ALFENTANIL INFUSION IN TOTAL INTRAVENOUS ANESTHESIA (TIVA) - POPULATION PHARMACOKINETICS FAILS TO PREDICT PLASMA-CONCENTRATION OF ALFENTANIL

被引:4
|
作者
JENSTRUP, M [1 ]
FRUERGARD, K [1 ]
NIELSEN, J [1 ]
MOLLER, AM [1 ]
WIBERGJORGENSEN, F [1 ]
机构
[1] CENT HOSP HILLEROD,DEPT ANAESTHESIOL,HILLEROD,DENMARK
关键词
ANALGESICS; ALFENTANIL; HYPNOTICS; PROPOFOL; PHARMACOKINETICS; TOTAL INTRAVENOUS ANESTHESIA;
D O I
10.1111/j.1399-6576.1992.tb03576.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
In order to evaluate the ability to predict plasma concentrations from population-corrected pharmacokinetics, a prospective study comprising 14 women admitted for elective hysterectomy was done. Alfentanil was given in combination with propofol in a total intravenous anaesthesia technique. The predicted median alfentanil concentration (289(256-363) ng ml-1) was significantly lower than the measured median plasma concentration of 368(168-666) ng ml-1). In conclusion, population-based pharmacokinetics were found not to be accurate as they underestimate plasma concentrations of alfentanil.
引用
收藏
页码:846 / 847
页数:2
相关论文
共 50 条
  • [1] PREPROGRAMMED INFUSION OF ALFENTANIL TO CONSTANT ARTERIAL PLASMA-CONCENTRATION
    CRANKSHAW, DP
    MORGAN, DJ
    BEEMER, GH
    KARASAWA, F
    [J]. ANESTHESIA AND ANALGESIA, 1993, 76 (03): : 556 - 561
  • [2] TOTAL INTRAVENOUS ANESTHESIA (TIVA) WITH PROPOFOL AND ALFENTANIL FOR RENAL-TRANSPLANTATION
    KIRVELA, M
    YLIHANKALA, A
    LINDGREN, L
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 1993, 70 : 42 - 42
  • [3] PHARMACOKINETICS OF ALFENTANIL IN TOTAL IV ANESTHESIA
    PERSSON, MP
    NILSSON, A
    HARTVIG, P
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 1988, 60 (07) : 755 - 761
  • [4] The effects of remifentanil and alfentanil-based total intravenous anesthesia (TIVA) on the endocrine response to abdominal hysterectomy
    Demirbilek, S
    Ganidagli, S
    Aksoy, N
    Becerik, C
    Baysal, Z
    [J]. JOURNAL OF CLINICAL ANESTHESIA, 2004, 16 (05) : 358 - 363
  • [5] APPLYING ALFENTANIL POPULATION PHARMACOKINETICS TO PREDICT PERIOPERATIVE PLASMA-CONCENTRATIONS
    MAITRE, PO
    AUSEMS, ME
    VOZEH, S
    THOMSON, DA
    STANSKI, DR
    [J]. ANESTHESIOLOGY, 1986, 65 (3A) : A226 - A226
  • [6] THE INFLUENCE OF HEPATIC PLASMA-FLOW ON ALFENTANIL PLASMA-CONCENTRATION PLATEAUS ACHIEVED WITH AN INFUSION MODEL IN HUMANS - MEASUREMENT OF ALFENTANIL HEPATIC EXTRACTION COEFFICIENT
    CHAUVIN, M
    BONNET, F
    MONTEMBAULT, C
    LEVRON, JC
    VIARS, P
    [J]. ANESTHESIA AND ANALGESIA, 1986, 65 (10): : 999 - 1003
  • [7] MIDAZOLAM AND ALFENTANIL IN TOTAL INTRAVENOUS ANESTHESIA - A RANDOMIZED STUDY
    MOLLER, JT
    LYBECKER, H
    JENSEN, AG
    HANSEN, PA
    [J]. ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1987, 31 : 141 - 141
  • [8] ATRACURIUM INFUSION IN TOTAL INTRAVENOUS ANESTHESIA (TIVA)
    NILSSON, A
    TAMSEN, A
    [J]. ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1985, 29 : 67 - 67
  • [9] RECOVERY AFTER TOTAL INTRAVENOUS ANESTHESIA USING COMBINED MIDAZOLAM ALFENTANIL INFUSION AND REVERSAL WITH FLUMAZENIL
    SONNE, NM
    WEGMANN, F
    CRAWFORD, ME
    BOYSEN, K
    KRINTEL, JJ
    VALENTIN, N
    [J]. ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1991, 35 (08) : 750 - 754
  • [10] COMPARISON OF MIDAZOLAM AND PROPOFOL IN COMBINATION WITH ALFENTANIL FOR TOTAL INTRAVENOUS ANESTHESIA
    VUYK, J
    HENNIS, PJ
    BURM, AGL
    DEVOOGT, JWH
    SPIERDIJK, J
    [J]. ANESTHESIA AND ANALGESIA, 1990, 71 (06): : 645 - 650