Charging for intensive care using direct nursing hours as the cost marker.

Abstract:

:The hypothesis that direct nursing hours correlate with the cost of a patient stay in intensive care was tested. One hundred and thirty-nine patients were studied and the data collected included: (a) direct nursing hours applied to each patient; (b) a daily TISS score: (c) a detailed costing of each patient (all costs are shown in N.Z.$). There was a strong correlation between the direct nursing hours and the total cost per patient (r2 = 0.98) (total cost = 54 x direct nursing hours + 344). Also a strong correlation existed between the total TISS scores and the total costs per patient (r2 = 0.96) (total cost = 67.13 x TISS). Direct nursing hours offer a relatively simple and logical method of allocating costs per patient.

journal_name

Anaesth Intensive Care

authors

Havill JH,Caspari M,McConnell H,Alexander M,Montgomery C

doi

10.1177/0310057X9702500409

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

372-7

issue

4

eissn

0310-057X

issn

1448-0271

pii

1996259

journal_volume

25

pub_type

杂志文章
  • Rupture of left main bronchus associated with radiotherapy-induced bronchial injury and use of a double-lumen tube in oesophageal cancer surgery.

    abstract::We report a case of rupture of the left main bronchus in a female patient with oesophageal carcinoma, who had received thoracic radiotherapy preoperatively. Endotracheal intubation was achieved with a left-sided double-lumen tube. After almost three hours of intubation and one and half hours of one-lung ventilation, b...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0403200117

    authors: Jha RR,Mishra S,Bhatnagar S

    更新日期:2004-02-01 00:00:00

  • Duration of cortisol suppression following a single dose of dexamethasone in healthy volunteers: a randomised double-blind placebo-controlled trial.

    abstract::The synthetic glucocorticoid dexamethasone is administered to many patients receiving a general anaesthetic to reduce the risk of postoperative nausea and vomiting. Dexamethasone is known to suppress the hypothalamic-pituitary-adrenal axis; however, the duration of this suppression following the standard anti-emetic i...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0310057X1304100504

    authors: Elston MS,Conaglen HM,Hughes C,Tamatea JA,Meyer-Rochow GY,Conaglen JV

    更新日期:2013-09-01 00:00:00

  • A comparison of pulse contour wave analysis and ultrasonic cardiac output monitoring in the critically ill.

    abstract::Cardiac output (CO) is a key determinant of major organ blood flow and solute delivery to drug eliminating organs. As such, CO assessment is a key covariate in understanding altered drug handling in the critically ill. Newer minimally-invasive devices are providing unique platforms for such an application, although co...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1204000408

    authors: Udy AA,Altukroni M,Jarrett P,Roberts JA,Lipman J

    更新日期:2012-07-01 00:00:00

  • Evaluation of a new blood warmer.

    abstract::Although some features are excellent, the Gorman-Rupp "dry heat' warmer has serious weaknesses which render part of the electrical circuit susceptible to water. Its heating ability is quite good but not completely adequate at flows of 150 ml/min. It creates a moderate resistance to blood flow and flow by gravity would...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8000800315

    authors: Russell WJ

    更新日期:1980-08-01 00:00:00

  • A scavenging device for the T-piece.

    abstract::An inexpensive and convenient method of collecting waste gases from the open-tailed bag of a T-piece system is described. ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X7700500318

    authors: Keneally JP,Overton JH

    更新日期:1977-08-01 00:00:00

  • Anaesthetic management of patients undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy for pseudomyxoma peritonei: a retrospective audit.

    abstract::Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) has been shown to improve quality of life and survival rates in patients suffering from pseudomyxoma peritonei. The procedure is long and associated with significant intraoperative blood loss. As such, the anaesthetic management of pati...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1704500413

    authors: Shiralkar SP,Kerr P,Scott J,Sivalingam P

    更新日期:2017-07-01 00:00:00

  • Perioperative shared decision-making in the Bay of Plenty, New Zealand: Audit results from a complex decision pathway quality improvement initiative using a structured communication tool.

