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Fisher A, Andreasson A, Chrysos A, et al. An observational study of Donor Ex Vivo Lung Perfusion in UK lung transplantation: DEVELOP-UK. Southampton (UK): NIHR Journals Library; 2016 Nov. (Health Technology Assessment, No. 20.85.)

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An observational study of Donor Ex Vivo Lung Perfusion in UK lung transplantation: DEVELOP-UK.

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Appendix 7NHS resource use

TABLE 51

NHS resource use: detailed table

Resource or interventionUnitPatient detailsMean usage in standard donor lung transplantationMean usage in EVLP transplantationResource source
Donor’s hospital
Fixed costs
Initial assessment
 ABGTestDonor1.001.00CRF p. 23/Anne Davison, NuTH, June 2015, personal communication
 BronchoscopyProcedureDonor1.001.00Paul Henderson, NuTH, September 2014, personal communication/Katharine Thornalley, NuTH, June 2015, personal communication
 Chest X-ray (radiography)TestDonor1.001.00CRF p. 23/Anne Davison, NuTH, June 2015, personal communication
 ECGTestDonor1.001.00Anne Davison, NuTH, June 2015, personal communication
 FBCTestDonor1.001.00Anne Davison, NuTH, June 2015, personal communication
Drugs
 Methylprednisolone (as sodium succinate)500-mg vialDonor1.001.00CRF p. 25
 Methylprednisolone (as sodium succinate)1-g vialDonor1.001.00CRF p. 25/Tanveer Butt, NuTH, June 2015, personal communication
 Methylprednisolone (as sodium succinate)2-g vialDonor1.001.00CRF p. 25
Lung retrieval
Fixed costs
Equipment
DCD donor
 BronchoscopeInstrumentDonor1.001.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 Pink spray 0.5% chlorhexidineSprayDonor1.001.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 2 l of 0.9% sodium chloride solution1-l solutionDonor16.0016.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 Strapple tapeRollDonor1.001.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
DBD donor
 Blue 23-gauge 25-mm (1-inch) needles1-inch needleDonor5.005.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 BronchoscopeInstrumentDonor1.001.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 1-l cardioplegia bag (green PLEGIVEX)1-l bagDonor3.003.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 Green vacutainersVacutainerDonor6.006.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 i-STAT portable clinical analyser (Abbott Laboratories, Chicago, IL, USA)DeviceDonor1.001.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 i-STAT cartridgesCartridgeDonor8.008.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 Pink spray 0.5% chlorhexidineSprayDonor1.001.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 1-l pressure infusion bag1-l bagDonor1.001.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 Red vacutainersVacutainerDonor6.006.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 Sodium bicarbonate 8.4%10-ml ampouleDonor1.001.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 2 l of 0.9% sodium chloride solution1-l solutionDonor20.0020.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 Spleen potsPotDonor6.006.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 Strapple tapeRollDonor1.001.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
 1-ml syringes1-ml syringeDonor5.005.00Retrieval team/Paul Henderson, NuTH, September 2014, personal communication
Staff time
Scout Team
 Retrieval surgeon (fellow)HourDonor0.800.80Tanveer Butt, NuTH, June 2015, personal communication
 Scrub nurse (band 5)HourDonor0.800.80Tanveer Butt, NuTH, June 2015, personal communication
Retrieval team
 Perfusionist (band 7)HourDonor9.009.00Tanveer Butt, NuTH, June 2015, personal communication/Paul Henderson, NuTH, September 2014, personal communication
 Retrieval surgeon (fellow)HourDonor9.009.00Tanveer Butt, NuTH, June 2015, personal communication/Paul Henderson, NuTH, September 2014, personal communication
 Scrub nurse (band 5)HourDonor9.009.00Tanveer Butt, NuTH, June 2015, personal communication/Paul Henderson, NuTH, September 2014, personal communication
Tests
Chest X-ray (radiography)TestDonor1.001.00CRF p. 23/Anne Davison, NuTH, June 2015, personal communication
Perfusion (dosage)
2.8 l of PERFADEX solution2.8-l solutionDonor1.001.00CRF p. 27/Paul Henderson, NuTH, September 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
1 l of PERFADEX solution1-l solutionDonor1.001.00CRF p. 27/Paul Henderson, NuTH, September 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
Calcium chloride 1 mmol/ml (1.7 ml/2.8 l PERFADEX and 0.6 ml/1 l PERFADEX)10-ml ampouleDonor1.001.00Paul Henderson, NuTH, September 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
FLOLAN 0.5-mg vial (7 ml/2.8 l PERFADEX)0.5-mg vialDonor3.003.00Paul Henderson, NuTH, September 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
FLOLAN 0.5-mg vial (2.5 ml/1 l PERFADEX)0.5-mg vialDonor1.001.00Paul Henderson, NuTH, September 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
Heparin sodium 5000 units/5 ml (15,000 units/2.8 l PERFADEX)5-ml ampouleDonor3.003.00BNF 201450
Heparin sodium 5000 units/5 ml (5000 units/1 l PERFADEX)5-ml ampouleDonor1.001.00BNF 201450
THAM 1-ml ampoule (7 ml/2.8 l PERFADEX)1-ml ampouleDonor7.007.00Paul Henderson, NuTH, September 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
THAM 1-ml ampoule (2.5 ml/1 l PERFADEX)1-ml ampouleDonor3.003.00Paul Henderson, NuTH, September 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
Variable costs
Travelling
Scout team
 RoadTransport type/caseDonor0.200.20Brian Leadbitter, NuTH, June 2015, personal communication
Retrieval team
 RoadTransport type/caseDonor0.740.74Brian Leadbitter, NuTH, June 2015, personal communication
 Road and airTransport type/caseDonor0.260.26Brian Leadbitter, NuTH, June 2015, personal communication
Organ (lung)
 RoadTransport type/caseDonor0.500.50Brian Leadbitter, NuTH, June 2015, personal communication
 Road and airTransport type/caseDonor0.500.50Brian Leadbitter, NuTH, June 2015, personal communication
Transplant preparation
Fixed costs
Contacting potential recipients
 Transplant co-ordinatorHourRecipient1.001.00Katie Morley, NuTH, October 2014, personal communication
Meeting potential recipients
 Transplant co-ordinatorHourRecipient2.002.00Katie Morley, NuTH, October 2014, personal communication
Tissue typing
 Tissue typing testTestRecipient1.001.00Katie Morley, NuTH, October 2014, personal communication
Tests
 ABGTestRecipient1.001.00CRF p. 20
 Chest X-ray (radiography)TestRecipient1.001.00CRF p. 21
 ECGTestRecipient1.001.00Katie Morley, NuTH, October 2014, personal communication/Anne Davison, NuTH, June 2015, personal communication
 FBCTestRecipient1.001.00CRF p. 20
Ward time
 Transplant centre wardBed-dayRecipient1.001.00Care Pathway/Katie Morley, NuTH, October 2014, personal communication
