Optimization of the radioimmunoassays for measuring fentanyl and alfentanil in human serum.

Abstract:

:Measurement of serum fentanyl and alfentanil concentrations by radioimmunoassay (RIA) may result in significant errors and high variability when the technique described in the available fentanyl and alfentanil RIA kits is used. The authors found a 29-94% overestimation of measured fentanyl and alfentanil serum levels when 3H-fentanyl or 3H-alfentanil was added lastly to the mixture of antiserum and sample. This finding is related to a reduction in binding sites for the labeled compounds after preincubation of sample and antiserum. If this sequence is used, it becomes necessary to extend the incubation period up to 6 h for fentanyl and up to 10 h for alfentanil in order to achieve equilibration between unlabeled and labeled drug with respect to antiserum binding. However, when antiserum is added lastly to the mixture of sample and labeled drug, measurement accuracy and precision for fentanyl and alfentanil serum concentrations are enhanced markedly. In addition, it is important to perform the calibration curves and sample measurements using the same medium (i.e., serum alone or a serum/buffer dilution). In summary, to optimize the RIA for fentanyl and alfentanil, the authors recommend the following: 1) adding the antiserum lastly to the mixture of sample and labeled drug; 2) performing calibration curves using patient's blank serum when possible; 3) carefully examining and standardizing each step of the RIA procedure to reduce variability, and, finally; 4) comparing results with those of other established RIA laboratories.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Schüttler J,White PF

doi

10.1097/00000542-198409000-00010

subject

Has Abstract

pub_date

1984-09-01 00:00:00

pages

315-20

issue

3

eissn

0003-3022

issn

1528-1175

journal_volume

61

pub_type

杂志文章
  • Awareness: Monitoring versus remembering what happened.

    abstract:BACKGROUND:Awareness during anesthesia is foremost assessed with postoperative interviews, which may underestimate its incidence. On-line monitors such as the Bispectral Index and patient response to verbal command are not necessarily commonly used. This study investigated response to command during deep sedation (Bisp...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200309000-00011

    authors: Kerssens C,Klein J,Bonke B

    更新日期:2003-09-01 00:00:00

  • Beneficial effects from beta-adrenergic blockade in elderly patients undergoing noncardiac surgery.

    abstract:BACKGROUND:Perioperative beta-blockade has been shown to improve long-term cardiac outcome in noncardiac surgical patients. A possible mechanism for the reduced risk of perioperative myocardial infarction is the attenuation of the excitotoxic effects of catecholamine surges by beta-blockade. It was hypothesized that be...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199912000-00020

    authors: Zaugg M,Tagliente T,Lucchinetti E,Jacobs E,Krol M,Bodian C,Reich DL,Silverstein JH

    更新日期:1999-12-01 00:00:00

  • Effects of vaporized perfluorocarbon on pulmonary blood flow and ventilation/perfusion distribution in a model of acute respiratory distress syndrome.

    abstract:BACKGROUND:Perfluorocarbon (PFC) liquids are known to improve gas exchange and pulmonary function in various models of acute respiratory failure. Vaporization has been recently reported as a new method of delivering PFC to the lung. Our aim was to study the effect of PFC vapor on the ventilation/perfusion (VA/Q) matchi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200112000-00021

    authors: Hübler M,Souders JE,Shade ED,Polissar NL,Schimmel C,Hlastala MP

    更新日期:2001-12-01 00:00:00

  • Interaction of neuromuscular blocking effects of neomycin and polymyxin B.

    abstract::Neomycin and polymyxin B produce neuromuscular blocks with distinct features by different mechanisms of action. In eight anesthetized cats the authors studied their interaction by examining the neuromuscular block produced by an equipotent mixture. Values of onset, potency, dose-response relations, duration and revers...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197903000-00010

    authors: Lee C,de Silva AJ

    更新日期:1979-03-01 00:00:00

  • An obligatory role for spinal cholinergic neurons in the antiallodynic effects of clonidine after peripheral nerve injury.

    abstract:BACKGROUND:Indirect evidence supports a role of spinal cholinergic neurons in tonically reducing response to noxious mechanical stimulation and in effecting analgesia from alpha2-adrenergic agonists. This study directly assessed the role of cholinergic neurons in regulating the level of mechanical allodynia and in part...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200106000-00023

    authors: Paqueron X,Li X,Bantel C,Tobin JR,Voytko ML,Eisenach JC

    更新日期:2001-06-01 00:00:00

  • Effects of propofol and thiopental in isolated rat aorta and pulmonary artery.

