I do believe in cost analysis cause so many things are possibly in short supply and cost may dictate which one to choose and some may push a cheaper less useful option also. Institutional cost do matter as some products go up in cost and others lower and this MAY allow for a choice if necessary.
So Suggammedax is more expensive up front by some 70%. Well if that was used across the board many small hospitals would go out.
However, my real reason to object to Suggameddiax is two fold. I have seen more than a 3% occurrence of PRND after suggameddax with what to do next , I think from poor anesthesia planning and a lack of medical attention and knowledge. Just give Suggameddax is the running statement. We are either physicians or not. I say with sadness that I see younger physicians clearly just pushing meds without forethought of cost or events.
My other real concern not discussed, is the real risk of post medication blockage of OCPs. As we ALL know and see , most of the patient population rarely follows our post op orders. And here we again are expose ourselves to a pregnancy and complications there of that will be reviews back to our anesthestic. Unfortunately, there is a state of litigation, and a post procedural pregnancy that might lead to complications of mother or fetus or both may be way fodder for the lawyers among us . I know many will say that if we warn the patients we are in the clear, but I doubt that.
I do believe in cost analysis cause so many things are possibly in short supply and cost may dictate which one to choose and some may push a cheaper less useful option also. Institutional cost do matter as some products go up in cost and others lower and this MAY allow for a choice if necessary.
So Suggammedax is more expensive up front by some 70%. Well if that was used across the board many small hospitals would go out.
However, my real reason to object to Suggameddiax is two fold. I have seen more than a 3% occurrence of PRND after suggameddax with what to do next , I think from poor anesthesia planning and a lack of medical attention and knowledge. Just give Suggameddax is the running statement. We are either physicians or not. I say with sadness that I see younger physicians clearly just pushing meds without forethought of cost or events.
My other real concern not discussed, is the real risk of post medication blockage of OCPs. As we ALL know and see , most of the patient population rarely follows our post op orders. And here we again are expose ourselves to a pregnancy and complications there of that will be reviews back to our anesthestic. Unfortunately, there is a state of litigation, and a post procedural pregnancy that might lead to complications of mother or fetus or both may be way fodder for the lawyers among us . I know many will say that if we warn the patients we are in the clear, but I doubt that.
I do believe in cost analysis cause so many things are possibly in short supply and cost may dictate which one to choose and some may push a cheaper less useful option also. Institutional cost do matter as some products go up in cost and others lower and this MAY allow for a choice if necessary.
So Suggammedax is more expensive up front by some 70%. Well if that was used across the board many small hospitals would go out.
However, my real reason to object to Suggameddiax is two fold. I have seen more than a 3% occurrence of PRND after suggameddax with what to do next , I think from poor anesthesia planning and a lack of medical attention and knowledge. Just give Suggameddax is the running statement. We are either physicians or not. I say with sadness that I see younger physicians clearly just pushing meds without forethought of cost or events.
My other real concern not discussed, is the real risk of post medication blockage of OCPs. As we ALL know and see , most of the patient population rarely follows our post op orders. And here we again are expose ourselves to a pregnancy and complications there of that will be reviews back to our anesthestic. Unfortunately, there is a state of litigation, and a post procedural pregnancy that might lead to complications of mother or fetus or both may be way fodder for the lawyers among us . I know many will say that if we warn the patients we are in the clear, but I doubt that.
I do believe in cost analysis cause so many things are possibly in short supply and cost may dictate which one to choose and some may push a cheaper less useful option also. Institutional cost do matter as some products go up in cost and others lower and this MAY allow for a choice if necessary.
So Suggammedax is more expensive up front by some 70%. Well if that was used across the board many small hospitals would go out.
However, my real reason to object to Suggameddiax is two fold. I have seen more than a 3% occurrence of PRND after suggameddax with what to do next , I think from poor anesthesia planning and a lack of medical attention and knowledge. Just give Suggameddax is the running statement. We are either physicians or not. I say with sadness that I see younger physicians clearly just pushing meds without forethought of cost or events.
My other real concern not discussed, is the real risk of post medication blockage of OCPs. As we ALL know and see , most of the patient population rarely follows our post op orders. And here we again are expose ourselves to a pregnancy and complications there of that will be reviews back to our anesthestic. Unfortunately, there is a state of litigation, and a post procedural pregnancy that might lead to complications of mother or fetus or both may be way fodder for the lawyers among us . I know many will say that if we warn the patients we are in the clear, but I doubt that.