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Consumption and distribution of propofol in anaesthesia and intensive care use in finland

机译:芬兰麻醉中异丙酚的消费和分布以及重症监护室的使用

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Background: Propofol is approved both for anaesthesia and sedation during intensive care.Serious adverse reactions with propofol have recently been re ported, but patient exposure to the drug is unknown.Objective: To investigate the consumption of propofol in Finnish hospitals and to develop a denominator to estimate patient exposure.Methods: The consumption of propofol was investigated using the drug consumption database for 1990-2001.Distribution between anaesthesia and intensive care use in Finnish hospitals was investigated by a survey covering the period 2000-2001.We based the estimate of patient exposure on doses commonly described in the literature on propofol use in different indications.Results: Total consumption of propofol increased more than 4-fold from 1990-2001.Most of the propofol consumed was the 10 mg/mL strength.In 2001, one-third of the total sales consisted of the 20 mg/mL strength.In 2000 and 2001, a little more than half of the total consumption of propofol was used for sedation in intensive care.Conclusion: The use of propofol is increasing in Finland.Half of the propofol was used in anaesthesia units and half in intensive care units.We propose the following defined daily doses: 175mg for anaesthesia induction; 750 mg/patient-hour for anaesthesia maintenance; and 4200 mg/patient-day for sedation in intensive care.
机译:背景:丙泊酚被批准用于重症监护期间的麻醉和镇静。最近报告了丙泊酚的严重不良反应,但患者接触该药物的情况尚不清楚。目的:调查芬兰医院丙泊酚的消费量并建立分母方法:使用1990-2001年的药物消费数据库调查丙泊酚的消费量,通过覆盖2000-2001年的调查调查芬兰医院麻醉和重症监护使用之间的分布。结果:从1990年至2001年,丙泊酚的总消耗量增加了4倍以上;丙泊酚的最大消耗量是10 mg / mL强度.2001年,丙泊酚的摄入量为10 mg / mL。总销售额的三分之二是20 mg / mL的浓度。在2000年和2001年,丙泊酚的总消费量略高于一半结论:在芬兰,丙泊酚的使用正在增加。一半的异丙酚用于麻醉病房,一半用于重症监护病房。我们建议以下规定的每日剂量:175mg用于麻醉诱导; 750 mg /患者·小时,用于维持麻醉;重症监护中使用镇静剂和每天4200 mg。

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