Table 3

Pharmacokinetic parameter estimates of remifentanil in pediatric patients undergoing cardiac surgery.

This studya

Pediatricb

Adultsc

Adultsc

Pediatricb

Adultsd

Pre-CPB

CPB

Post-CPB

Pre-CPB

CPB

Post-CPB


Volumes (mL/kg)

Vc

124

298

298

72.7

41.8 (23–61)

65.9 (22.6–89.0)

83.5

22.6

Vdss

124

298

298

235

1006 (245–1767)

344 (246–456)

235

456

Clearances (mL/min/kg)

CL

21.4

21.4

21.4

38.7

32.5 (32–33)

31 (25–35)

46.8

33

Q

N.A.

N.A.

N.A.

25.5

29.6 (28.7–30.5)

39.8 (28.7–51.2)

37.0

28.7

Half-lives (min)

Distribution

N.A.

N.A.

N.A.

0.73

0.43 (0.25–0.6)

0.55 (0.25–0.8)

0.63

0.25

Elimination

4.02

9.65

9.65

8.2

8.35 (6.4–10.3)

13.0 (7.2–19.8)

6.90

19.8


Abbreviations: CPB = cardiopulmonary bypass; Vc = central volume of distribution; Vdss = volume of distribution at steady-state; CL = clearance; Q = intercompartmental clearance, N.A. = not applicable

a Values are presented as population mean

b Values are presented as mean as reported by Davis et al [3]

c Values are presented as mean (range) values as reported by Michelsen et al and Russel et al [12,13]

d Values are presented as mean as reported by Michelsen et al [12]

Sam et al. BMC Anesthesiology 2009 9:5   doi:10.1186/1471-2253-9-5

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