    abstract::This study was performed to determine if direct arterial dilating actions of propofol contribute to the drug's hypotensive actions. The effects of propofol were compared with those of thiopental on isolated vascular ring preparations from rat thoracic aorta and pulmonary artery. Thoracic aortic ring responses were eva...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199211000-00019

    authors: Park WK,Lynch C 3rd,Johns RA

    更新日期:1992-11-01 00:00:00

  • Neurologic evaluation of infant and adult rats before and after sciatic nerve blockade.

    abstract:BACKGROUND:Only limited data exist comparing differences in sensory function and responses to neural blockade in infant and adult rats. Therefore, the authors sought (1) to compare baseline thermal, proprioceptive, and postural responses in infant, adolescent, and adult rats; and (2) to compare the effects of sciatic n...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199704000-00026

    authors: Hu D,Hu R,Berde CB

    更新日期:1997-04-01 00:00:00

  • Developmental effects of neonatal isoflurane and sevoflurane exposure in rats.

    abstract:BACKGROUND:The general anesthetics, isoflurane and sevoflurane, cause developmental abnormalities in neonatal animal models via incompletely understood mechanisms. Despite many common molecular targets, isoflurane and sevoflurane exhibit substantial differences in their actions. The authors sought to determine whether ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318291c04e

    authors: Seubert CN,Zhu W,Pavlinec C,Gravenstein N,Martynyuk AE

    更新日期:2013-08-01 00:00:00

  • Preoperative and intraoperative predictors of postoperative acute respiratory distress syndrome in a general surgical population.

    abstract:BACKGROUND:Acute respiratory distress syndrome (ARDS) is a devastating condition with an estimated mortality exceeding 30%. There are data suggesting risk factors for ARDS development in high-risk populations, but few data are available in lower incidence populations. Using risk-matched analysis and a combination of cl...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3182794975

    authors: Blum JM,Stentz MJ,Dechert R,Jewell E,Engoren M,Rosenberg AL,Park PK

    更新日期:2013-01-01 00:00:00

  • Effect of hemorrhage and hypotension on transcranial motor-evoked potentials in swine.

    abstract:BACKGROUND:Transcranial motor-evoked potentials (TcMEPs) monitor spinal cord motor tract integrity. Using a swine model, the authors studied the effects of vasodilatory hypotension, hemorrhage, and various resuscitation efforts on TcMEP responses. METHODS:Twelve pigs were anesthetized with constant infusions of propof...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31829d4a92

    authors: Lieberman JA,Feiner J,Lyon R,Rollins MD

    更新日期:2013-11-01 00:00:00

  • Capsaicin sensitive afferents contribute to acute airway edema following tracheal instillation of hydrochloric acid or gastric juice in the rat.

    abstract::The formation of acute edema in the tracheobronchial mucosa following local instillation of hydrochloric acid or gastric juice was studied in rats. Protein extravasation using the Evans blue technique was measured and used to indicate edema formation. A pH dependent Evans blue extravasation was observed whereby pH 2 p...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198803000-00005

    authors: Martling CR,Lundberg JM

    更新日期:1988-03-01 00:00:00

  • Analgesic effects of intravenous lidocaine and morphine on postamputation pain: a randomized double-blind, active placebo-controlled, crossover trial.

    abstract:BACKGROUND:Phantom and stump pains, common sequelae of limb amputations, are significant impediments to rehabilitation of amputees. The pathophysiology and optimal treatment of postamputation pain states are unclear. While stump pain may result from neuromas in the stump, phantom pain is thought to be related to cortic...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200204000-00010

    authors: Wu CL,Tella P,Staats PS,Vaslav R,Kazim DA,Wesselmann U,Raja SN

    更新日期:2002-04-01 00:00:00

  • Pregabalin rectifies aberrant brain chemistry, connectivity, and functional response in chronic pain patients.

    abstract:BACKGROUND:Chronic pain remains a significant challenge for modern health care as its pathologic mechanisms are largely unknown and preclinical animal models suffer from limitations in assessing this complex subjective experience. However, human brain neuroimaging techniques enable the assessment of functional and neur...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0000000000000017

    authors: Harris RE,Napadow V,Huggins JP,Pauer L,Kim J,Hampson J,Sundgren PC,Foerster B,Petrou M,Schmidt-Wilcke T,Clauw DJ

    更新日期:2013-12-01 00:00:00

  • Thoracic epidural analgesia augments ileal mucosal capillary perfusion and improves survival in severe acute pancreatitis in rats.

    abstract:BACKGROUND:Acute pancreatitis has been linked to intestinal barrier dysfunction and systemic inflammatory response with high mortality. Thoracic epidural analgesia improves intestinal perfusion. The authors hypothesized that thoracic epidural analgesia influences microcirculation injury, inflammatory response, and outc...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200608000-00019

    authors: Freise H,Lauer S,Anthonsen S,Hlouschek V,Minin E,Fischer LG,Lerch MM,Van Aken HK,Sielenkämper AW

