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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1990-12-11
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pubmed:abstractText |
Plasma concentrations of methadone were measured by gas chromatography in 16 patients receiving extradural methadone by continuous infusion for relief of postoperative pain. Venous blood samples were taken after a loading dose of extradural methadone 2 mg and during infusion of 0.46 mg h-1 plus patient-controlled increments of 0.2-1 mg. Mean (SD) plasma concentration of methadone was 9.8 (2.1) ng ml-1 at 15 min; this did not change significantly during the first 2 h, after which it increased gradually to 32.2 (4.6) ng ml-1 (P less than 0.001) at the end of 24 h. The mean quantity of extradural methadone required to produce effective analgesia was 10.3 (1.8) mg during the first 12 h after operation and 6 (1.0) mg for the subsequent 12 h. The mean amount of methadone for effective analgesia on the second day was 7.6 (1.1) mg. No adverse effects were detected during the 2-3 days of methadone therapy. Plasma concentration of methadone increased significantly during patient-controlled infusion of extradural methadone in the first 24 h after operation, suggesting rapid vascular uptake. Systemic activity of the drug contributes to the analgesic effect of extradural methadone.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0007-0912
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
65
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
204-9
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2223337-Adult,
pubmed-meshheading:2223337-Aged,
pubmed-meshheading:2223337-Analgesia, Epidural,
pubmed-meshheading:2223337-Analgesia, Patient-Controlled,
pubmed-meshheading:2223337-Chromatography, Gas,
pubmed-meshheading:2223337-Dose-Response Relationship, Drug,
pubmed-meshheading:2223337-Female,
pubmed-meshheading:2223337-Humans,
pubmed-meshheading:2223337-Male,
pubmed-meshheading:2223337-Methadone,
pubmed-meshheading:2223337-Middle Aged,
pubmed-meshheading:2223337-Pain, Postoperative
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pubmed:year |
1990
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pubmed:articleTitle |
Plasma concentrations of methadone during postoperative patient-controlled extradural analgesia.
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pubmed:affiliation |
Department of Anaesthesiology, Hadassah University Hospital, Jerusalem, Israel.
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pubmed:publicationType |
Journal Article
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