Drugs
 Azathioprine 50 mg56-tablet packRecipient0.020.02Andrew Fisher, NuTH, November 2015, personal communication
Variable costs
Transfer to ward
 AirTransport typeRecipientMissingMissingMissing
 RoadTransport typeRecipientMissingMissingMissing
EVLP procedure
Fixed costs
Staff time
Anaesthetic registrarHourEVLP recipient2.00Katie Morley, NuTH, October 2014, personal communication/Paul Henderson, NuTH, September 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
Consultant surgeonHourEVLP recipient0.33Paul Henderson, NuTH, September 2014, personal communication
Perfusionist (band 7)HourEVLP recipient6.00Anna Soderlund, Vivoline, July 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
Scrub nurse/ODA (band 5)HourEVLP recipient3.00Anna Soderlund, Vivoline, July 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
Surgical fellowHourEVLP recipient4.00Anna Soderlund, Vivoline, July 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
Equipment
BronchoscopeInstrumentEVLP recipient1.00Anna Soderlund, Vivoline, July 2014, personal communication
DeBakey tissue forcepsForcepsEVLP recipient3.00Anna Soderlund, Vivoline, July 2014, personal communication
McIndoe scissorsScissorEVLP recipient1.00Anna Soderlund, Vivoline, July 2014, personal communication
Nebuliser circuitItemEVLP recipient1.00Paul Henderson, NuTH, September 2014, personal communication
4–0 Prolene (no. 8935) suture packPackEVLP recipient2.00Anna Soderlund, Vivoline, July 2014, personal communication
10FG suction catheter (SHODS)CatheterEVLP recipient1.00Anna Soderlund, Vivoline, July 2014, personal communication
Suction connecting tubingTubingEVLP recipient1.00Anna Soderlund, Vivoline, July 2014, personal communication
Consumables
Nylon surgical tapeRollEVLP recipient1.00Anna Soderlund, Vivoline, July 2014, personal communication
Gas (2000 l of N2/CO2)CylinderEVLP recipient1.00Anna Soderlund, Vivoline, July 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
PERFADEX solution1-l solutionEVLP recipient2.00Anna Soderlund, Vivoline, July 2014, personal communication
Packed red blood cells274-ml bagEVLP recipient2.00Anna Soderlund, Vivoline, July 2014, personal communication/Anders Andreasson, NuTH, September 2014, personal communication
Syringes for blood gasesSyringeEVLP recipient9.00Anna Soderlund, Vivoline, July 2014, personal communication
Syringes (other)SyringeEVLP recipient10.00Anna Soderlund, Vivoline, July 2014, personal communication
Vivoline disposable lung setSetEVLP recipient1.00Anna Soderlund, Vivoline, July 2014, personal communication
Miscellaneous equipment
Blood gases samplesSampleEVLP recipient20.00Anna Soderlund, Vivoline, July 2014, personal communication
Vivoline systemSystemEVLP recipient1.00Anna Soderlund, Vivoline, July 2014, personal communication/protocol103
Theatre usage
Operating theatreHourEVLP recipient6.00Protocol p. 35/Anders Andreasson, NuTH, September 2014, personal communication
Drugs
2 l of Steen Solution500-ml solutionEVLP recipient4.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication
Heparin sodium, 1000 units/ml1-ml ampouleEVLP recipient1.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication
Heparin sodium, 5000 units/ml1-ml ampouleEVLP recipient2.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication
Insulin human (ACTRAPID HM), 100 IU/ml10-ml vialEVLP recipient1.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication
Methylprednisolone (as sodium succinate)500-mg vialEVLP recipient1.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication
Methylprednisolone (as sodium succinate)1-g vialEVLP recipient1.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication
Methylprednisolone (as sodium succinate)2-g vialEVLP recipient1.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication
THAM, 30 mg/ml (3.0 mmol/ml)1-ml ampouleEVLP recipient20.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication
Antibiotics
 Meropenem (as trihydrate)500-mg vialEVLP recipient2.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication/Andrew Fisher, NuTH, November 2015, personal communication
 Moxifloxacin (as hydrochloride), 1.6 mg/ml250-ml solution for infusion bottle (400 mg)EVLP recipient1.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication/Andrew Fisher, NuTH, November 2015, personal communication
Antifungal
 Amphotericin B50-mg vialEVLP recipient1.00CRF p. 34/Anders Andreasson, NuTH, September 2014, personal communication/Andrew Fisher, NuTH, November 2015, personal communication
Lung transplant
Fixed costs
Anaesthetic preparation
Anaesthetic roomHourRecipient0.750.75Transplant co-ordinators
Anaesthetic nurse (band 5)HourRecipient0.750.75Transplant co-ordinators
Consultant anaesthetistHourRecipient0.750.75Transplant co-ordinators
Staff time
Single lung surgery
 Anaesthetic fellowHourRecipient4.004.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Anaesthetic nurse (band 5)HourRecipient4.004.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Consultant anaesthetistHourRecipient4.004.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Consultant surgeonHourRecipient4.004.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Perfusionist (band 7)HourRecipient4.004.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Scrub nurse (band 7)HourRecipient4.004.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Scrub nurse (band 5)HourRecipient4.004.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Surgical fellowHourRecipient4.004.00Qualtrics survey/0Paul Henderson, NuTH, September 2014, personal communication
Double lung surgery
 Anaesthetic fellowHourRecipient7.007.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Anaesthetic nurse (band 5)HourRecipient7.007.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Consultant anaesthetistHourRecipient7.007.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Consultant surgeonHourRecipient7.007.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Perfusionist (band 7)HourRecipient7.007.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Scrub nurse (band 7)HourRecipient7.007.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Scrub nurse (band 5)HourRecipient7.007.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
 Surgical fellowHourRecipient7.007.00Qualtrics survey/Paul Henderson, NuTH, September 2014, personal communication
Theatre usage
Single lung surgery
 Operating theatreHourRecipient4.004.00CRF p. 43/Qualtrics survey
Double lung surgery
 Operating theatreHourRecipient7.007.00CRF p. 43/Qualtrics survey
Equipment/consumables
Usual surgical setSetRecipientMissingMissingMissing
Post-operative care
Fixed costs
Staff time in ITU/HDU
 Anaesthetic fellowHourRecipient1.501.50Qualtrics survey/Andrew Fisher, NuTH, November 2015, personal communication
 Consultant anaesthetistHourRecipient0.500.50Qualtrics survey/Andrew Fisher, NuTH, November 2015, personal communication
 Consultant physicianHourRecipient0.170.17Qualtrics survey/Andrew Fisher, NuTH, November 2015, personal communication
 Consultant surgeonHourRecipient0.250.25Qualtrics survey/Andrew Fisher, NuTH, November 2015, personal communication
 Surgical fellowHourRecipient0.250.25Qualtrics survey/Andrew Fisher, NuTH, November 2015, personal communication
Staff time in hospital
 Consultant physicianHourRecipient0.340.34Andrew Fisher, NuTH, November 2015, personal communication
 Surgical fellowHourRecipient0.250.25Andrew Fisher, NuTH, November 2015, personal communication
 Transplant specialist registrarHourRecipient0.670.67Andrew Fisher, NuTH, November 2015, personal communication
Tests
 ABGTestRecipient1.001.00CRF p. 47
 Chest X-ray (radiography)TestRecipient1.001.00CRF p. 56
 FBCTestRecipient1.001.00CRF p. 56
 Pulmonary/lung function testTestRecipient1.001.00CRF p. 56
Variable costs
Ward usage (if needed)
HDU careBed-dayRecipient10.0010.00CRF p. 51/52
ITU careBed-dayRecipient11.0011.00CRF p. 51/52
ITU/HDU readmissionBed-dayRecipient15.0015.00CRF p. 52
Level 1 ward care (hospital stay)Bed-dayRecipient34.0034.00Andrew Fisher, NuTH, November 2015, personal communication/CRF p. 51/52
Procedures (if needed)
BronchoscopyProcedureRecipient1.001.00CRF p. 46
TracheostomyProcedureRecipient1.001.00CRF p. 51
Equipment (if needed)
ECMOMachineRecipient1.001.00CRF p. 45
iLA membrane ventilatorDeviceRecipient1.001.00CRF p. 45
Consumables (if needed)
2 l of colloid (plasma and plasma substitutes)500 mlRecipient4.004.00CRF p. 45
1 l of crystalloid (fluids containing electrolytes)500 mlRecipient2.002.00CRF p. 45
Fresh-frozen plasma271-ml bagRecipient3.003.00CRF p. 45
Packed red blood cells274-ml bagRecipient4.004.00CRF p. 45
Platelets250-ml bagRecipient2.002.00CRF p. 45
Inotropes (if needed)
Adrenaline (base), 1 mg/10 ml (1 in 10,000)10-ml pre-filled disposable injectionRecipient1.001.00CRF p. 45
Dobutamine (as hydrochloride), 12.5 mg/ml20-ml ampouleRecipient1.001.00CRF p. 45
Glyceryl trinitrate, 1 mg/ml50-ml vialRecipient1.001.00CRF p. 45
Milrinone, 1 mg/ml10-ml ampouleRecipient1.001.00CRF p. 45
Noradrenaline (as acid tartrate), 1 mg/ml4-ml ampouleRecipient1.001.00CRF p. 45
Pitressin (argipressin – synthetic vasopressin), 20 units/ml1-ml ampouleRecipient1.001.00CRF p. 45
Other
 Dopamine hydrochloride, 40 mg/ml5-ml ampouleRecipient1.001.00CRF p. 46
 Enoximone, 5 mg/ml20-ml ampouleRecipient1.001.00CRF p. 46
 IsoprenalineRecipient1.001.00CRF p. 46
 MetaraminolRecipient1.001.00CRF p. 46
Post implantation haemodynamic support (if needed)
Adrenaline (base), 1 mg/10 ml (1 in 10,000)10-ml pre-filled disposable injectionRecipient1.001.00CRF p. 50
Dobutamine (as hydrochloride), 12.5 mg/ml20-ml ampouleRecipient1.001.00CRF p. 50
Glyceryl trinitrate, 1 mg/ml50-ml vialRecipient1.001.00CRF p. 50
Milrinone, 1 mg/ml10-ml ampouleRecipient1.001.00CRF p. 50
Noradrenaline (as acid tartrate), 1 mg/ml4-ml ampouleRecipient1.001.00CRF p. 50
Pitressin (argipressin – synthetic vasopressin), 20 units/ml1-ml ampouleRecipient1.001.00CRF p. 50
Complications (if reported)
Cerebrovascular accidentTreatmentRecipient1.001.00CRF p. 52
HemofiltrationProcedureRecipient14.0014.00CRF p. 52
HaemodialysisProcedure (days)Recipient9.009.00CRF p. 52
Re-explorationProcedureRecipient1.001.00CRF p. 52
Airway complications (if reported)
Balloon dilatationProcedureRecipient1.001.00CRF p. 53
CryotherapyProcedureRecipient1.001.00CRF p. 53
DiathermyProcedureRecipient1.001.00CRF p. 53
StentingProcedureRecipient1.001.00CRF p. 53
Surgical interventionProcedureRecipient1.001.00CRF p. 53
ITU rejection episodes (if reported)
Ward usage
 HDU careBed-dayRecipient18.0018.00CRF p. 58
 ITU careBed-dayRecipient26.0026.00CRF p. 58
Procedures
 Clinical diagnosis/biopsyProcedureRecipient1.001.00CRF p. 57
Treatment
 Cefuroxime (as sodium), 750 mg750-mg vialRecipient1.001.00CRF p. 54
 Methylprednisolone (as sodium succinate)1-g vialRecipient1.001.00CRF p. 54
 Piperacillin (as sodium), 2 g; and tazobactam (as sodium), 250 mg (Tazocin)2.25-g vialRecipient1.001.00CRF p. 54
Changes in maintenance therapy
 Methylprednisolone, 100 mg20-tablet packRecipient0.500.50CRF p. 54
 Tacrolimus, 5 mg/ml1-ml ampouleRecipient1.001.00CRF p. 54
Ward rejection episodes (if reported)
Procedures
 Clinical diagnosis/biopsyProcedureRecipient1.001.00CRF p. 57
Treatment
 Methylprednisolone (as sodium succinate), 500 mg500-mg vialRecipient1.001.00CRF p. 57
 Methylprednisolone (as sodium succinate)1-g vialRecipient1.001.00CRF p. 57
 Methylprednisolone, 100 mg20-tablet packRecipient1.001.00CRF p. 57
 Prednisolone acetate, 25 mg/ml1-ml ampouleRecipient1.001.00CRF p. 57
 Prednisolone, 25 mg56-tablet packRecipient1.001.00CRF p. 57
 Sulfamethoxazole, 400 mg; and trimethoprim, 80 mg (co-trimoxazole 480 mg)28-tablet packRecipient1.001.00CRF p. 57
 Tacrolimus, 5 mg/ml1-ml ampouleRecipient1.001.00CRF p. 57
Infection episodes (if reported)
Treatment
 Aciclovir (as sodium), 25 mg/ml20-ml vial (500 mg)Recipient15.0015.00CRF p. 58
 Adefovir dipivoxil, 10 mg30-tablet packRecipient1.001.00CRF p. 58
 Amikacin (as sulfate), 250 mg/ml2-ml vialRecipient30.0030.00CRF p. 58
 Amoxicillin (as trihydrate), 500 mg21-capsule packRecipient1.001.00CRF p. 58
 Amoxicillin (as trihydrate), 500 mg; and clavulanic acid (as potassium), 125 mg (co-amoxiclav)21-tablet packRecipient1.001.00CRF p. 58
 Amphotericin B liposomal (AmBisome)50-mg vialRecipient7.007.00CRF p. 58
 Amphotericin B (as sodium deoxycholate complex)50-mg vialRecipient14.0014.00CRF p. 58
 Anidulafungin100-mg vialRecipient16.0016.00CRF p. 58
 Azithromycin (as dihydrate), 250 mg4-capsule packRecipient1.001.00CRF p. 58
 Aztreonam1-g vialRecipient42.0042.00CRF p. 58
 BALProcedureRecipient1.001.00CRF p. 58
 Budesonide, 100 µg; and formoterol fumarate, 6 µg (Symbicort Turbohaler)120-dose inhalerRecipient1.001.00CRF p. 58
 Caspofungin (as acetate)70-mg vialRecipient14.0014.00CRF p. 58
 Ceftazidime (as pentahydrate)2-g vialRecipient42.0042.00CRF p. 58
 Cefuroxime (as sodium)750-mg vialRecipient21.0021.00CRF p. 58
 Chloramphenicol (as sodium succinate)1-g vialRecipient84.0084.00CRF p. 58
 Ciprofloxacin (as lactate), 2 mg/ml200-ml solution for infusion bottleRecipient14.0014.00CRF p. 58
 Ciprofloxacin (as hydrochloride), 500 mg20-tablet packRecipient1.001.00CRF p. 58
 Ciprofloxacin (as hydrochloride), 3 mg/ml5-ml 0.3% eye dropsRecipient2.002.00CRF p. 58
 Clarithromycin500-mg vialRecipient10.0010.00CRF p. 58
 Clindamycin (as phosphate), 150 mg/ml4-ml ampouleRecipient20.0020.00CRF p. 58
 Colistimethate sodium2-million-unit vialRecipient28.0028.00CRF p. 58
 Domperidone (as maleate), 10 mg100-tablet packRecipient1.001.00CRF p. 58
