PHARMACOKINETIC BASIS OF INTRAVENOUS DRUG DELIVERY

被引:5
作者
GLASS, PSA
DOHERTY, D
JACOBS, JR
QUILL, TJ
机构
来源
BAILLIERES CLINICAL ANAESTHESIOLOGY | 1991年 / 5卷 / 03期
关键词
D O I
10.1016/S0950-3501(05)80050-9
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have seen in recent years the release of numerous intravenous anaesthetic agents whose duration of action is relatively short, thus lending themselves to administration via continuous infusion. Clinical studies have clearly demonstrated the advantages of continuous infusion over repeated bolus dosing. These two factors have prompted pump manufacturers to produce devices that simplify the administration of intravenous anaesthetics by continuous infusion. It is concentration rather than dose that results in the desired effect. Utilizing pharmacokinetic principles, it is possible to provide automated drug delivery systems whereby the device can produce a clinician-specified drug concentration. In addition, where there is an easily measurable end-point, closed-loop feedback control can be implemented automatically to control the desired parameter within a very narrow range. With this rapid development in intravenous drug delivery, it becomes imperative that clinicians familiarize themselves with these new drug delivery devices so that they can use them optimally to care for their patients. © 1991 Baillière Tindall.
引用
收藏
页码:735 / 775
页数:41
相关论文
共 55 条
  • [1] Alvis, Reves, Govier, Et al., Computer-assisted continuous infusions of fentanyl during cardiac anesthesia: comparison with a manual method, Anesthesiology, 63, pp. 41-49, (1985)
  • [2] Ausems, Stanski, Hug, An evaluation of the accuracy of pharmacokinetic data for the computer assisted infusion of alfentanil, British Journal of Anaesthesia, 57, pp. 1217-1225, (1985)
  • [3] Ausems, Vuyk, Hug, Stanski, Comparison of a computer-assisted infusion versus intermittent bolus administration of alfentanil as a supplement to nitrous oxide for lower abdominal surgery, Anesthesiology, 68, pp. 851-861, (1988)
  • [4] Bergman, Early intravenous anesthesia: an eye witness account, Anesthesiology, 72, pp. 185-186, (1990)
  • [5] Cockshott, Propofol (‘Diprivan’) pharmacokinetics and metabolism—an overview, Postgraduate Medical Journal, 61, pp. 45-50, (1985)
  • [6] Crankshaw, Boyd, Bjorksten, Plasma drug efflux—a new approach to optimization of drug infusion for constant blood concentration of thiopental and methohexital, Anesthesiology, 67, pp. 32-41, (1987)
  • [7] DeVries, Ros, Booij, Infusion of vecuronium controlled by a closed-loop system, British Journal of Anaesthesia, 58, pp. 1100-1103, (1986)
  • [8] Drug Infusions in Anesthesia, (1991)
  • [9] Gepts, Camu, Cockshott, Douglas, Disposition of propofol administered as constant rate intravenous infusions in humans, Anesthesia Analgesia, 66, pp. 1256-1263, (1987)
  • [10] Glass, Jacobs, Alvis, Et al., COMPUTER ASSISTED CONTINUOUS INFUSION OF ALFENTANIL DURING NONCARDIAC ANESTHESIA A COMPARISON WITH A MANUAL METHOD, Anesthesiology, 65, (1986)