rdf:type |
|
lifeskim:mentions |
umls-concept:C0010340,
umls-concept:C0026056,
umls-concept:C0030705,
umls-concept:C0181904,
umls-concept:C0205054,
umls-concept:C0392747,
umls-concept:C0443172,
umls-concept:C0596972,
umls-concept:C0683140,
umls-concept:C0728873,
umls-concept:C1521743,
umls-concept:C1704646
|
pubmed:issue |
7
|
pubmed:dateCreated |
2009-6-22
|
pubmed:abstractText |
Critical illness and associated sequelae can cause severe metabolic disturbances. The effects these have on hepatic drug metabolism are poorly understood. In vivo, enzyme specific drug probes are used to measure changes in hepatic drug metabolism but they require multiple blood sampling and are time consuming. We suggest that a single measurement, 4 h after intravenous administration of midazolam is a reliable indicator of integral plasma midazolam exposure or area under the curve (AUC) in critically ill patients. We also explore the hypothesis that acute kidney injury (AKI) directly impairs hepatic metabolism of drugs in critically ill patients.
|
pubmed:language |
eng
|
pubmed:journal |
|
pubmed:citationSubset |
IM
|
pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jul
|
pubmed:issn |
1432-1238
|
pubmed:author |
|
pubmed:issnType |
Electronic
|
pubmed:volume |
35
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1271-5
|
pubmed:dateRevised |
2010-11-18
|
pubmed:meshHeading |
pubmed-meshheading:19198803-Acute Kidney Injury,
pubmed-meshheading:19198803-Aged,
pubmed-meshheading:19198803-Aged, 80 and over,
pubmed-meshheading:19198803-Area Under Curve,
pubmed-meshheading:19198803-Critical Illness,
pubmed-meshheading:19198803-Cytochrome P-450 CYP3A,
pubmed-meshheading:19198803-Cytochrome P-450 Enzyme System,
pubmed-meshheading:19198803-Female,
pubmed-meshheading:19198803-Humans,
pubmed-meshheading:19198803-Hypnotics and Sedatives,
pubmed-meshheading:19198803-Liver,
pubmed-meshheading:19198803-Male,
pubmed-meshheading:19198803-Midazolam,
pubmed-meshheading:19198803-Middle Aged,
pubmed-meshheading:19198803-Prospective Studies
|
pubmed:year |
2009
|
pubmed:articleTitle |
Using midazolam to monitor changes in hepatic drug metabolism in critically ill patients.
|
pubmed:affiliation |
General Intensive Care, St George's University of London, St Georges Hospital Blackshaw Road, London, SW17 0QT, UK. cjkirwan100@msn.com
|
pubmed:publicationType |
Journal Article,
Clinical Trial
|