 Doxycycline (as hyclate), 100 mg8-capsule packRecipient1.001.00CRF p. 58
 Eradication therapy for H. pylori7-day courseRecipient1.001.00CRF p. 58
 Ertapenem (as sodium)1-g vialRecipient14.0014.00CRF p. 58
 Ethambutol hydrochloride, 100 mg56-tablet packRecipient1.001.00CRF p. 58
 Flucloxacillin (as sodium)28-capsule packRecipient1.001.00CRF p. 58
 Flucloxacillin (as sodium)1-g vialRecipient12.0012.00CRF p. 58
 Fluconazole, 50 mg7-capsule packRecipient8.008.00CRF p. 58
 Fluconazole, 2 mg/ml100-ml solution for infusion bottleRecipient43.0043.00CRF p. 58
 Fluconazole, 50 mg7-capsule packRecipient8.008.00CRF p. 58
 Foscarnet sodium, 24 mg/ml250-ml solution for infusion bottleRecipient42.0042.00CRF p. 58
 Fosfomycin (as sodium)2-g vialRecipient30.0030.00CRF p. 58
 Furosemide, 10 mg/ml5-ml ampouleRecipient21.0021.00CRF p. 58
 Ganciclovir (as sodium)500-mg vialRecipient42.0042.00CRF p. 58
 Gentamycin (as sulfate), 40 mg/ml2-ml vialRecipient28.0028.00CRF p. 58
 Immunoglobulin10-g vialRecipient1.001.00CRF p. 58
 Itraconazole, 10 mg/ml25-ml ampouleRecipient16.0016.00CRF p. 58
 Lamivudine, 150 mg60-tablet packRecipient1.001.00CRF p. 58
 Lesion excisionDay caseRecipient1.001.00CRF p. 58
 Linezolid, 2 mg/ml300-ml infusion bagRecipient84.0084.00CRF p. 58
 Meropenem (as trihydrate)1-g vialRecipient12.2512.25CRF p. 58
 Methylprednisolone (as sodium succinate)1-g vialRecipient3.003.00CRF p. 58
 Metochlopramide hydrochloride, 5 mg/ml2-ml ampouleRecipient15.0015.00CRF p. 58
 Metronidazole, 200 mg21-tablet packRecipient2.002.00CRF p. 58
 Micafungin (as sodium)100-mg vialRecipient14.0014.00CRF p. 58
 Moxifloxacin (as hydrochloride), 1.6 mg/ml250-ml solution for infusion bottleRecipient14.0014.00CRF p. 58
 Oseltamivir (as phosphate), 75 mg10-capsule packRecipient1.001.00CRF p. 58
 Packed red blood cells274-ml bagRecipient1.001.00CRF p. 58
 Piperacillin (as sodium), 4 g; and tazobactam (as sodium), 500 mg (Tazocin)4.5-g vialRecipient43.0043.00CRF p. 58
 Posaconazole, 100 mg96-tablet packRecipient1.001.00CRF p. 58
 Prednisolone, 25 mg56-tablet packRecipient1.001.00CRF p. 58
 Respiratory failure (inpatient)TreatmentRecipient1.001.00CRF p. 58
 Sirolimus, 2 mg30-tablet packRecipient1.001.00CRF p. 58
 Streptokinase250,000-unit powder vialRecipient12.0012.00CRF p. 58
 Sulfamethoxazole, 80 mg; and trimethoprim, 16 mg (Septrin)5-ml ampouleRecipient24.0024.00CRF p. 58
 Surgical intervention or VATSProcedureRecipient1.001.00CRF p. 58
 Teicoplanin200-mg vialRecipient10.0010.00CRF p. 58
 Trimethoprim, 100 mg28-tablet packRecipient1.001.00CRF p. 58
 Tobramycin (as sulfate), 40 mg/ml1-ml vialRecipient12.2512.25CRF p. 58
 Tigecycline50-mg vialRecipient30.0030.00CRF p. 58
 Valganciclovir (as hydrochloride), 450 mg60-tablet packRecipient1.001.00CRF p. 58
 Vancomycin (as hydrochloride)1-g vialRecipient14.0014.00CRF p. 58
 Voriconazole200-mg vialRecipient34.0034.00CRF p. 58
Ward usage
 HDU careBed-dayRecipient18.0018.00CRF p. 58
 ITU careBed-dayRecipient26.0026.00CRF p. 58
Outpatient care
Fixed costs
Outpatient reviews
 BronchoscopyProcedure/visit (4 visits)Recipient1.001.00CRF
 Chest X-ray (radiography)Test/visit (4 visits)Recipient1.001.00CRF
 FBCTest/visit (4 visits)Recipient1.001.00CRF
 Liver function testTest/visit (4 visits)Recipient1.001.00Andrew Fisher, NuTH, November 2015, personal communication
 Pulmonary/lung function testTest/visit (4 visits)Recipient1.001.00CRF
 Urea and electrolytes testTest/visit (4 visits)Recipient1.001.00Andrew Fisher, NuTH, November 2015, personal communication
Staff time
 Consultant physicianHour/visit (4 visits)Recipient0.500.50Care pathway/Katie Morley, NuTH, October 2014, personal communication
 Scrub nurse (band 5)Hour/visit (4 visits)Recipient0.500.50Care pathway/Katie Morley, NuTH, October 2014, personal communication
Variable costs
Rejection episodes (if reported)
Procedures
 Clinical diagnosis/biopsyProcedureRecipient1.001.00CRF
 Ventilation–perfusion scanTestRecipient1.001.00CRF
Treatment
 Anti-thymocyte immunoglobulin (rabbit), 25 mg25-mg vialRecipient40.0040.00CRF
 Azathioprine, 25 mg28-tablet packRecipient1.001.00CRF
 Azathioprine, 50 mg56-tablet packRecipient2.002.00CRF
 Ciclosporin, 25 mg30-capsule packRecipient1.001.00CRF
 Ciclosporin, 50 mg30-capsule packRecipient1.001.00CRF
 Ciclosporin, 100 mg30-capsule packRecipient3.003.00CRF
 Ciclosporin (NEORAL), 10 mg60-capsule packRecipient1.001.00CRF
 Ciclosporin (NEORAL), 25 mg30-capsule packRecipient1.001.00CRF
 Ciclosporin (NEORAL), 50 mg30-capsule packRecipient1.001.00CRF
 Ciclosporin (NEORAL), 100 mg30-capsule packRecipient1.001.00CRF
 Immunoglobulin10-g vialRecipient1.001.00CRF
 Meropenem (as trihydrate)1-g vialRecipient30.0030.00CRF
 Methylprednisolone (as sodium succinate)125-mg vialRecipient4.004.00CRF
 Methylprednisolone (as sodium succinate)500-mg vialRecipient3.003.00CRF
 Methylprednisolone (as sodium succinate)1-g vialRecipient3.003.00CRF
 Mycophenolate mofetil, 500 mg50-tablet packRecipient1.001.00CRF
 Mycophenolate mofetil, 250 mg100-capsule packRecipient1.001.00CRF
 Prednisolone, 1 mg28-tablet packRecipient1.001.00CRF
 Prednisolone, 5 mg28-tablet packRecipient2.002.00CRF
 Prednisolone, 25 mg56-tablet packRecipient1.001.00CRF
 Rituximab, 100 mg/ml10-ml vialRecipient4.004.00CRF
 Tacrolimus (Prograf), 500 µg50-capsule packRecipient1.001.00CRF
 Tacrolimus (Prograf), 1 mg50-capsule packRecipient4.004.00CRF
 Tacrolimus (Prograf), 1 mg100-capsule packRecipient1.001.00CRF
 Tacrolimus (Prograf), 5 mg50-capsule packRecipient1.001.00CRF
 Valganciclovir (as hydrochloride), 450 mg60-tablet packRecipient1.001.00CRF
Ward usage
 HDU careBed-dayRecipient30.0030.00CRF
 ITU careBed-dayRecipient7.007.00CRF
GP visits (if needed)
Out-of-surgery visitVisitRecipient1.001.00CRF
Surgery visitVisitRecipient1.001.00CRF
Transplant centre adviceCallRecipient1.001.00CRF
Unplanned hospital admission (if needed)
Treatment
 Aciclovir (as sodium), 25 mg/ml20-ml vialRecipient15.0015.00CRF
 Aciclovir, 400 mg56-tablet packRecipient1.001.00CRF
 Adrenaline (base), 100 µg/ml (1 in 10,000)10-ml pre-filled disposable injectionRecipient1.001.00CRF
 Amiodarone hydrochloride, 30 mg/ml10-ml pre-filled disposable injectionRecipient7.007.00CRF
 Amoxicillin (as sodium), 500 mg; and clavulanic acid (as potassium), 125 mg (co-amoxiclav)500/100-mg vialRecipient15.0015.00CRF
 Amphotericin B50-mg vialRecipient14.0014.00CRF
 Aspirin, 300 mg32-tablet packRecipient1.001.00CRF
 Azathioprine, 25 mg28-tablet packRecipient1.001.00CRF
 Azithromycin (as dihydrate), 250 mg4-capsule packRecipient1.001.00CRF
 Aztreonam1-g vialRecipient42.0042.00CRF
 Balloon dilatationProcedureRecipient1.001.00CRF
 Basiliximab20-mg vialRecipient2.002.00CRF
 Bisoprolol fumarate, 10 mg28-tablet packRecipient1.001.00CRF
 Bortezomib3.5-mg vialRecipient1.001.00CRF
 BronchoscopyProcedureRecipient1.001.00CRF
