Lidocaine clearance as pharmacokinetic parameter of metabolic hepatic activity in patients with impaired liver

Autor: Jovanović Marija, Kovačević Milena, Vezmar-Kovačević Sandra, Palibrk Ivan, Bjelanović Jasna, Miljković Branislava, Vučićević Katarina
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Medical Biochemistry, Vol 42, Iss 2, Pp 304-310 (2023)
Druh dokumentu: article
ISSN: 1452-8258
1452-8266
Popis: Background: The study aimed to estimate lidocaine (LID) pharmacokinetic parameter values in patients with impaired liver function, level of correlation between the pharmacokinetic parameters and Child-Pugh class and change in pharmacokinetic parameters after liver tumor resection compared to the preoperative value. Methods: Patients with impaired liver function were subject to the LID test 1 day prior to, 3 and 7 days after the intervention. LID was administered in single i.v. dose of 1 mg/kg. Blood samples were collected at 15, 30 and 90 minutes after drug administration. Non-compartmental analysis was applied for calculating the pharmacokinetic parameters. Results: The study included 17 patients with the diagnosis of cirrhosis and 41 patients with liver tumor. In both groups of patients, the values of the coefficients of correlation show the best correlation between clearance (CL) and Child-Pugh score (-0.693, p
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