Anaesthetic drugs & techniques

Economic impact of switching to licensed ready-to-administer injectable anaesthetic and critical care medicines in the National Health Service: a model-based evaluation of prefilled syringes

Br J AnaesthPublished Economic evaluation

Authors' conclusion

Licensed ready-to-administer injectable medicines can provide safety and workflow advantages and be associated with economic benefit.

Study context

Population
Selected anaesthetic and critical care medicines in NHS practice (England)eight medicines
Comparison
Prefilled syringes vs Current mixed-use practice
Outcome
Overall system costs (acquisition, wastage, nursing preparation time, consumables, preventable adverse drug events)
Follow-up
Annually
Methodological detailsmodel-based, deterministic sensitivity analyses, Preparation time reductions interpreted as capacity release rather than workflow substitution
  • Model-based
  • Deterministic sensitivity analyses
  • Preparation time reductions interpreted as capacity release rather than workflow substitution

Main finding

As reported in the abstract

Overall system costs

Epinephrine, ephedrine, atropine and lidocaine 2%: reduced overall system costs, largely from reduced wastage, preparation workload and modelled adverse drug events

more than £5.3 million annually

Further findings

Deterministic sensitivity analyses

Did not alter the direction of findings
Substantial price reductions required for certain medicines to achieve cost neutrality

Original publication

Economic impact of switching to licensed ready-to-administer injectable anaesthetic and critical care medicines in the National Health Service: a model-based evaluation of prefilled syringes. Br J Anaesth. Published 24 July 2026. doi:10.1016/j.bja.2026.06.010

Composed by AI from the published abstract and checked against it. How Briefs are made →

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