 Budesonide, 100 µg; and formoterol fumarate dihydrate, 6 µg (Symbicort 100/6 Turbohaler®)120-dose unit inhalerRecipient1.001.00CRF
 Calcium gluconate, 1 g28-tablet packRecipient1.001.00CRF
 Calcium polystyrene sulfonate (Calcium Resonium)300-g powderRecipient1.001.00CRF
 Candesartan cilexetil, 4 mg28-tablet packRecipient2.002.00CRF
 Caspofungin (as acetate)70-mg vialRecipient14.0014.00CRF
 Ciclosporin, 100 mg30-capsule packRecipient2.002.00CRF
 Ciclosporin, 50 mg/ml5-ml ampouleRecipient17.0017.00CRF
 Ciprofloxacin (as hydrochloride), 500 mg20-tablet packRecipient2.002.00CRF
 Clarithromycin500-mg vialRecipient10.0010.00CRF
 Clinical diagnosis/biopsyProcedureRecipient1.001.00CRF
 Colistimethate sodium1-million-unit vialRecipient28.0028.00CRF
 Colistimethate sodium2-million-unit vialRecipient28.0028.00CRF
 Computerised tomographyProcedureRecipient1.001.00CRF
 DeBakey tissue forcepsForcepsRecipient1.001.00CRF
 Docusate sodium, 100 mg30-capsule packRecipient4.004.00CRF
 Doxazosin (as mesilate), 4 mg28-tablet packRecipient2.002.00CRF
 Doxycycline (as hyclate), 100 mg8-capsule packRecipient1.001.00CRF
 ECG24-hour testRecipient24.0024.00CRF
 Enoxaparin sodium (Clexane Forte), 150 mg1-ml pre-filled disposable injectionRecipient5.005.00CRF
 ECMOMachineRecipient1.001.00CRF
 Filgrastim, 30 million units (300 µg/ml)1-ml vialRecipient14.0014.00CRF
 Flucloxacillin (as sodium)1-g vialRecipient12.0012.00CRF
 Fluticasone propionate, 250 µg; and salmeterol xinafoate, 50 µg (Seretide 250 Accuhaler)120-unit dose inhalerRecipient1.001.00CRF
 Foscarnet sodium, 24 mg/ml250-ml solution for infusion bottleRecipient1.001.00CRF
 Furosemide, 10 mg/ml5-ml ampouleRecipient21.0021.00CRF
 Ganciclovir (as sodium)500-mg vialRecipient42.0042.00CRF
 GastrograffinSolutionRecipient1.001.00CRF
 Glucose anhydrous, 50 mg/ml1000-ml bagRecipient7.007.00CRF
 iLA membrane ventilatorDeviceRecipient1.001.00CRF
 Immunoglobulin10-g vialRecipient1.001.00CRF
 Insulin, 3 ml5 × 3-ml pre-filled disposable injection devicesRecipient1.001.00CRF
 IntubationProcedureRecipient1.001.00CRF
 Hydralazine hydrochloride, 50 mg56-tablet packRecipient1.001.00CRF
 Hydrocortisone (as sodium succinate)100-mg vialRecipient28.0028.00CRF
 Lansoprazole, 30 mg28-capsule packRecipient1.001.00CRF
 Level 1 ward care (hospital stay)Bed-dayRecipient1.001.00CRF
 Macrogol compound oral powder50-sachet packRecipient1.001.00CRF
 Magnesium hydroxide with liquid paraffin150-ml bottleRecipient1.001.00CRF
 Magnesium sulfate heptahydrate, 100 mg10-ml ampouleRecipient1.001.00CRF
 Magnetic resonance imaging scanTestRecipient1.001.00CRF
 Meropenem (as trihydrate)1-g vialRecipient11.0011.00CRF
 Methylprednisolone (as sodium succinate), 500 mg500-mg vialRecipient3.003.00CRF
 Methylprednisolone (as sodium succinate)1-g vialRecipient3.003.00CRF
 Metoclopramide hydrochloride, 5 mg/ml2-ml ampouleRecipient4.004.00CRF
 Midazolam (as hydrochloride), 1 mg/ml5-ml ampouleRecipient1.001.00CRF
 Minocycline (as hydrochloride), 100 mg28-tablet packRecipient1.001.00CRF
 Moxifloxacin (as hydrochloride), 1.6 mg/ml250-ml solution for infusion bottleRecipient14.0014.00CRF
 Nefopam hydrochloride, 30 mg90-tablet packRecipient1.001.00CRF
 Non-invasive ventilationProcedureRecipient1.001.00CRF
 Normal immunoglobulin, 10 g200-ml solution for infusion bottleRecipient1.001.00CRF
 Oxycodone hydrochloride, 10 mg/ml120-ml oral solutionRecipient1.001.00CRF
 Packed red blood cells274-ml bagRecipient2.002.00CRF
 Phosphate enema133-ml enema packRecipient1.001.00CRF
 Piperacillin (as sodium), 4 g; and tazobactam (as sodium), 500 mg (Tazocin)4.5-g vialRecipient40.0040.00CRF
 Posaconazole, 100 mg96-tablet packRecipient1.001.00CRF
 Prednisolone, 5 mg28-tablet packRecipient4.004.00CRF
 Pregabalin, 150 mg56-capsule packRecipient1.001.00CRF
 Redo lung transplantationProcedureRecipient1.001.00CRF
 Renal supportTreatmentRecipient1.001.00CRF
 Ribavirin, 200 mg42-tablet packRecipient1.001.00CRF
 Ribavirin, 400 mg56-tablet packRecipient1.001.00CRF
 Salbutamol (as sulfate), 5 mg/2.5 ml20-unit dose nebuliser liquid vialRecipient1.001.00CRF
 Sirolimus, 2 mg30-tablet packRecipient2.002.00CRF
 Sodium bicarbonate, 42 mg/ml500-ml intravenous infusion bottleRecipient1.001.00CRF
 2 l of 0.9% sodium chloride solution1-l solutionRecipient20.0020.00CRF
 StentingProcedureRecipient1.001.00CRF
 Sulfamethoxazole, 80 mg; and trimethoprim, 16 mg (Septrin)5-ml ampouleRecipient18.0018.00CRF
 Sulfamethoxazole, 400 mg; and trimethoprim, 80 mg (co-trimoxazole)5-ml ampouleRecipient12.0012.00CRF
 Surgical interventionProcedureRecipient1.001.00CRF
 Tacrolimus (Prograf), 1 mg50-capsule packRecipient4.004.00CRF
 Tacrolimus (Prograf), 1 mg100-capsule packRecipient1.001.00CRF
 Tacrolimus (Prograf), 5 mg/ml10 × 1-ml ampoulesRecipient7.007.00CRF
 Tinzaparin sodium, 20,000 units/ml (Innohep)0.5-ml vialRecipient630.00630.00CRF
 TracheostomyProcedureRecipient1.001.00CRF
 Tramadol hydrochloride, 150 mg60-capsule packRecipient1.001.00CRF
 Ultrasound scanTestRecipient1.001.00CRF
 Valganciclovir (as hydrochloride), 450 mg60-tablet packRecipient1.001.00CRF
 Vancomycin (as hydrochloride), 125 mg28-capsule packRecipient2.002.00CRF
 Voriconazole200-mg vialRecipient78.0078.00CRF
 Warfarin sodium, 3 mg28-tablet packRecipient1.001.00CRF
 Warfarin sodium, 1 mg/ml150-ml oral suspensionRecipient3.003.00CRF
Ward usage
 HDU careBed-dayRecipient14.0014.00CRF
 ITU careBed-dayRecipient14.0014.00CRF
Immunosuppressive medications (if needed)
Azathioprine, 25 mg28-tablet packRecipient1.001.00CRF
Azathioprine, 50 mg56-tablet packRecipient3.003.00CRF/Ruth Coxhead, NuTH, March 2015, personal communication
Ciclosporin, 25 mg30-capsule packRecipient1.001.00CRF
Ciclosporin, 50 mg30-capsule packRecipient1.001.00CRF
Ciclosporin, 100 mg30-capsule packRecipient4.004.00CRF/Ruth Coxhead, NuTH, March 2015, personal communication
Mycophenolate mofetil, 500 mg50-tablet packRecipient3.003.00CRF/Ruth Coxhead, NuTH, March 2015, personal communication
Prednisolone, 1 mg28-tablet packRecipient1.001.00CRF
Prednisolone, 5 mg28-tablet packRecipient3.003.00CRF/Ruth Coxhead, NuTH, March 2015, personal communication
Prednisolone, 25 mg56-tablet packRecipient1.001.00CRF
Prednisolone acetate, 25 mg/ml1-ml ampouleRecipient26.0026.00CRF
Sirolimus, 500 µg30-tablet packRecipient1.001.00CRF
Sirolimus, 1 mg30-tablet packRecipient1.001.00CRF
Sirolimus, 2 mg30-tablet packRecipient2.002.00CRF/Ruth Coxhead, NuTH, March 2015, personal communication
Tacrolimus, 500 µg50-capsule packRecipient1.001.00CRF
Tacrolimus, 1 mg50-capsule packRecipient4.004.00CRF/Ruth Coxhead, NuTH, March 2015, personal communication
Tacrolimus, 1 mg100-capsule packRecipient1.001.00CRF
Tacrolimus, 5 mg50-capsule packRecipient1.001.00CRF
Other
 Aciclovir, 200 mg25-tablet packRecipient28.0028.00CRF
 Amoxicillin (as trihydrate), 500 mg21-capsule packRecipient1.001.00CRF