    更新日期:2006-08-01 00:00:00

  • Comparison of the effects of convulsant and depressant barbiturate stereoisomers on AMPA-type glutamate receptors.

    abstract:BACKGROUND:Alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA)-type glutamate receptors mediate fast excitatory synaptic transmission in the central nervous system. Although barbiturates have been shown to suppress the AMPA receptor-mediated responses, it is unclear whether this effect contributes to the a...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199906000-00028

    authors: Kamiya Y,Andoh T,Furuya R,Hattori S,Watanabe I,Sasaki T,Ito H,Okumura F

    更新日期:1999-06-01 00:00:00

  • Mechanism of myocardial protection by isoflurane. Role of adenosine triphosphate-regulated potassium (KATP) channels.

    abstract:BACKGROUND:The mechanism of the protective actions of volatile anesthetics in ischemic myocardium has not been clearly elucidated. The role of myocardial adenosine triphosphate-regulated potassium (KATP) channels in isoflurane-induced enhancement of recovery of regional contractile function after multiple brief occlusi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199610000-00015

    authors: Kersten JR,Schmeling TJ,Hettrick DA,Pagel PS,Gross GJ,Warltier DC

    更新日期:1996-10-01 00:00:00

  • Addition of sodium bicarbonate to lidocaine decreases the duration of peripheral nerve block in the rat.

    abstract:BACKGROUND:Adding sodium bicarbonate to lidocaine to enhance its efficacy during peripheral nerve block is controversial. The authors studied the effect of adding sodium bicarbonate to lidocaine with and without epinephrine versus equivalent alkalinization by sodium hydroxide (NaOH) on onset, degree, and duration of pe...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200010000-00028

    authors: Sinnott CJ,Garfield JM,Thalhammer JG,Strichartz GR

    更新日期:2000-10-01 00:00:00

  • Exaggerated anesthetic requirements in the preferentially anesthetized brain.

    abstract:BACKGROUND:The brain is assumed to be the site of anesthetic action, but anesthetics have effects elsewhere, such as the spinal cord. A preferentially anesthetized goat brain model was used to determine the importance of anesthetic action in the brain. METHODS:Six goats were anesthetized with isoflurane; after trachea...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199312000-00015

    authors: Antognini JF,Schwartz K

    更新日期:1993-12-01 00:00:00

  • Rebound hypertensive after sodium nitroprusside prevented by saralasin in rats.

    abstract::The role of the renin--angiotensin system in the maintenance of blood pressure during halothane anesthesia and sodium nitroprusside (SNP)-induced hypotension was evaluated. Control rats received halothane anesthesia (1 MAC) for one hour, followed by SNP infusion, 40 microgram/kg/min, for 30 min, followed by a 30-min r...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Delaney TJ,Miller ED Jr

    更新日期:1980-02-01 00:00:00

  • Alpha(2A) adrenoceptors contribute to feedback inhibition of capsaicin-induced hyperalgesia.

    abstract:BACKGROUND:Studies on receptor knockout mice have so far shown that of the three alpha2-adrenoceptor subtypes, the alpha(2A) adrenoceptor has a major role in mediating the powerful central analgesia induced by synthetic alpha2-adrenoceptor agonists. However, because a knockout of the gene for the alpha(2A) adrenoceptor...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200407000-00029

    authors: Mansikka H,Lähdesmäki J,Scheinin M,Pertovaara A

    更新日期:2004-07-01 00:00:00

  • Differences between aortic and radial artery pressure associated with cardiopulmonary bypass.

    abstract::Previous investigators have identified an aortic-to-radial artery pressure gradient thought to develop during rewarming and discontinuation of cardiopulmonary bypass. The authors measured mean aortic and radial artery pressures before, during, and after cardiopulmonary bypass in 30 patients, to determine when the pres...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199207000-00009

    authors: Rich GF,Lubanski RE Jr,McLoughlin TM

    更新日期:1992-07-01 00:00:00

  • Volatile anesthetic preconditioning present in the invertebrate Caenorhabditis elegans.

    abstract:BACKGROUND:Volatile anesthetics (VAs) have been found to induce a delayed protective response called preconditioning to subsequent hypoxic/ischemic injury. VA preconditioning has been primarily studied in canine and rodent heart. A more genetically tractable model of VA preconditioning would be extremely useful. Here, ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318164d013

    authors: Jia B,Crowder CM

    更新日期:2008-03-01 00:00:00

  • Olprinone, a phosphodiesterase III inhibitor, reduces gut mucosal injury and portal endotoxin level during acute hypoxia in rabbits.

