title: Cost-effectiveness of different regimens of anesthesia for day surgery in China.
abstract: OBJECTIVE
  To compare the cost-effectiveness of inhalation of sevoflurane, target-controlled infusion (TCI) of propofol, intravenous (IV) propofol for induction-inhalation of sevoflurane, and IV propofol for induction-inhalation of desoflurane for anesthesia maintenance in day surgery.
  
  
  METHODS
  240 patients, scheduled for elective day surgery, were randomly divided into 4 groups (n = 60 each): inhalation of sevoflurane anesthesia group (group S); TCI of propofol anesthesia (group P); and intravenous propofol for induction of anesthesia-inhalation of sevoflurane for maintenance of anesthesia group (group PS); and intravenous propofol for induction of anesthesia-inhalation of desoflurane for maintenance of anesthesia group (group PD).
  
  
  RESULTS
  Group S was associated with less time to loss of consciousness, as well as the other three groups were associated with less time to recovery (P < 0.05). Group P was associated with a higher anesthetic agents cost than other 3 groups (P < 0.05), and group S was associated with a higher anesthetic agents costs than group PS and PD (P < 0.05).
  
  
  CONCLUSIONS
  Induction with intravenous injection of propofol and maintenance with inhalation of desoflurane is the most cost-effective method of anesthesia for day surgery.
authors: Department of Anesthesiology, Ruijin Hospital Luwan Branch, Shanghai Jiaotong University School of Medicine Shanghai 200020, China.
authors: Liang
authors: L
authors: Shen
authors: Department of Anesthesiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai 200025, China.
authors: Yan
authors: Y
authors: Luo
authors: Department of Anesthesiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai 200025, China.
authors: Zhijun
authors: Z
authors: Lu
authors: Department of Anesthesiology, Ruijin Hospital Luwan Branch, Shanghai Jiaotong University School of Medicine Shanghai 200020, China.
authors: Xiang
authors: X
authors: Hu
authors: Department of Anesthesiology, Ruijin Hospital Luwan Branch, Shanghai Jiaotong University School of Medicine Shanghai 200020, China.
authors: Wen
authors: W
authors: Ding
authors: Department of Anesthesiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai 200025, China.
authors: Buwei
authors: B
authors: Yu
keywords: Anesthesia; cost-benefit analysis; day surgery; desfulrane; propofol; sevoflurane