 Azithromycin (as dihydrate), 250 mg4-capsule packRecipient1.001.00CRF
 Beclomethasone dipropionate, 400 µg/dose100-dose unitRecipient1.001.00CRF
 Calcium carbonate (Adcal), 1.5 g100-tablet packRecipient1.001.00CRF
 Cetirizine hydrochloride, 10 mg30-tablet packRecipient3.003.00CRF
 Ciclosporin (NEORAL), 10 mg60-capsule packRecipient1.001.00CRF
 Ciclosporin (NEORAL), 25 mg30-capsule packRecipient1.001.00CRF
 Ciclosporin (NEORAL), 50 mg50-capsule packRecipient2.002.00CRF
 Ciclosporin, 100 mg30-capsule packRecipient1.001.00CRF
 Citalopram (as hydrobromide), 20 mg28-tablet packRecipient1.001.00CRF
 Dapsone, 100 mg28-tablet packRecipient1.001.00CRF
 Dexamethasone, 2 mg50-tablet packRecipient1.001.00CRF
 Doxycycline (as hyclate), 100 mg8-capsule packRecipient1.001.00CRF
 Furosemide, 40 mg28-tablet packRecipient1.001.00CRF
 Hydrocortisone, 10 mg30-tablet packRecipient5.005.00CRF
 Hydrocortisone, 20 mg30-tablet packRecipient1.001.00CRF
 Lisinopril dihydrate, 2.5 mg28-tablet packRecipient1.001.00CRF
 Lisinopril dihydrate, 5 mg28-tablet packRecipient4.004.00CRF
 Methylprednisolone, 2 mg30-tablet packRecipient1.001.00CRF
 Methylprednisolone (as sodium succinate)40-mg vialRecipient1.001.00CRF
 Methylprednisolone (as sodium succinate)1-g vialRecipient1.001.00CRF
 Mycophenolic acid (as sodium), 180 mg120-tablet packRecipient1.001.00CRF
 Mycophenolic acid (as sodium), 360 mg120-tablet packRecipient1.001.00CRF
N-acetylcysteine, 200 mg/ml10-ml ampouleRecipient1.001.00CRF
 Perindopril erbumine, 2 mg30-tablet packRecipient1.001.00CRF
 Perindopril erbumine, 4 mg30-tablet packRecipient1.001.00CRF
 Sulfamethoxazole, 400 mg; and trimethoprim, 80 mg (co-trimoxazole)28-tablet packRecipient1.001.00CRF
 Tacrolimus (Prograf), 1 mg50-capsule packRecipient1.001.00CRF
 Tacrolimus (Prograf), 1 mg100-capsule packRecipient1.001.00CRF
 Tinzaparin sodium, 3500 units0.35-ml pre-filled disposable injectionRecipient1.001.00CRF
Concomitant medications
Variable costs
Treatment
 Aciclovir, 200 mg25-tablet packRecipient9.009.00CRF p. 111
 Adrenaline (base), 100 µg/ml (1 in 10,000)10-ml pre-filled disposable injectionRecipient15.0015.00CRF p. 111
 Alendronic acid (as sodium), 70 mg28-tablet packRecipient1.001.00CRF p. 111
 Alfentanil (as hydrochloride), 500 µg/ml2-ml ampouleRecipient2.002.00CRF p. 111
 Alfentanil (as hydrochloride), 5 mg/ml1-ml ampouleRecipient9.009.00CRF p. 111
 Allopurinol, 300 mg28-tablet packRecipient1.001.00CRF p. 111
 Amiloride hydrochloride, 5 mg; and furosemide, 40 mg (co-amilofruse)56-tablet packRecipient1.001.00CRF p. 111
 Amiodarone hydrochloride, 30 mg/ml10-ml pre-filled disposable syringeRecipient60.0060.00CRF p. 111
 Amiodarone hydrochloride, 100 mg28-tablet packRecipient1.001.00CRF p. 111
 Amiodarone hydrochloride, 200 mg28-tablet packRecipient6.006.00CRF p. 111
 Amitriptyline hydrochloride, 10 mg28-tablet packRecipient2.002.00CRF p. 111
 Amlodipine, 5 mg28-tablet packRecipient1.001.00CRF p. 111
 Amlodipine, 10 mg28-tablet packRecipient1.001.00CRF p. 111
 Amoxicillin (as trihydrate), 500 mg21-capsule packRecipient1.001.00CRF p. 111
 Amoxicillin (as amoxicillin trihydrate), 500 mg; and clavulanic acid (as potassium), 125 mg21-tablet packRecipient2.002.00CRF p. 111
 Amphotericin B, 5 mg/ml20-lozenge packRecipient2.002.00CRF p. 111
 Amphotericin B (as phospholipid complex, 5 mg/ml20-ml vialRecipient2.002.00CRF p. 111
 Antiembolism socksSocks packRecipient1.001.00CRF p. 111
 Anti-thymocyte immunoglobulin (rabbit)25-mg vialRecipient20.0020.00CRF p. 111
 Aspirin, 75 mg28-tablet packRecipient2.002.00CRF p. 111
 Atracurium besilate, 10 mg/ml5-ml ampouleRecipient1.001.00CRF p. 111
 Azathioprine, 25 mg28-tablet packRecipient1.001.00CRF p. 111
 Azathioprine, 50 mg56-tablet packRecipient2.002.00CRF p. 111
 Azithromycin (as dihydrate), 250 mg4-tablet packRecipient1.001.00CRF p. 111
 Azithromycin (as dihydrate), 250 mg6-capsule packRecipient9.009.00CRF p. 111
 Azithromycin, 500 mg3-tablet packRecipient1.001.00CRF p. 111
 Aztreonam2-g vialRecipient12.0012.00CRF p. 111
 Bisoprolol fumarate, 1.25 mg28-tablet packRecipient1.001.00CRF p. 111
 Bisoprolol fumarate, 2.5 mg28-tablet packRecipient5.005.00CRF p. 111
 Bisoprolol fumarate, 5 mg28-tablet packRecipient2.002.00CRF p. 111
 Bupivacaine hydrochloride, 1 mg/ml100-ml infusion bagRecipient1.001.00CRF p. 111
 Calcium carbonate (Adcal), 1.5 g100-tablet packRecipient1.001.00CRF p. 111
 Calcium carbonate, 1.25 g; and colecalciferol, 400 units (Calcichew D3 Forte)60-tablet packRecipient3.003.00CRF p. 111
 Calcium chloride dihydrate, 10%10-ml pre-filed disposable injectionRecipient1.001.00CRF p. 111
 Calogen emulsion500-ml bottleRecipient4.004.00CRF p. 111
 Carbocisteine, 375 mg120-capsule packRecipient3.003.00CRF p. 111
 Caspofungin (as acetate)50-mg vialRecipient18.0018.00CRF p. 111
 Ceftazidime (as pentahydrate)2-g vialRecipient11.0011.00CRF p. 111
 Chlordiazepoxide hydrochloride, 5 mg100-capsule packRecipient1.001.00CRF p. 111
 Chlordiazepoxide hydrochloride (Librium), 10 mg100-capsule packRecipient1.001.00CRF p. 111
 Chlorhexidine gluconate, 4%500-ml surgical scrubRecipient1.001.00CRF p. 111
 Chlorhexidine hydrochloride, 500 mg500-mg pump packRecipient1.001.00CRF p. 111
 Chlorhexidine hydrochloride, 1 mg/g; and neomycin sulfate, 5 mg/g (Naseptin)15-g nasal creamRecipient8.008.00CRF p. 111
 Chlorhexidine hydrochloride, 10 mg/g; and nystatin, 100,000 units/g (Nystaform)30-g creamRecipient1.001.00CRF p. 111
 Chlorphenamine maleate, 10 mg/ml1-ml ampouleRecipient3.003.00CRF p. 111
 Chlorpromazine hydrochloride, 25 mg28-tablet packRecipient1.001.00CRF p. 111
 Ciclosporin (NEORAL), 25 mg30-capsule packRecipient1.001.00CRF p. 111
 Ciclosporin, 50 mg30-capsule packRecipient2.002.00CRF p. 111
 Ciclosporin, 100 mg30-capsule packRecipient2.002.00CRF p. 111
 Ciprofloxacin (as hydrochloride), 500 mg (Ciproxin)10-tablet packRecipient3.003.00CRF p. 111
 Ciprofloxacin (as hydrochloride), 750 mg10-tablet packRecipient1.001.00CRF p. 111
 Citalopram (as hydrobromide), 20 mg28-tablet packRecipient1.001.00CRF p. 111
 Citalopram (as hydrobromide), 40 mg28-tablet packRecipient1.001.00CRF p. 111
 Clonidine hydrochloride, 25 µg112-tablet packRecipient1.001.00CRF p. 111
 Codeine phosphate, 8 mg; and paracetamol, 500 mg30-tablet packRecipient3.003.00CRF p. 111
 Codeine phosphate 30 mg and paracetamol, 500 mg100-tablet packRecipient1.001.00CRF p. 111
 Codeine phosphate, 30 mg28-tablet packRecipient1.001.00CRF p. 111
 Codeine phosphate, 60 mg28-tablet packRecipient1.001.00CRF p. 111
 Colecalciferol, 500 µg (20,000 units)15-capsule packRecipient1.001.00CRF p. 111
 Colistimethate sodium1-million-unit vialRecipient56.0056.00CRF p. 111
 Colistimethate sodium2-million-unit vialRecipient28.0028.00CRF p. 111
 CREON, 25,000 units100-capsule packRecipient2.002.00CRF p. 111
