Anatomy-based drug dosing strategies for surgical patients
Keywords:
Anatomy-based drug dosing, personalized medicine, surgical patients, adverse drug reactions, pain management, postoperative recoveryAbstract
Introduction: Anatomy-based drug dosing strategies have emerged as a personalized approach to medication administration in surgical patients. In a sample of 150 patients who had major abdominal surgery, the purpose of this research was to assess the efficacy of this strategy. Methods: The anatomy-based dosage group and the control group were separated into two groups of patients. In the anatomy-based dosing group, medication doses were calculated based on individual body composition and organ function, while in the control group, medication doses were calculated based on standard weight-based dosing. The primary outcomes evaluated were the incidence of adverse drug reactions, pain scores, and time to postoperative recovery. Results: When compared to the control group's rate of adverse medication responses (30%), the incidence in the anatomy-based dosage group was much lower (14.3%). With a mean score of 3.8 compared to 4.4 in the control group, pain levels were also considerably lower in the anatomy-based dosage group. The mean postoperative recovery time was 8.2 days for the anatomy-based dosage group and 8.5 days for the control group, which is comparable between the two groups.
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Ceelie, I., De Wildt, S. N., Van Dijk, M., van den Berg, M. M., Van Den Bosch, G. E., Duivenvoorden, H. J., ... & Tibboel, D. (2013). Effect of intravenous paracetamol on postoperative morphine requirements in neonates and infants undergoing major noncardiac surgery: a randomized controlled trial. Jama, 309(2), 149-154.
Fanti, L., Agostoni, M., Arcidiacono, P. G., Albertin, A., Strini, G., Carrara, S., ... & Testoni, P. A. (2007). Target-controlled infusion during monitored anesthesia care in patients undergoing EUS: Propofol alone versus midazolam plus propofol: A prospective double-blind randomised controlled trial. Digestive and liver disease, 39(1), 81-86.
Gan, T. J. (2017). Poorly controlled postoperative pain: prevalence, consequences, and prevention. Journal of pain research, 2287-2298.
Lobo, D. N., Bostock, K. A., Neal, K. R., Perkins, A. C., Rowlands, B. J., & Allison, S. P. (2002). Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. The Lancet, 359(9320), 1812-1818.
Machovec, K. A., Taicher, B., Jaquiss, R. D., & Hill, K. D. (2017). Images in anesthesiology: anomalous single coronary artery from the pulmonary artery. