not only from the point of view of the medical service providers, but also by patients and medical service payers. The use of this modern drug increased patient comfort and satisfaction, and the effectiveness of medical personnel´s work.

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