Kawabata Yoshinori, Nakagawa Akiko
Department of Pharmacy, Niigata Cancer Center Hospital, Niigata, Japan.
Yakugaku Zasshi. 2010 Apr;130(4):621-7. doi: 10.1248/yakushi.130.621.
We formerly reported the most suitable volumes of medicinal solution for continuous 5FU infusion over 46 hours in the FOLFOX6 and FOLFIRI regimens, respectively, by analyzing the relation of the total volume of the medicinal solution in a portable disposable infusion pump (SUREFUSER A) and the duration of infusion using a regression analysis. A total infusion time of about 48 hours was obtained. As the ambient temperature increased, however, we noticed that the continuous 5FU infusion finished earlier than anticipated. Using an additional analysis, we found that not only the medicinal solution's original coefficient of viscosity, but also the ambient temperature influenced the duration of infusion. Here, we report that the speed of continuous 5FU infusion increases as the coefficient of viscosity decreases in response to increases in ambient temperature. Thus, the composition of medicinal solutions and the ambient temperature must be considered to ensure a correct duration of continuous infusion.
我们之前通过回归分析便携式一次性输液泵(SUREFUSER A)中药液总体积与输注持续时间的关系,分别报告了FOLFOX6和FOLFIRI方案中连续46小时输注5-氟尿嘧啶(5FU)的最合适药液体积。获得了约48小时的总输注时间。然而,随着环境温度升高,我们注意到连续5FU输注比预期提前结束。通过进一步分析,我们发现不仅药液的原始粘度系数,而且环境温度都会影响输注持续时间。在此,我们报告随着环境温度升高,连续5FU输注速度会随着粘度系数降低而增加。因此,必须考虑药液成分和环境温度,以确保连续输注的正确持续时间。