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硫喷妥钠的药效学与药代动力学。

Pharmacodynamics and pharmacokinetics of thiopental.

作者信息

Russo H, Bressolle F

机构信息

Pharmacie Saint-Eloi, Centre Hospitalier Universitaire, Montpellier, France.

出版信息

Clin Pharmacokinet. 1998 Aug;35(2):95-134. doi: 10.2165/00003088-199835020-00002.

DOI:10.2165/00003088-199835020-00002
PMID:9739479
Abstract

Thiopental is an ultra short-acting barbiturate which remains the standard against which other induction agents are judged; it is also indicated for the therapy of brain hypoxic-ischaemia injuries and status epilepticus. Aspects of drug distribution that govern the onset and end of drug effect have been intensively studied to determine which parameters (in patient characteristics, diseases and administration modalities) influence effective dose and concentrations in individual patients. Thiopental has been used as a reference for pharmacokinetic and/or pharmacodynamic models in the study of rapid and short acting effect drugs. In anaesthesiology the pharmacokinetics of thiopental are described as linear; when doses and duration of treatment increase, nonlinear pharmacokinetics occur because of the saturation and/or the induction of the metabolism.

摘要

硫喷妥钠是一种超短效巴比妥类药物,仍是用于评判其他诱导药物的标准;它也被用于治疗脑缺氧缺血性损伤和癫痫持续状态。为确定哪些参数(患者特征、疾病和给药方式方面)会影响个体患者的有效剂量和浓度,人们对决定药物作用起效和结束的药物分布方面进行了深入研究。在快速和短效作用药物的研究中,硫喷妥钠一直被用作药代动力学和/或药效学模型的参考。在麻醉学中,硫喷妥钠的药代动力学被描述为呈线性;当治疗剂量和持续时间增加时,由于代谢的饱和和/或诱导作用,会出现非线性药代动力学。

相似文献

1
Pharmacodynamics and pharmacokinetics of thiopental.硫喷妥钠的药效学与药代动力学。
Clin Pharmacokinet. 1998 Aug;35(2):95-134. doi: 10.2165/00003088-199835020-00002.
2
Myocardial pharmacokinetics of thiopental in sheep after short-term administration: relationship to thiopental-induced reductions in myocardial contractility.
J Pharm Sci. 1996 Aug;85(8):863-7. doi: 10.1021/js950461w.
3
Effect of infusion rate on thiopental dose-response relationships. Assessment of a pharmacokinetic-pharmacodynamic model.输注速率对硫喷妥钠剂量-反应关系的影响。药代动力学-药效学模型的评估。
Anesthesiology. 1994 Aug;81(2):316-24; discussion 25A.
4
Pharmacokinetic and pharmacodynamic consequences of thiopental in renal dysfunction rats: evaluation with electroencephalography.
Biol Pharm Bull. 1998 Dec;21(12):1327-33. doi: 10.1248/bpb.21.1327.
5
[Influence of droperidol on the hypnotic effect of thiopental].
Cah Anesthesiol. 1995;43(5):435-9.
6
Direct cardiac effects of coronary site-directed thiopental and its enantiomers: a comparison to propofol in conscious sheep.
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Interaction of thiopental with esomeprazole in critically ill patients.硫喷妥钠与重症患者埃索美拉唑的相互作用。
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8
Thiopentone induction dose requirement in dogs is little influenced by co-administration of diazepam or prior treatment with phenobarbitone or corticosteroids, but is reduced in the presence of brain pathology.
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A pharmacokinetic-pharmacodynamic model for quantal responses with thiopental.一种用于硫喷妥钠定量反应的药代动力学-药效学模型。
J Pharmacokinet Biopharm. 1993 Jun;21(3):309-21. doi: 10.1007/BF01059782.

引用本文的文献

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Hypnotics as induction agents for general anesthesia in cesarean section patients: updated systematic review and meta-analysis of randomized controlled trials.催眠药作为剖宫产患者全身麻醉诱导药物:随机对照试验的最新系统评价和荟萃分析
J Anesth. 2025 Jun 21. doi: 10.1007/s00540-025-03524-8.
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General Anesthetics: Aspects of Chirality, Pharmacodynamics, and Pharmacokinetics.全身麻醉药:手性、药效学和药代动力学方面
Pharmaceuticals (Basel). 2025 Feb 13;18(2):250. doi: 10.3390/ph18020250.
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How to monitor thiopental administration in the intensive care unit for refectory status epilepticus or intracranial hypertension?

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Neuropsychiatr Dis Treat. 2014 Feb 20;10:383-9. doi: 10.2147/NDT.S58330. eCollection 2014.
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The role of body fat in limiting the duration of action of thiopental.身体脂肪在限制硫喷妥钠作用持续时间方面的作用。
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