静脉注射利多卡因在接受全身麻醉的患者中是否需要根据年龄调整剂量:一项前性多臂比较研究
Mei Han1, Jina Xia2, Mengyu Zhang3
1Department of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, No. 1 Maoyuan South Road, Shunqing District, Nanchong 637000, Sichuan Province, China; Department of Pharmacy, NMPA Key Laboratory for Clinical Research and Evaluation of Innovative Drug, West China Hospital, Sichuan University, No. 5 Telecom Road, Wuhou District, Chengdu 610041, China; Clinical Trial Center, West China Hospital, Sichuan University, Chengdu 610041, China.
在接受全身麻醉的75岁以上老年患者中,静脉注射利多卡因的剂量调整是不必要的. 年龄不会显著影响利多卡因的药理动力学或安全性,确保跨年龄组有效的药物度.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 老年医学 老年医学
背景情况:
- 静脉注射利多卡因通常在全身麻醉中使用.
- 老年患者 (75岁以上) 的最佳剂量需要进一步研究.
研究的目的:
- 评估年龄对静脉注射利多卡因的药理动力学 (PK) 和安全性的影响.
- 为了确定是否需要对接受全身麻醉的老年患者进行剂量调整.
主要方法:
- 从76名患者收集了599个血样本,分别来自三个年龄组 (18-64岁,65-74岁,≥75岁).
- 静脉注射利多卡因1.5毫克/公斤 (18-64岁,65-74岁) 和1.0毫克/公斤 (≥75岁).
- 使用超高性能液体染色学-并联质谱法测量利多卡因和代谢物度;通过非分区分析分析数据.
主要成果:
- 在利多卡因或其代谢物的药理动力学上没有观察到与年龄相关的显著差异.
- 超过90%的患者在正常化至1.5mg/kg时达到安全有效的利多卡因度.
- 该研究表明,目前的剂量策略适用于86岁以下的患者.
结论:
- 在接受全身麻醉的86岁以下患者中,无需根据年龄调整静脉注射利多卡因的剂量.
- 药理动力学和安全性概况在所有研究年龄组中保持一致.
- 进一步的研究可能会探索非常老年人群 (≥86岁).
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