Anesthesia and analgesia
-
Anesthesia and analgesia · Aug 1994
Midazolam pharmacokinetics in patients undergoing abdominal aortic surgery.
Fentanyl and its analogs are eliminated slowly by patients having abdominal aortic surgery. This is principally due to larger volumes of distribution, compared to the pharmacokinetics determined in other surgical patients. Midazolam, like these opioids, is a lipophilic organic base, suggesting that it may also have a larger volume of distribution in patients undergoing abdominal aortic reconstruction. ⋯ The volume of the central compartment (Vc) and the volume of distribution at steady state (Vdss) were 5.8 +/- 5.3 L and 118.2 +/- 70.4 L, respectively. The elimination half-life was 6.3 +/- 3.6 h, 1.5- to 3-fold longer than has been previously reported in patients undergoing surgery. Compared to previously published studies of other groups of patients, metabolic clearance of midazolam was slower in patients undergoing abdominal aortic surgery.(ABSTRACT TRUNCATED AT 250 WORDS)