dc.date | 2015 | |
dc.date | 2016-06-03T20:14:56Z | |
dc.date | 2016-06-03T20:14:56Z | |
dc.date.accessioned | 2018-03-29T01:33:37Z | |
dc.date.available | 2018-03-29T01:33:37Z | |
dc.identifier | | |
dc.identifier | Revista Brasileira De Anestesiologia. Elsevier Editora Ltda, v. 65, n. 2, p. 99 - 103, 2015. | |
dc.identifier | 347094 | |
dc.identifier | 10.1016/j.bjan.2013.07.015 | |
dc.identifier | http://www.scopus.com/inward/record.url?eid=2-s2.0-84922780118&partnerID=40&md5=f18db21c78e34a1c9dc938e24bea01b4 | |
dc.identifier | http://repositorio.unicamp.br/jspui/handle/REPOSIP/238302 | |
dc.identifier | 2-s2.0-84922780118 | |
dc.identifier.uri | http://repositorioslatinoamericanos.uchile.cl/handle/2250/1304963 | |
dc.description | Background and objective: studies have shown that rate of propofol infusion may influence the predicted propofol concentration at the effect site (Es). The aim of this study was to evaluate the Es predicted by the Marsh pharmacokinetic model (ke0 0.26min-1) in loss of consciousness during fast or slow induction. Method: the study included 28 patients randomly divided into two equal groups. In slow induction group (S), target-controlled infusion (TCI) of propofol with plasma, Marsh pharmacokinetic model (ke0 0.26min-1) with target concentration (Tc) at 2.0-μg.mL-1 were administered. When the predicted propofol concentration at the effect site (Es) reached half of Es value, Es was increased to previous Es + 1μg.mL-1, successively, until loss of consciousness. In rapid induction group (R), patients were induced with TCI of propofol with plasma (6.0μg.ml-1) at Es, and waited until loss of consciousness. Results: in rapid induction group, Tc for loss of consciousness was significantly lower compared to slow induction group (1.67±0.76 and 2.50±0.56μg.mL-1, respectively, p=0.004). Conclusion: the predicted propofol concentration at the effect site for loss of consciousness is different for rapid induction and slow induction, even with the same pharmacokinetic model of propofol and the same balance constant between plasma and effect site. © 2014 Sociedade Brasileira de Anestesiologia. | |
dc.description | 65 | |
dc.description | 2 | |
dc.description | 99 | |
dc.description | 103 | |
dc.description | Gajraj, R.J., Doi, M., Mantzaridis, H., Comparison of bispectral EEG analysis and auditory evoked potentials for monitoring depth of anaesthesia during propofol anaesthesia (1999) Br J Anaesth., 82, pp. 672-678 | |
dc.description | Barakat, A.R., Sutcliffe, N., Schwab, M., Effect site concentration during propofol TCI sedation: a comparison of sedation score with two pharmacokinetic models (2007) Anaesthesia., 62, pp. 661-666 | |
dc.description | Iwakiri, H., Nishihara, N., Nagata, O., Individual effect-site concentrations of propofol are similar at loss of consciousness and at awakenig (2005) Anesth Analg., 100, pp. 107-110 | |
dc.description | Simoni, R.F., Esteves, L.O., Miziara, L.E.P.G., Avaliação clínica de duas ke0 no mesmo modelo farmacocinético de propofol: estudo da perda e recuperação da consciência (2011) Rev Bras Anestesiol., 61, pp. 397-408 | |
dc.description | Iannuzzi, M., Iannuzzi, E., Rossi, F., Relationship between bispectral index, electroencephalografic state entropy, and effect-site EC50 for propofol at different clinical endpoints (2005) Br J Anaesth., 94, pp. 613-616 | |
dc.description | Lysakowsky, C., Elia, N., Czarnetzki, C., Bispectral and spectral entropy indices at propofol-induced loss of consciousness in young and elderly patients (2009) Br J Anaesth., 103, pp. 387-393 | |
dc.description | Struys, M.M.R.F., Coppens, M.J., Neve, N.D., Influence of administration rate on propofol plasma-effect site equilibration (2007) Anesthesiology., 107, pp. 386-396 | |