    abstract::Patients presenting for elective surgery in the Bay of Plenty area in New Zealand are increasingly elderly with significant medical comorbidities. For these patients the risk-benefit balance of undergoing surgery can be complex. We recognised the need for a robust shared decision-making pathway within our perioperativ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X20960734

    authors: Omundsen HC,Franklin RL,Higson VL,Omundsen MS,Rossaak JI

    更新日期:2020-11-01 00:00:00

  • Anaphylactic reactions to gallamine triethiodide.

    abstract::Three cases of severe anaphylaxis to gallamine triethiodide are described. All reported cases of anaphylaxis to gallamine have occurred in women, and all the confirmed cases in Australasia. There is evidnece that women may be exposed to some substance which leaves them sensitive to gallamine triethiodide. ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X7800600110

    authors: Fisher MM

    更新日期:1978-02-01 00:00:00

  • The preoperative detection of risk of anaphylaxis during anaesthesia.

    abstract::In 144 patients who were referred to an anaesthetic allergy clinic because of perceived risk of anaphylaxis during anaesthesia, the only 'at risk' group that could be identified was patients with a history of unexplained severe adverse reaction during previous anaesthesia. Twenty-two of 45 patients with such a history...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0703500607

    authors: Fisher MM

    更新日期:2007-12-01 00:00:00

  • Course of vasopressin and copeptin plasma concentrations in a patient with severe septic shock.

    abstract::In this case report, the course of arginine vasopressin and copeptin, the stable C-terminal part of the arginine vasopressin precursor, is described during the period of critical illness in a septic shock patient. Arginine vasopressin and copeptin concentrations were substantially increased during the initial 36 hours...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0603400415

    authors: Jochberger S,Luckner G,Mayr VD,Wenzel V,Morgenthaler NG,Friesenecker BE,Hasibeder WR,Dünser MW

    更新日期:2006-08-01 00:00:00

  • Comparison of the efficacy of paracetamol versus paracetamol, codeine and promethazine (Painstop) for premedication and analgesia for myringotomy in children.

    abstract::This prospective double-blinded study compared the analgesic effectiveness and incidence of complications of a compound preparation Painstop (Paedpharm Pty Ltd) containing paracetamol 12 mg, codeine 0.5 mg and promethazine 0.65 mg per 1.0 ml, dosage 1.0 ml/kg, with paracetamol 20 mg/kg. Ninety-five children aged 1 to ...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9702500105

    authors: Ragg P,Davidson A

    更新日期:1997-02-01 00:00:00

  • High altitude hypoxia, a mask and a Street. Donation of an aviation BLB oxygen mask apparatus from World War 2.

    abstract::The history of hypoxia prevention is closely inter-related with high altitude mountain and aviation physiology. One pioneering attempt to overcome low inspired oxygen partial pressures in aviation was the BLB mask-named after the three designers-Walter M Boothby, W Randolph Lovelace II and Arthur H Bulbulian. This mas...

    journal_title:Anaesthesia and intensive care

    pub_type: 传,历史文章,杂志文章

    doi:10.1177/0310057X170450S107

    authors: Cooper MG,Street NE

    更新日期:2017-03-01 00:00:00

  • The perioperative effects of oral premedication in children.

    abstract::The pre- and postoperative effects of oral diazepam (0.5 mg/kg), trimeprazine (4 mg/kg), pentobarbitone (3 mg/kg) and a placebo were compared in a randomized double-blind clinical trial in 149 children, aged one to ten years, undergoing adenotonsillectomy. The anaesthetic was standardised and each patient received int...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9001800102

    authors: van der Walt JH,Jacob R,Murrell D,Bentley M

    更新日期:1990-02-01 00:00:00

  • Enhanced Needle Visualization: advantages and indications of an ultrasound software package.

    abstract::The ultrasound software package Enhanced Needle Visualization (ENV) has been reported to provide improved ultrasound imaging of needles even at steep insertion angles. ENV has three settings: shallow, medium and steep. However, the angles are unknown. We examined the advantages and indications of ENV in an in vitro st...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1204000514

    authors: Takatani J,Takeshima N,Okuda K,Uchino T,Hagiwara S,Noguchi T

    更新日期:2012-09-01 00:00:00

  • Adjustment of anaesthesia depth using bispectral index prolongs seizure duration in electroconvulsive therapy.

