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药代动力学模型驱动的儿童丙泊酚输注

Pharmacokinetic model driven infusion of propofol in children.

作者信息

Marsh B, White M, Morton N, Kenny G N

机构信息

Division of Anaesthetics, Glasgow Royal Infirmary.

出版信息

Br J Anaesth. 1991 Jul;67(1):41-8. doi: 10.1093/bja/67.1.41.

DOI:10.1093/bja/67.1.41
PMID:1859758
Abstract

A computer controlled infusion device for propofol was used to induce and maintain general anaesthesia in 20 children undergoing minor surgical procedures. The device was programmed with an adult pharmacokinetic model for propofol. During and after anaesthesia, blood samples were taken for measurement of propofol concentrations and it was found that the values obtained were systematically overpredicted by the delivery system algorithm. New pharmacokinetic microconstants were derived from our data which reflected more accurately the elimination and distribution of propofol in a prospective study involving another 10 children.

摘要

一种用于丙泊酚的计算机控制输注装置被用于对20名接受小型外科手术的儿童进行全身麻醉诱导和维持。该装置采用了丙泊酚的成人药代动力学模型进行编程。在麻醉期间及之后,采集血样以测量丙泊酚浓度,结果发现输送系统算法系统性地高估了所获得的值。在前瞻性研究中,从我们的数据中得出了新的药代动力学微常数,该研究涉及另外10名儿童,这些微常数能更准确地反映丙泊酚的消除和分布情况。

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Pharmacokinetic model driven infusion of propofol in children.药代动力学模型驱动的儿童丙泊酚输注
Br J Anaesth. 1991 Jul;67(1):41-8. doi: 10.1093/bja/67.1.41.
2
Clinical adaptation of a pharmacokinetic model of Propofol plasma concentrations in children.儿童丙泊酚血药浓度药代动力学模型的临床应用
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A prospective evaluation of pharmacokinetic model controlled infusion of propofol in paediatric patients.小儿患者丙泊酚药代动力学模型控制输注的前瞻性评估。
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Intravenous propofol anaesthesia using a computerised infusion system.使用计算机化输注系统的静脉丙泊酚麻醉。
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The use of propofol infusions in paediatric anaesthesia: a practical guide.丙泊酚输注在小儿麻醉中的应用:实用指南。
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Refining Target-Controlled Infusion: An Assessment of Pharmacodynamic Target-Controlled Infusion of Propofol and Remifentanil Using a Response Surface Model of Their Combined Effects on Bispectral Index.优化靶控输注:基于丙泊酚和瑞芬太尼联合效应的反应曲面模型评估脑电双频指数指导下的靶控输注。
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Performance of computer-controlled infusion of propofol: an evaluation of five pharmacokinetic parameter sets.丙泊酚计算机控制输注的性能:五种药代动力学参数集的评估
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