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瑞芬太尼的药代动力学:一种三室模型方法。

Pharmacokinetics of Remifentanil: a three-compartmental modeling approach.

作者信息

Cascone Sara, Lamberti Gaetano, Titomanlio Giuseppe, Piazza Ornella

机构信息

Dipartimento di Ingegneria Industriale, Università di Salerno, Fisciano, Italy.

出版信息

Transl Med UniSa. 2013 Sep 2;7:18-22. eCollection 2013.

PMID:24251247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3829787/
Abstract

Remifentanil is a new opioid derivative drug characterized by a fast onset and by a short time of action, since it is rapidly degraded by esterases in blood and other tissues. Its pharmacokinetic and pharmacodynamics properties make remifentanil a very interesting molecule in the field of 0anesthesia. However a complete and versatile pharmacokinetic description of remifentanil still lacks. In this work a three-compartmental model has been developed to describe the pharmacokinetics of remifentanil both in the case in which it is administered by intravenous constant-rate infusion and by bolus injection. The model curves have been compared with experimental data published in scientific papers and the model parameters have been optimized to describe both ways of administration. The ad hoc model is adaptable and potentially useful for predictive purposes.

摘要

瑞芬太尼是一种新型阿片类衍生物药物,其特点是起效迅速且作用时间短,因为它在血液和其他组织中会被酯酶迅速降解。其药代动力学和药效学特性使瑞芬太尼在麻醉领域成为一个非常有趣的分子。然而,对瑞芬太尼仍缺乏完整且通用的药代动力学描述。在这项工作中,已开发出一个三室模型来描述瑞芬太尼在静脉恒速输注和静脉推注给药情况下的药代动力学。将模型曲线与科学论文中发表的实验数据进行了比较,并对模型参数进行了优化以描述两种给药方式。该特定模型具有适应性,并且在预测方面可能有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6834/3829787/328b1209ce2c/tm7_p18f4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6834/3829787/916752feff88/tm7_p18f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6834/3829787/375e733f6312/tm7_p18f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6834/3829787/5c5ad9113b78/tm7_p18f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6834/3829787/328b1209ce2c/tm7_p18f4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6834/3829787/916752feff88/tm7_p18f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6834/3829787/375e733f6312/tm7_p18f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6834/3829787/5c5ad9113b78/tm7_p18f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6834/3829787/328b1209ce2c/tm7_p18f4a.jpg

相似文献

1
Pharmacokinetics of Remifentanil: a three-compartmental modeling approach.瑞芬太尼的药代动力学:一种三室模型方法。
Transl Med UniSa. 2013 Sep 2;7:18-22. eCollection 2013.
2
Pharmacokinetics and pharmacodynamics of remifentanil. II. Model application.瑞芬太尼的药代动力学和药效学。II. 模型应用。
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The pharmacokinetics of the new short-acting opioid remifentanil (GI87084B) in healthy adult male volunteers.新型短效阿片类药物瑞芬太尼(GI87084B)在健康成年男性志愿者体内的药代动力学。
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4
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Influence of age and gender on the pharmacokinetics and pharmacodynamics of remifentanil. I. Model development.年龄和性别对瑞芬太尼药代动力学和药效学的影响。I. 模型建立。
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Remifentanil by bolus injection: a safety, pharmacokinetic, pharmacodynamic, and age effect investigation in human volunteers.单次注射瑞芬太尼:一项针对人类志愿者的安全性、药代动力学、药效学及年龄效应研究。
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Pharmacokinetics of remifentanil (GI87084B) and its major metabolite (GI90291) in patients undergoing elective inpatient surgery.瑞芬太尼(GI87084B)及其主要代谢产物(GI90291)在择期住院手术患者中的药代动力学。
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Influence of arteriovenous sampling on remifentanil pharmacokinetics and pharmacodynamics.动静脉采样对瑞芬太尼药代动力学和药效学的影响。
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本文引用的文献

1
The influence of dissolution conditions on the drug ADME phenomena.溶解条件对药物 ADME 现象的影响。
Eur J Pharm Biopharm. 2011 Oct;79(2):382-91. doi: 10.1016/j.ejpb.2011.04.003. Epub 2011 Apr 16.
2
Population pharmacodynamics and pharmacokinetics of remifentanil as a supplement to nitrous oxide anesthesia for elective abdominal surgery.瑞芬太尼作为笑气麻醉辅助药物用于择期腹部手术的群体药效学和药代动力学
Anesthesiology. 1998 Oct;89(4):869-77. doi: 10.1097/00000542-199810000-00011.
3
Pharmacokinetics and pharmacodynamics of remifentanil in volunteer subjects with severe liver disease.
瑞芬太尼在重症肝病志愿者受试者中的药代动力学和药效学。
Anesthesiology. 1996 Apr;84(4):812-20. doi: 10.1097/00000542-199604000-00008.
4
Preliminary pharmacokinetics and pharmacodynamics of an ultra-short-acting opioid: remifentanil (GI87084B).
Anesth Analg. 1993 Nov;77(5):1031-40. doi: 10.1213/00000539-199311000-00028.
5
Pharmacokinetics of remifentanil (GI87084B) and its major metabolite (GI90291) in patients undergoing elective inpatient surgery.瑞芬太尼(GI87084B)及其主要代谢产物(GI90291)在择期住院手术患者中的药代动力学。
Anesthesiology. 1993 Nov;79(5):893-903. doi: 10.1097/00000542-199311000-00005.
6
The pharmacokinetics of the new short-acting opioid remifentanil (GI87084B) in healthy adult male volunteers.新型短效阿片类药物瑞芬太尼(GI87084B)在健康成年男性志愿者体内的药代动力学。
Anesthesiology. 1993 Nov;79(5):881-92. doi: 10.1097/00000542-199311000-00004.
7
Measured context-sensitive half-times of remifentanil and alfentanil.瑞芬太尼和阿芬太尼的实测上下文敏感半衰期。
Anesthesiology. 1995 Nov;83(5):968-75. doi: 10.1097/00000542-199511000-00009.