    abstract:BACKGROUND:Preservation of gut integrity has become a therapeutic goal to obviate bacterial translocation in the critically ill. The authors examined whether olprinone, a phosphodiesterase III inhibitor, protected functional and structural integrity of gut mucosa against acute progressive hypoxia. METHODS:Thirty-two a...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200306000-00016

    authors: Satoh T,Morisaki H,Ai K,Kosugi S,Yamamoto M,Serita R,Kotake Y,Takeda J

    更新日期:2003-06-01 00:00:00

  • Dose-response curves for succinylcholine: single versus cumulative techniques.

    abstract::This study was performed to determine the potency of succinylcholine using the single-dose technique, and to test the ability of the cumulative dose technique for generating dose-response data. Thirty-eight adult patients received single doses (n = 18), cumulative doses (n = 10), or cumulative doses of succinylcholine...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Smith CE,Donati F,Bevan DR

    更新日期:1988-09-01 00:00:00

  • Effect of flumazenil on ventilatory drive during sedation with midazolam and alfentanil.

    abstract:BACKGROUND:Patients who receive a combination of a benzodiazepine and an opioid for conscious sedation are at risk for developing respiratory depression. While flumazenil effectively antagonizes the respiratory depression associated with a benzodiazepine alone, its efficacy in the presence of both a benzodiazepine and ...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199610000-00005

    authors: Gross JB,Blouin RT,Zandsberg S,Conard PF,Häussler J

    更新日期:1996-10-01 00:00:00

  • Absence of abundant binding sites for anesthetics in rabbit brain: an in vivo NMR study.

    abstract::Using magnetic resonance spectroscopy, the authors tested whether cerebral concentrations of inhaled anesthetics do not increase proportionately at inspired concentrations exceeding 3% 1) because anesthetics bind to and saturate specific sites in the brain or 2) because anesthetic-induced depression of ventilation lim...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199009000-00014

    authors: Lockhart SH,Cohen Y,Yasuda N,Kim F,Litt L,Eger EI 2nd,Chang LH,James T

    更新日期:1990-09-01 00:00:00

  • Hemodynamic interactions of verapamil and isoflurane.

    abstract::The hemodynamic interactions of verapamil and isoflurane were studied in eight dogs. Left ventricular function was analyzed using a right heart bypass preparation to permit rigid hemodynamic control. Hemodynamic studies were performed at 0.7, 1.05, and 1.40% isoflurane before and during the maintenance of two stable l...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198308000-00012

    authors: Kates RA,Kaplan JA,Guyton RA,Dorsey L,Hug CC Jr,Hatcher CR

    更新日期:1983-08-01 00:00:00

  • Association between Use of Angiotensin-converting Enzyme Inhibitors or Angiotensin Receptor Blockers and Postoperative Delirium.

    abstract:BACKGROUND:Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers improve cognitive function. The authors therefore tested the primary hypothesis that preoperative use of angiotensin inhibitors is associated with less delirium in critical care patients. Post hoc, the association between postoperativ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000003329

    authors: Farag E,Liang C,Mascha EJ,Argalious MY,Ezell J,Maheshwari K,Esa WAS,Troianos CA,Sessler DI

    更新日期:2020-07-01 00:00:00

  • Biologic Impact of Mechanical Power at High and Low Tidal Volumes in Experimental Mild Acute Respiratory Distress Syndrome.

    abstract:BACKGROUND:The authors hypothesized that low tidal volume (VT) would minimize ventilator-induced lung injury regardless of the degree of mechanical power. The authors investigated the impact of power, obtained by different combinations of VT and respiratory rate (RR), on ventilator-induced lung injury in experimental m...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002143

    authors: Santos RS,Maia LA,Oliveira MV,Santos CL,Moraes L,Pinto EF,Samary CDS,Machado JA,Carvalho AC,Fernandes MVS,Martins V,Capelozzi VL,Morales MM,Koch T,Gama de Abreu M,Pelosi P,Silva PL,Rocco PRM

    更新日期:2018-06-01 00:00:00

  • Effect of direct fetal opioid analgesia on fetal hormonal and hemodynamic stress response to intrauterine needling.

    abstract:BACKGROUND:Whether the fetus can experience pain remains controversial. During the last half of pregnancy, the neuroanatomic connections for nociception are in place, and the human fetus mounts sizable stress responses to physical insults. Analgesia has been recommended for intrauterine procedures or late termination, ...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200110000-00008

    authors: Fisk NM,Gitau R,Teixeira JM,Giannakoulopoulos X,Cameron AD,Glover VA

    更新日期:2001-10-01 00:00:00