Recovery from opioid anesthesia: The clinical implication of context- sensitive half-times

Anesthesia and Analgesia

Volumn 86, Issue 1, 1998, Pages 184-190

  Schraag, Stefan ^a   Mohl, Ulrich ^a   Hirsch, Martin ^a   Stolberg, Erhard ^a   Georgieff, Michael ^a  

^a UNIVERSITY OF ULM   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ALFENTANIL; OPIATE; PROPOFOL; SUFENTANIL;

ADULT; ANESTHETIC RECOVERY; ARTICLE; CLINICAL ARTICLE; DRUG EFFECT; DRUG HALF LIFE; DRUG POTENCY; EXTUBATION; FEMALE; HUMAN; MALE; POSTOPERATIVE CARE; PRIORITY JOURNAL;

ADULT; AGED; ALFENTANIL; ANESTHETICS, INTRAVENOUS; FEMALE; HUMANS; MALE; MIDDLE AGED; REGRESSION ANALYSIS; SUFENTANIL; TIME FACTORS;

EID: 0031985649     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000539-199801000-00036     Document Type: Article

References (20)

1. Shafer SL, Varvel JR. Pharmacokinetics, pharmacodynamics, and rational opioid selection. Anesthesiology 1991;74:53-63.
2. Hughes MA, Glass PSA, Jacobs JR. Context-sensitive half-time in multicompartment pharmacokinetic models for intravenous anesthetic drugs. Anesthesiology 1992;76:334-41.
3. Gepts E, Shafer SL, Camu F, et al. Linearity of pharmacokinetics and model estimation of sufentanil. Anesthesiology 1995;83: 1194-204.
4. Shafer SL, Gregg KM. Algorithms to rapidly achieve and maintain stable drug concentrations at the site of drug effect with a computer controlled infusion pump. J Pharmacokinet Biopharm 1992;20:147-69.
5. Bailey JM, Schwieger IM, Hug CC Jr. Evaluation of sufentanil anesthesia obtained by a computer controlled infusion for cardiac surgery. Anesth Analg 1993;76:247-52.
6. Ausems ME, Vuyk J, Hug CC Jr, Stanski DR. Comparison of a computer-assisted infusion versus intermittent bolus administration of alfentanil as a supplement to nitrous oxide for lower abdominal surgery. Anesthesiology 1988;68:851-61.
7. Hudson RJ, Bergström RG, Thomson IR, et al. Pharmacokinetics of sufentanil in patients undergoing abdominal aortic surgery. Anesthesiology 1989;70:426-31.
8. Scott JC, Stanski DR. Decreased fentanyl and alfentanil dose requirements with age: a simultaneous pharmacokinetic and pharmacodynamic evaluation. J Pharmacol Exp Ther 1987;240: 159-66.
9. Glass PSA, Glen JB, Kenny GNC, et al. Nomenclature for computer-assisted infusion devices. Anesthesiology 1997;86: 1430-1.
10. O'Connor M, Sear JW. Sufentanil to supplement nitrous oxide in oxygen during balanced anaesthesia. Anaesthesia 1988;43: 749-52.
11. Lemmens HJM, Burm AGL, Bovill JG, Hennis PJ. Pharmacodynamics of alfentanil as a supplement to nitrous oxide anaesthesia in the elderly patient. Br J Anaesth 1988;61:173-9.
12. Schwender D, Daunderer M, Mulzer S, et al. Spectral edge frequency of the electroencephalogram to monitor "depth" of anaesthesia with isoflurane or propofol. Br J Anaesth 1996;77: 179-84.
13. Woestenborghs RJH, Timmermann PMBL, Cornelissen M-LJE, et al. Assay methods for sufentanil in plasma. Anesthesiology 1994;80:666-70.
14. Davidson JA, MacLeod AD, Howie JC, et al. The effective concentration 50 for propofol with and without 67% nitrous oxide. Acta Anaesthesiol Scand 1993;37:458-64.
15. Youngs EJ, Shafer SL. Pharmacokinetic parameters relevant to recovery from opioids. Anesthesiology 1994;81:833-42.
16. Kapila A, Glass PSA, Jacobs JA, et al. Measured context-sensitive half-times of remifentanil and alfentanil. Anesthesiology 1995;83:968-75.
17. Bailey JM. Technique for quantifying the duration of intravenous anesthetic effect. Anesthesiology 1995;83:1095-103.
18. Stanski DR, Shafer SL. Quantifying anesthetic drug interaction: implications for drug dosing. Anesthesiology 1995;83:1-5.
19. Lang E, Kapila A, Shlugman D, et al. Reduction of isoflurane minimal alveolar concentration by remifentanil. Anesthesiology 1996;85:721-8.
20. Bovill JG, Warren PJ, Schuller JL, et al. Comparison of fentanyl, sufentanil and alfentanil anesthesia in patients undergoing valvular heart surgery. Anesth Analg 1984;63:1081-6.