dc.description | Sepulveda, P.O., Cortinez, L.I., Recart, A., Predictive ability of propofol effect-site concentrations during fast and slow infusion rates (2010) Acta Anaesthesiol Scand., 54, pp. 447-452 | |
dc.description | Schnider, T.W., Minto, C.F., Shafer, S.L., The influence of age in propofol pharmacodynamics (1999) Anesthesiology., 90, pp. 1502-1516 | |
dc.description | Kasama, T., Morita, K., Ikeda, T., Comparison of predicted induction dose with predertermined physiologic characteristics of patients and with pharmacokinetic models incorporating those characteristics as covariates (2003) Anesthesiology., 98, pp. 299-305 | |
dc.description | Schuttler, J., Ihmsen, H., Population pharmacokinetics of propofol: a multicenter study (2000) Anesthesiology., 92, pp. 727-738 | |
dc.description | Krejcie, T.C., Henthorn, T.K., Niemann, C.U., Recirculatory pharmacokinetics models of makers of blood, extracellular fluid and total body water administred concomitantly (1996) J Pharmacol Exp Ther., 278, pp. 1050-1057 | |
dc.description | Upton, R.N., Grant, C., Martinez, A.M., Recirculatory model of fentanyl disposition with the brain as the target organ (2004) Br J Anaesth., 93, pp. 687-697 | |
dc.description | Avram, M.J., Krejcie, T.C., Using front-end kinetics to optimize target-controlled drug infusion (2003) Anesthesiology., 99, pp. 1078-1086 | |
dc.description | Henthorn, T.K., Krejcie, T.C., Avram, M.J., Early drug distribution: a generally neglected aspect of pharmacokinetics of particular relevance to intravenously administered anesthesic agents (2008) Clin Pharmacol Ther., 84, pp. 18-22 | |
dc.description | Ludbrook, G.L., Visco, E., Lam, A.M., Propofol: relation between brain concentrations, electroencephalogram, middle cerebral artery blood flow velocity, and cerebral oxygen extraction during induction of anesthesia (2002) Anesthesiology., 97, pp. 1363-1370 | |
dc.description | Schwilden, H., Stoeckel, H., Schuttler, J., Closed-loop feedback control of propofol anaesthesia by quantitative EEG analysis in humans (1989) Br J Anaesth., 62, pp. 290-296 | |
dc.description | Billard, V., Gambus, P.L., Chamoun, N., A comparison of spectral edge, delta power, and bispectral index as EEG measures of alfentanil, propofol, and midazolam drug effect (1997) Clin Pharmacol Ther., 61, pp. 45-58 | |
dc.description | White, M., Schenkels, M.J., Engbers, F.H., Effect-site modelling of propofol using auditory evoked potentials (1999) Br J Anaesth., 82, pp. 333-339 | |
dc.description | Masui, K., Kira, M., Kasama, T., Early phase pharmacokinetics but not pharmacodynamics are influenced by propofol infusuion rate (2009) Anesthesiology., 111, pp. 805-817 | |
dc.description | Doufas, A.G., Bakhshandeh, M., Bjorksten, A.R., Induction speed is not a determinant of propofol pharmacodynamics (2004) Anesthesiology., 101, pp. 1112-1121 | |
dc.description | White, M., Kenny, G.N.C., Schraag, S., Use of target controlled infusion to derive age and gender covariates for propofol clearance (2008) Clin J Pharmacokinet., 47, pp. 119-127 | |
dc.description | | |
dc.description | | |
dc.language | pt | |
dc.publisher | Elsevier Editora Ltda | |
dc.relation | Revista Brasileira de Anestesiologia | |
dc.rights | fechado | |
dc.source | Scopus | |
dc.title | Comparative Study Between Fast And Slow Induction Of Propofol Given By Target-controlled Infusion: Expected Propofol Concentration At The Effect Site: Randomized Controlled Trial [estudo Comparativo Entre Indução Rápida E Lenta De Propofol Em Infusão Alvo-controlada: Concentração De Propofol Prevista No Local De Ação: Ensaio Clínico Aleatório] | |
dc.type | Artículos de revistas | |