 CREON Micro Pancreatine, 20 g60.12-mg granulesRecipient1.001.00CRF p. 111
 Cryoprecipitate8 unitsRecipient1.001.00CRF p. 111
 Cyclizine hydrochloride, 50 mg100-tablet packRecipient3.003.00CRF p. 111
 Dapsone, 100 mg28-tablet packRecipient1.001.00CRF p. 111
 Diazepam, 2 mg28-tablet packRecipient1.001.00CRF p. 111
 Digoxin, 250 µg/ml2-ml ampouleRecipient28.0028.00CRF p. 111
 Diltiazem hydrochloride, 120 mg28-capsule packRecipient1.001.00CRF p. 111
 Diltiazem hydrochloride, 200 mg7-capsule packRecipient1.001.00CRF p. 111
 Docusate sodium100-capsule packRecipient1.001.00CRF p. 111
 Domperidone (as maleate), 10 mg100-tablet packRecipient2.002.00CRF p. 111
 Dopamine hydrochloride, 40 mg/ml5-ml ampouleRecipient8.008.00CRF p. 111
 Dosulepin hydrochloride, 25 mg28-capsule packRecipient2.002.00CRF p. 111
 Doxazosin (as mesilate), 4 mg28-tablet packRecipient2.002.00CRF p. 111
 Doxycycline (as hyclate), 100 mg8-capsule packRecipient3.003.00CRF p. 111
 Enoxaparin sodium, 100 mg/ml0.4-ml pre-filled disposable injectionRecipient19.0019.00CRF p. 111
 Ensure liquid250 mlRecipient1.001.00CRF p. 111
 Erythromycin (as lactobionate)1-g vialRecipient18.0018.00CRF p. 111
 Esomeprazole (as magnesium dihydrate), 40 mg28-capsule packRecipient2.002.00CRF p. 111
 Ethambutol hydrochloride, 400 mg56-tablet packRecipient2.002.00CRF p. 111
 Ezetimibe, 10 mg28-tablet packRecipient1.001.00CRF p. 111
 Ethinylestradiol, 30 µg; and gestodene, 75 µg21-day preparationRecipient1.001.00CRF p. 111
 Ferrous sulfate dried, 200 mg28-tablet packRecipient3.003.00CRF p. 111
 Flucloxacillin (as sodium), 500 mg28-capsule packRecipient8.008.00CRF p. 111
 Flucloxacillin (as sodium)1-g vialRecipient5.005.00CRF p. 111
 Fluconazole, 50 mg7-capsule packRecipient7.007.00CRF p. 111
 Fluconazole, 200 mg7-capsule packRecipient11.0011.00CRF p. 111
 Fluconazole, 2 mg/ml100-ml solution for infusion bottleRecipient12.0012.00CRF p. 111
 Fluoxetine (as hydrochloride), 20 mg30-capsule packRecipient1.001.00CRF p. 111
 Fluticasone propionate 50 µg150-unit dose nasal sprayRecipient1.001.00CRF p. 111
 Fluticasone propionate, 250 µg (Flixotide 250 Accuhaler)60-dose inhalerRecipient1.001.00CRF p. 111
 Fluticasone propionate, 250 µg; and salmeterol xinafoate, 50 µg (Seretide 250 Accuhaler)60-dose inhalerRecipient1.001.00CRF p. 111
 Folic acid, 400 µg90-tablet packRecipient1.001.00CRF p. 111
 Foscarnet sodium, 24 mg/ml250-ml solution for infusion bottleRecipient42.0042.00CRF p. 111
 Fosfomycin (as sodium)2-g vialRecipient2.002.00CRF p. 111
 Fresh-frozen plasma271-ml bagRecipient7.007.00CRF p. 111
 Furosemide, 10 mg/ml2-ml ampouleRecipient14.0014.00CRF p. 111
 Furosemide, 20 mg28-tablet packRecipient1.001.00CRF p. 111
 Furosemide, 40 mg28-tablet packRecipient2.002.00CRF p. 111
 Ganciclovir (as sodium)500-mg vialRecipient21.0021.00CRF p. 111
 Gelatin (Gelofusine)1-l infusion bagRecipient2.002.00CRF p. 111
 Gelatin, 140 mg/g; and glycerol, 700 mg/g4-g supplement packRecipient72.0072.00CRF p. 111
 Gliclazide (glycoside), 30 mg56-tablet packRecipient1.001.00CRF p. 111
 Gliclazide, 40 mg28-tablet packRecipient2.002.00CRF p. 111
 Glucose anhydrous, 500 mg/ml50-ml vialRecipient168.00168.00CRF p. 111
 Glyceryl trinitrate, 1 mg/ml50-ml ampouleRecipient10.0010.00CRF p. 111
 Haloperidol, 5 mg28-tablet packRecipient1.001.00CRF p. 111
 Haloperidol, 5 mg/ml1-ml ampouleRecipient248.00248.00CRF p. 111
 Heparin sodium, 5000 units/ml1-ml ampouleRecipient49.0049.00CRF p. 111
 Heparin sodium, 5000 units/ml5-ml ampouleRecipient6.006.00CRF p. 111
 Hydroxocobalamin, 1 mg/ml1-ml ampouleRecipient14.0014.00CRF p. 111
 Hyoscine butylbromide (Buscopan), 10 mg56-tablet packRecipient3.003.00CRF p. 111
 Ibandronic acid (as sodium monohydrate), 50 mg28-tablet packRecipient1.001.00CRF p. 111
 Iloprost (as THAM), 10 µg/ml30 × 1-ml unit-dose vialsRecipient1.001.00CRF p. 111
 Insulin, 3 ml5 × 3-ml pre-filled disposable injection devicesRecipient1.001.00CRF p. 111
 Insulin aspart, 100 units/ml5 × 3-ml pre-filled disposable injection devicesRecipient2.002.00CRF p. 111
 Insulin human (as soluble human) (ACTRAPID), 100 units/ml10-ml vialRecipient27.0027.00CRF p. 111
 Insulin human (as detemir), 100 units/ml (LEMEVIR)5 × 3-ml pre-filled disposable injection deviceRecipient1.001.00CRF p. 111
 Ipratropium bromide, 250 µg/ml60 × 1 ml unit-dose vialRecipient4.004.00CRF p. 111
 Ipratropium bromide, 500 µg500-µg nebuliser solutionRecipient4.004.00CRF p. 111
 Ipratropium bromide, 2.5 mg/2.5 ml60-unit-dose vialRecipient2.002.00CRF p. 111
 Ipratropium bromide, 200 µg/ml; and salbutamol (as sulfate), 1 mg/ml (Combivent)60-unit dose vialRecipient9.009.00CRF p. 111
 Itraconazole, 100 mg15-capsule packRecipient10.0010.00CRF p. 111
 Itraconazole, 10 mg/ml150-ml oral solutionRecipient33.0033.00CRF p. 111
 Labetalol hydrochloride, 100 mg56-tablet packRecipient1.001.00CRF p. 111
 Labetalol hydrochloride, 200 mg56-tablet packRecipient1.001.00CRF p. 111
 Lactulose300-ml solutionRecipient1.001.00CRF p. 111
 Lansoprazole, 15 mg28-capsule packRecipient1.001.00CRF p. 111
 Lansoprazole, 30 mg28-tablet packRecipient2.002.00CRF p. 111
 Loratadine, 10 mg30-tablet packRecipient1.001.00CRF p. 111
 Levomepromazine maleate, 25 mg84-tablet packRecipient1.001.00CRF p. 111
 Linezolid, 600 mg10-tablet packRecipient2.002.00CRF p. 111
 Loperamide hydrochloride, 2 mg30-tablet packRecipient2.002.00CRF p. 111
 Lorazepam, 1 mg28-tablet packRecipient1.001.00CRF p. 111
 Lymecycline, 408 mg28-capsule packRecipient1.001.00CRF p. 111
 Magnesium oxide, 160 mg28-capsule packRecipient2.002.00CRF p. 111
 Magnesium sulfate heptahydrate, 500 mg/ml2-ml ampouleRecipient98.0098.00CRF p. 111
 Magnesium sulfate heptahydrate, 500 mg/ml5-ml ampouleRecipient29.0029.00CRF p. 111
 Magnesium sulfate heptahydrate, 500 mg/ml4-ml ampouleRecipient56.0056.00CRF p. 111
 Menadiol phosphate (as sodium phosphate), 10 mg100-tablet packRecipient1.001.00CRF p. 111
 Meropenem (as trihydrate)1-g vialRecipient24.5024.50CRF p. 111
 MEROCAINE24-lozenge packRecipient1.001.00CRF p. 111
 Methylprednisolone (as sodium succinate)500-mg vialRecipient26.0026.00CRF p. 111
 Methylprednisolone (as sodium succinate)1-g vialRecipient3.003.00CRF p. 111
 Metformin hydrochloride, 500 mg28-tablet packRecipient1.001.00CRF p. 111
 Metoclopramide hydrochloride, 10 mg28-tablet packRecipient1.001.00CRF p. 111
 Metronidazole, 400 mg21-tablet packRecipient2.002.00CRF p. 111
 Midazolam (as hydrochloride), 1 mg/ml5-ml ampouleRecipient2.002.00CRF p. 111
 Milrinone (as lactate), 1 mg/ml10-ml ampouleRecipient228.00228.00CRF p. 111
 Minocycline (as hydrochloride), 100 mg28-tablet packRecipient2.002.00CRF p. 111
 Mirtazapine, 30 mg28-tablet packRecipient1.001.00BNF 201450
 Montelukast (as sodium), 10 mg28-tablet packRecipient1.001.00CRF p. 111
 Mometasone furoate, 50 µg140-unit dose nasal sprayRecipient1.001.00CRF p. 111
