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Population Pharmacokinetic-Pharmacodynamic Modeling for Propofol Anesthesia Guided by the Bispectral Index (BIS).

Authors
  • Araújo, Ana Maria1
  • Machado, Humberto1
  • de Pinho, Paula Guedes2
  • Soares-da-Silva, Patrício3
  • Falcão, Amílcar4
  • 1 Serviço de Anestesiologia, Centro Hospitalar Universitário do Porto, Porto, Portugal. , (Portugal)
  • 2 REQUIMTE, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal. , (Portugal)
  • 3 Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal. , (Portugal)
  • 4 Laboratory of Pharmacology, Faculty of Pharmacy, University of Coimbra, Coimbra, Portugal. , (Portugal)
Type
Published Article
Journal
Journal of clinical pharmacology
Publication Date
Dec 03, 2019
Identifiers
DOI: 10.1002/jcph.1560
PMID: 31797395
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study aimed to develop a population pharmacokinetic-pharmacodynamic (PKPD) model for propofol using data prospectively collected from a heterogeneous group of adult, elderly, and obese patients using the bispectral index (BIS) as a pharmacodynamic guide. Adult, obese (body mass index ≥35 kg/m2 ), and elderly patients (aged >65 years) were included. Propofol infusion was started at 2000 mg/h until loss of consciousness and then guided by target BIS values (40-60). Measurements of propofol plasma concentration were performed using gas chromatography. A PKPD model was developed using NONMEM. The data set contained 423 propofol concentrations and 483 897 BIS values from 60 patients (20-92 years, 42-136 kg). A 3-compartment model was used to describe the plasma concentrations of propofol. An allometric model using lean body weight calculated by the Janmahasatian formula was found to describe the data better than total body weight for all clearance parameters, V1 and V2. An age effect was found on Q2, Q3, V1, and V3. With respect to the PD model, the use of a 2-compartment model significantly improved the model fit. Age and total body weight were included as covariates in the final pharmacodynamic model. We propose a PKPD model for propofol anesthesia with acceptable performance accuracy in a heterogeneous group of adult, elderly, and obese patients. A new method to predict propofol induction dose is presented. This method and the possibility to directly change target BIS values in opposition to the assumed target effect-site concentration constitutes certain advantages to the clinical practice. © 2019, The American College of Clinical Pharmacology.

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