    abstract::Electroconvulsive therapy (ECT) under propofol anaesthesia induces relatively shorter seizures compared to barbiturate anaesthesia. Since significant correlation between seizure duration and bispectral index (BIS) value immediately before electrical stimulus has been reported among patients, adjustment of anaesthesia ...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章

    doi:10.1177/0310057X0403200509

    authors: Nishihara F,Saito S

    更新日期:2004-10-01 00:00:00

  • Use of intrathecal neostigmine as an adjunct to other spinal medications in perioperative and peripartum analgesia: a meta-analysis.

    abstract::Intrathecal neostigmine has been used as an adjunct to intrathecal local anaesthetic or opioid to prolong regional analgesia and improve haemodynamic stability, with variable results. This meta-analysis aims to evaluate the effectiveness and side-effects of intrathecal neostigmine in the perioperative and peripartum s...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,meta分析,评审

    doi:10.1177/0310057X0503300107

    authors: Ho KM,Ismail H,Lee KC,Branch R

    更新日期:2005-02-01 00:00:00

  • Pilot study of the air-Q intubating laryngeal airway in clinical use.

    abstract::The air-Q Intubating Laryngeal Airway (ILA) is a newly introduced extraglottic airway device. In this pilot study, we evaluated its use as a routine airway device during positive pressure ventilation. Ease of endotracheal intubation through the device was also assessed. Fifty-nine ASA I and II patients undergoing elec...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1003800217

    authors: Bakker EJ,Valkenburg M,Galvin EM

    更新日期:2010-03-01 00:00:00

  • Phrenic nerve palsy in severe tetanus.

    abstract::Unilateral or bilateral raised hemidiaphragms were observed on chest X-ray in three patients with severe tetanus. Diaphragmatic movement was absent on ultrasonography and fluoroscopy. Nerve conduction study confirmed phrenic nerve palsy. Bilateral involvement caused delayed weaning from the ventilator, whereas unilate...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0403200220

    authors: Panda NB,Yaddanapudi S,Bharadwaj N,Das C,Chari P

    更新日期:2004-04-01 00:00:00

  • Attitudes and practices of New Zealand anaesthetists with regard to emergency drugs.

    abstract::A postal survey of anaesthetists practising in New Zealand assessed practices with regard to the preparation of pre-drawn syringes of emergency drugs in theatre, and attitudes towards the drawing up of drugs by non-medically qualified assistants. Opinion and practice varied widely; a quarter of respondents routinely d...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0002800616

    authors: Ducat CM,Merry AF,Webster CS

    更新日期:2000-12-01 00:00:00

  • Preoperative hypnotherapy in the management of a child with anticipatory nausea and vomiting.

    abstract::A six-year-old boy with oesophageal strictures secondary to neonatal repair of oesophageal atresia and requiring six to eight weekly oesophageal dilatations by bouginage developed anticipatory nausea and vomiting. This was effectively managed by a course of preoperative hypnotherapy over four sessions. Resolution of a...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0703500522

    authors: Mackenzie A,Frawley GP

    更新日期:2007-10-01 00:00:00

  • Long-term survival of surgically treated hip fracture in an Australian regional hospital.

    abstract::This study was undertaken to identify factors influencing outcome in elderly patients operated for hip fracture. In particular, this study examined factors related to mortality at least 30 months post-fracture. Hospital records and death registrations were analysed for 463 patients aged 60 or more years treated for hi...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0503300608

    authors: McLeod K,Brodie MP,Fahey PP,Gray RA

    更新日期:2005-12-01 00:00:00

  • A mobile telephone-based SMS and internet survey system for self-assessment in Australian anaesthesia: experience of a single practitioner.

    abstract::Self-assessment and audit in anaesthesia require a systematic approach to postoperative data collection. The increasing prevalence of mobile internet technology offers a new data collection method for anaesthetists. In this paper, a system for mobile internet data collection is described and the preliminary experience...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1404200613

    authors: Belavy D

    更新日期:2014-11-01 00:00:00

  • Anaesthetic mortality rates in Western Australia 1980-2002.