 Morphine sulfate, 1 mg/ml10-mg disposable syringeRecipient16.0016.00CRF p. 111
 Morphine sulfate (Oramorph), 10 mg/5ml300-ml oral solutionRecipient1.001.00CRF p. 111
 Movicol30-sachet packRecipient6.006.00CRF p. 111
 Moxifloxacin (as hydrochloride), 400 mg5-tablet packRecipient18.0018.00CRF p. 111
 Multivitamins28-capsule packRecipient2.002.00CRF p. 111
 Mupirocin, 20 mg/g15-g ointmentRecipient1.001.00CRF p. 111
 Micafungin (as sodium)100-mg vialRecipient14.0014.00CRF p. 111
N-acetylcysteine, 600 mg100-tablet packRecipient1.001.00CRF p. 111
 Naproxen, 500 mg28-tablet packRecipient1.001.00CRF p. 111
 Nebivolol (as hydrochloride), 5 mg28-tablet packRecipient1.001.00CRF p. 111
 Nifedipine, 5 mg84-capsule packRecipient1.001.00CRF p. 111
 Nifedipine, 10 mg84-capsule packRecipient5.005.00CRF p. 111
 Noradrenaline base, 1 mg/ml (as noradrenaline acid tartrate, 2 mg/ml)4-ml ampouleRecipient32.0032.00CRF p. 111
 Nutrison energy multifibre1000-ml solutionRecipient28.0028.00CRF p. 111
 Nystatin, 100,000 units/ml30-ml oral suspensionRecipient4.004.00CRF p. 111
 Omeprazole (as magnesium), 10 mg28-tablet packRecipient1.001.00CRF p. 111
 Omeprazole (as magnesium), 20 mg28-tablet packRecipient2.002.00CRF p. 111
 Omeprazole (as magnesium), 40 mg28-capsule packRecipient3.003.00CRF p. 111
 Omeprazole (as sodium)40-mg vialRecipient24.0024.00CRF p. 111
 Ondansetrol (as hydrochloride), 2 mg/ml1-ml ampouleRecipient1.001.00CRF p. 111
 Ondansetron (as hydrochloride), 4 mg30-tablet packRecipient3.003.00CRF p. 111
 Oxycodone hydrochloride, 5 mg56-tablet packRecipient2.002.00CRF p. 111
 Oxycodone hydrochloride, 10 mg56-capsule packRecipient1.001.00CRF p. 111
 Pabrinex vitamin B substances with ascorbic acid, 250 mg/10 ml2 × 5-ml ampouleRecipient2.002.00CRF p. 111
 Packed red blood cells274-ml bagRecipient61.0061.00CRF p. 111
 Paracetamol, 500 mg32-tablet packRecipient2.002.00CRF p. 111
 Paracetamol, 1 g10 mg/ml 100-ml vialRecipient28.0028.00CRF p. 111
 Peppermint water100-ml solutionRecipient1.001.00CRF p. 111
 Perindopril erbumine, 4 mg30-tablet packRecipient1.001.00CRF p. 111
 Phenoxymethylpenicillin (as potassium), 250 mg28-tablet packRecipient2.002.00CRF p. 111
 Phosphate500-ml bottleRecipient1.001.00CRF p. 111
 Piperacillin (as sodium), 4 g; and tazobactam (as sodium), 500 mg (Tazocin)4.5-g vialRecipient59.0059.00CRF p. 111
 Platelets250-ml bagRecipient134.00134.00CRF p. 111
 Posaconazole, 100 mg96-tablet packRecipient2.002.00CRF p. 111
 Potassium bicarbonate, 400 mg; and potassium chloride, 600 mg (Sando-K)20 tabletsRecipient2.002.00CRF p. 111
 Potassium chloride, 150 mg/ml10-ml ampouleRecipient14.0014.00CRF p. 111
 Pravastatin sodium, 10 mg28-tablet packRecipient1.001.00CRF p. 111
 Pravastatin sodium, 20 mg28-tablet packRecipient1.001.00CRF p. 111
 Pravastatin sodium, 40 mg28-tablet packRecipient1.001.00CRF p. 111
 Prednisolone, 5 mg28-tablet packRecipient1.001.00CRF p. 111
 Pregabalin, 25 mg56-capsule packRecipient1.001.00CRF p. 111
 Pregabalin, 50 mg84-capsule packRecipient2.002.00CRF p. 111
 Pregabalin, 75 g56-capsule packRecipient2.002.00CRF p. 111
 Pregabalin, 100 mg84-capsule packRecipient1.001.00CRF p. 111
 Prochlorperazine maleate, 3 mg5 × 10-tablet packRecipient1.001.00CRF p. 111
 Propofol, 5 mg/ml20-ml ampouleRecipient2.002.00CRF p. 111
 Propofol, 10 mg/ml20-ml ampouleRecipient6.006.00CRF p. 111
 Propofol, 10 mg/ml50-ml pre-filled disposable injectionRecipient3.003.00CRF p. 111
 Ramipril, 2.5 mg28-tablet packRecipient1.001.00CRF p. 111
 Ramipril, 5 mg28-capsule packRecipient1.001.00CRF p. 111
 Ranitidine (as hydrochloride), 25 mg/ml2-ml ampouleRecipient6.006.00CRF p. 111
 Ranitidine (as hydrochloride), 150 mg60-tablet packRecipient2.002.00CRF p. 111
 Ranitidine (as hydrochloride), 300 mg30-tablet packRecipient1.001.00CRF p. 111
 Remifentanil (as hydrochloride)5-mg vialRecipient3.003.00CRF p. 111
 Risperidone, 500 µg20-tablet packRecipient2.002.00CRF p. 111
 Risperidone, 2 mg60-tablet packRecipient1.001.00CRF p. 111
 Salbutamol (as sulfate), 2.5 mg/2.5 ml20-unit dose nebuliserRecipient6.006.00CRF p. 111
 Salbutamol (as sulfate), 200 µg100-dose unit inhalerRecipient1.001.00CRF p. 111
 Sennoside B (as sennosides), 7.5 mg60-tablet packRecipient1.001.00CRF p. 111
 Sildenafil (as citrate), 25 mg4-tablet packRecipient7.007.00CRF p. 111
 Sodium chloride, 0.9%20 × 2.5-ml sprayRecipient9.009.00CRF p. 111
 Sodium chloride, 600 mg100-tablet packRecipient1.001.00CRF p. 111
 Sodium cromoglycate, 5 mg/dose112-unit dose inhalerRecipient1.001.00CRF p. 111
 Sodium dihydrogen phosphate anhydrous, 1.936 g100-tablet packRecipient2.002.00CRF p. 111
 Sodium valproate, 200 mg100-tablet packRecipient13.0013.00CRF p. 111
 Strepsils24-lozenge packRecipient1.001.00CRF p. 111
 Sulfamethoxazole, 400 mg; and trimethoprim, 80 mg (co-trimoxazole)28-tablet packRecipient1.001.00CRF p. 111
 Tadalafil, 20 mg8-tablet packRecipient4.004.00CRF p. 111
 Tamsulosin hydrochloride, 400 µg30-capsule packRecipient2.002.00CRF p. 111
 T.E.D. compression socks/hose (knee length)StockingRecipient1.001.00CRF p. 111
 Teicoplanin400-mg vialRecipient21.0021.00CRF p. 111
 Theophylline (Uniphyllin), 200 mg56-tablet packRecipient1.001.00CRF p. 111
 Thiamine hydrochloride, 100 mg100-tablet packRecipient1.001.00CRF p. 111
 Tiotropium (as bromide), 18 µg30-capsule packRecipient1.001.00CRF p. 111
 Tobramycin, 60 mg/ml56 × 5 ml–300 mg unitRecipient11.0011.00CRF p. 111
 Tobramycin, 75 mg/ml56 × 4-ml nebuliserRecipient1.001.00CRF p. 111
 Tramadol hydrochloride, 50 mg30-capsule packRecipient1.001.00CRF p. 111
 Tramadol hydrochloride, 50 mg60-capsule packRecipient3.003.00CRF p. 111
 Tramadol hydrochloride, 100 mg60-capsule packRecipient2.002.00CRF p. 111
 Ursodeoxycholic acid, 150 mg60-tablet packRecipient1.001.00CRF p. 111
 Ursodeoxycholic acid, 300 mg60-tablet packRecipient2.002.00CRF p. 111
 Valaciclovir (as hydrochloride), 500 mg42-tablet packRecipient2.002.00CRF p. 111
 Valganciclovir (as hydrochloride), 450 mg60-tablet packRecipient2.002.00CRF p. 111
 Vancomycin (as hydrochloride)1-g vialRecipient2.002.00CRF p. 111
 Vitamin B compound strong28-tablet packRecipient2.002.00CRF p. 111
 Vitamins A, D and E30-capsule packRecipient1.001.00CRF p. 111
 Multivitamins100-tablet packRecipient1.001.00CRF p. 111
 Voriconazole, 200 mg28-tablet packRecipient3.003.00CRF p. 111
 Warfarin sodium, 3 mg28-tablet packRecipient1.001.00CRF p. 111
 Water for injections5-ml ampouleRecipient1.001.00CRF p. 111
 Zopiclone, 3.75 mg28-tablet packRecipient1.001.00CRF p. 111

CO2, carbon dioxide; N2, nitrogen; ODA, operating department assistant.

Copyright © Queen’s Printer and Controller of HMSO 2016. This work was produced by Fisher et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK396524

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