Published online Jul 20, 2019. doi: 10.5313/wja.v8.i3.19
Peer-review started: January 9, 2019
First decision: April 11, 2019
Revised: April 16, 2019
Accepted: June 17, 2019
Article in press: June 18, 2019
Published online: July 20, 2019
Core tip: Health care costs are escalating worldwide, affecting both governments and households. The need for surgery and interventional procedures are also steadily increasing. This has led to the increased requirement of clinical services from anesthesiologists. Therefore, anesthesiologists can also play an important role in cost containment. Two of the significant areas where cost reduction is possible are preoperative tests and the use of low and minimal flow anesthesia. However, a few factors may act as a hindrance to clinical practice. This opinion review paper discusses these issues and the possible remedial steps for providing cost-effective, quality healthcare, especially in developing countries.