Abstract：
Buffered lidocaine is a local anesthetic option during percutaneous needle-directed procedures in the breast. At our institution, sodium bicarbonate (the buffer) is dispensed in volumes that frequently lead to medical waste and shortages. In this study, we describe how moving the buffering of lidocaine from the procedure room to our clinical hospital pharmacy results in a reduction in costs and improves satisfaction across the breast radiology department. While cost savings are difficult to tease out in practices that opt for bundled payments, we were able to access pricing and supply data and coordinate with our pharmacy to change our practice. Making these changes saves our practice $26 000 a year and allows us to continue to offer buffered lidocaine even during sodium bicarbonate shortages. This manuscript describes how these changes came about and their economic impact.
摘要：
缓冲利多卡因是一种局部麻醉选择，在乳房经皮穿刺手术中。在我们的机构，碳酸氢钠（缓冲液）的分配量经常导致医疗废物和短缺。在这项研究中,我们描述了如何将利多卡因的缓冲从手术室转移到我们的临床医院药房,从而降低了成本并提高了整个乳腺放射科的满意度.尽管在选择捆绑支付的实践中很难节省成本，我们能够访问定价和供应数据，并与我们的药房协调以改变我们的做法。进行这些更改可以节省我们的实践每年$26000，并且即使在碳酸氢钠短缺期间也可以继续提供缓冲的利多卡因。这份手稿描述了这些变化是如何产生的及其经济影响。