    abstract::The Western Australian Anaesthetic Mortality Committee has collected data since 1980. During this time, reporting of anaesthesia mortality has been mandatory in Western Australia, confidentiality and legal protection have been ensured, consistent definitions and classifications have been used, and reasonable estimates...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0503300511

    authors: Gibbs N,Rodoreda P

    更新日期:2005-10-01 00:00:00

  • Oesophageal balloon tracheoplasty in early tracheal stenosis following percutaneous tracheostomy.

    abstract::Percutaneous tracheostomy is an efficient technique used in intensive care units. Although a safe procedure, serious early and late complications can occur. A rare complication is suprastomal stenosis following inadvertent tracheal cartilage fracture resulting in stenosis. Management is complicated, often requiring sp...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1103900424

    authors: Mahanta V,Howson C

    更新日期:2011-07-01 00:00:00

  • Factors affecting performance of air tonometry using the TONOCAP.

    abstract::Saline tonometry has been replaced by automated air tonometry (TONOCAP). As with saline tonometry there are some pitfalls to consider. We investigated the influence of different filling handicaps to the tonometry catheter sampling balloon on measurement of regional PCO2 (PrCO2). In an in vitro set-up, PrCO2 was measur...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0203000613

    authors: Dullenkopf A,Cornelius A,Gerber AC,Weiss M

    更新日期:2002-12-01 00:00:00

  • Anaesthesia for renal transplantation--5 years' experience.

    abstract::Two hundred and seventy patients underwent anaesthesia for 280 renal transplants between October 1977 and October 1982. Their medical records were studied retrospectively. These patients were representative of the end-stage chronic renal failure population, with the usual high incidence of cardiovascular and biochemic...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8301100405

    authors: Marsland AR,Bradley JP

    更新日期:1983-11-01 00:00:00

  • Continuous infusion of subcutaneous compared to intravenous insulin for tight glycaemic control in medical intensive care unit patients.

    abstract::The aim of this randomised controlled study was to compare continuous subcutaneous insulin infusion using an insulin pump with the traditional continuous intravenous infusion method for tight glycaemic control. Sixty patients admitted to our University Hospital medical intensive care unit with an initial blood glucose...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0310057X0803600421

    authors: Bodur HA,Saygili F,Saygili S,Doganay LH,Yesil S

    更新日期:2008-07-01 00:00:00

  • Acute intracranial hypertension occurring during infusion of stable plasma protein solution.

    abstract::A case of traumatic cerebral oedema is reported in which the infusion of small volumes of stable plasma protein solution (SPPS) resulted in acute and massive increases in intracranial pressure. The batch of SPPS responsible was found to have high levels of prekallikrein activator which is thought to be the cause of th...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8000800416

    authors: Duncan AW,Gleeson MT

    更新日期:1980-11-01 00:00:00

  • High-dose adrenaline in adult in-hospital asystolic cardiopulmonary resuscitation: a double-blind randomised trial.

    abstract::Forty intensive care unit patients requiring cardiopulmonary resuscitation were randomised to receive either the standard dose of adrenaline (1 mg every five minutes) or high-dose adrenaline (10 mg every five minutes). In the majority of patients, overwhelming sepsis was the major contributing factor leading to cardia...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9302100210

    authors: Lipman J,Wilson W,Kobilski S,Scribante J,Lee C,Kraus P,Cooper J,Barr J,Moyes D

    更新日期:1993-04-01 00:00:00

  • Primary anaesthetic deaths in Western Australia from 1985-2008: causation and preventability.

    abstract::This paper reports on the causes and preventability of primary anaesthetic deaths in Western Australia between 1985 and 2008. In Western Australia, it is a legal requirement to report all deaths that occur within 48 hours of an anaesthetic and later deaths if an anaesthetic complication is implicated. A committee asse...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1304100305

    authors: Gibbs NM,Rodoreda P

    更新日期:2013-05-01 00:00:00