Thiopental disposition as a function of age in female patients undergoing surgery

D. Jung, Michael Mayersohn, D. Perrier, J. Calkins, R. Saunders

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

The effect of age on the disposition kinetics of thiopental was studied in 22 lean female patients having a body mass index (weight (kg)/height(m)2) less than 30 and whose age ranged between 25 to 83 years. Patients underwent primarily abdominal surgery. A strong positive correlation between age and the apparent volumes of distribution, Vβ and V(ss), was found (P<0.001). No significant relationship was found between total body clearance and age. The elimination half-life (t 1/2 ) of thiopental increased with age, and was primarily a function of volume of distribution. The free or unbound fraction of thiopental in serum (α) ranged between 0.168 and 0.276 and was significantly correlated with age (P<0.05). Multiple regression analysis indicated that age was the independent variable which contributed most to the variability in t 1/2 , Vβ, and V(ss). No conclusion can be reached concerning the potential differences in anesthetic induction doses required as a function of age; however, these data suggest that care may be required in the use of a balanced anesthetic technique in the elderly as a result of prolonged elimination.

Original languageEnglish (US)
Pages (from-to)263-268
Number of pages6
JournalAnesthesiology
Volume56
Issue number4
StatePublished - 1982
Externally publishedYes

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Thiopental
Anesthetics
Half-Life
Body Mass Index
Regression Analysis
Weights and Measures
Serum

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Jung, D., Mayersohn, M., Perrier, D., Calkins, J., & Saunders, R. (1982). Thiopental disposition as a function of age in female patients undergoing surgery. Anesthesiology, 56(4), 263-268.

Thiopental disposition as a function of age in female patients undergoing surgery. / Jung, D.; Mayersohn, Michael; Perrier, D.; Calkins, J.; Saunders, R.

In: Anesthesiology, Vol. 56, No. 4, 1982, p. 263-268.

Research output: Contribution to journalArticle

Jung, D, Mayersohn, M, Perrier, D, Calkins, J & Saunders, R 1982, 'Thiopental disposition as a function of age in female patients undergoing surgery', Anesthesiology, vol. 56, no. 4, pp. 263-268.
Jung, D. ; Mayersohn, Michael ; Perrier, D. ; Calkins, J. ; Saunders, R. / Thiopental disposition as a function of age in female patients undergoing surgery. In: Anesthesiology. 1982 ; Vol. 56, No. 4. pp. 263-268.
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