Context-sensitive half-times - What are they and how valuable are they in anaesthesiology?

被引:29
作者
Bailey, JM [1 ]
机构
[1] Emory Univ, Sch Med, Dept Anesthesiol, Atlanta, GA 30322 USA
关键词
D O I
10.2165/00003088-200241110-00001
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The context-sensitive half-time is the time required for blood or plasma concentrations of a drug to decrease by 50% after discontinuation of drug administration. The context-sensitive half-time often cannot be predicted by the elimination half-life (a measure of the time needed for actual drug metabolism or elimination) since it also depends on drug distribution. The context-sensitive half-time is a function of the duration of drug administration and may only be estimated by computer simulation. It is more relevant than other isolated pharmacokinetic parameters to understanding the kinetics of drug concentrations. However, understanding the kinetics of drug effect requires concomitant consideration of pharmacodynamics.
引用
收藏
页码:793 / 799
页数:7
相关论文
共 20 条
[1]   Pharmacokinetics of propofol in adult patients undergoing coronary revascularization [J].
Bailey, JM ;
Mora, CT ;
Shafer, SL .
ANESTHESIOLOGY, 1996, 84 (06) :1288-1297
[2]   Context-sensitive half-times and other decrement times of inhaled anesthetics [J].
Bailey, JM .
ANESTHESIA AND ANALGESIA, 1997, 85 (03) :681-686
[3]   TECHNIQUE FOR QUANTIFYING THE DURATION OF INTRAVENOUS ANESTHETIC EFFECT [J].
BAILEY, JM .
ANESTHESIOLOGY, 1995, 83 (05) :1095-1103
[4]   Population pharmacokinetics of piritramide in surgical patients [J].
Bouillon, T ;
Kietzmann, D ;
Port, R ;
Meineke, I ;
Hoeft, A .
ANESTHESIOLOGY, 1999, 90 (01) :7-15
[5]   CONCENTRATIONS OF DESFLURANE AND PROPOFOL THAT SUPPRESS RESPONSE TO COMMAND IN HUMANS [J].
CHORTKOFF, BS ;
EGER, EI ;
CRANKSHAW, DP ;
GONSOWSKI, CT ;
DUTTON, RC ;
IONESCU, P .
ANESTHESIA AND ANALGESIA, 1995, 81 (04) :737-743
[6]   EFFECTS OF ISOFLURANE AND NITROUS-OXIDE IN SUBANESTHETIC CONCENTRATIONS ON MEMORY AND RESPONSIVENESS IN VOLUNTEERS [J].
DWYER, R ;
BENNETT, HL ;
EGER, EI ;
HEILBRON, D .
ANESTHESIOLOGY, 1992, 77 (05) :888-898
[7]   Remifentanil versus alfentanil - Comparative pharmacokinetics and pharmacodynamics in healthy adult male volunteers [J].
Egan, TD ;
Minto, CF ;
Hermann, DJ ;
Barr, J ;
Muir, KT ;
Shafer, SL .
ANESTHESIOLOGY, 1996, 84 (04) :821-833
[8]   Pharmacokinetics and arteriovenous differences in clevidipine concentration following a short- and a long-term intravenous infusion in healthy volunteers [J].
Ericsson, H ;
Bredberg, U ;
Eriksson, U ;
Jolin-Mellgård, Å ;
Nordlander, M ;
Regårdh, CG .
ANESTHESIOLOGY, 2000, 92 (04) :993-1001
[9]   Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanil in healthy volunteers [J].
Glass, PS ;
Bloom, M ;
Kearse, L ;
Rosow, C ;
Sebel, P ;
Manberg, P .
ANESTHESIOLOGY, 1997, 86 (04) :836-847
[10]   CONTEXT-SENSITIVE HALF-TIME IN MULTICOMPARTMENT PHARMACOKINETIC MODELS FOR INTRAVENOUS ANESTHETIC DRUGS [J].
HUGHES, MA ;
GLASS, PSA ;
JACOBS, JR .
ANESTHESIOLOGY, 1992, 76 (03) :334-341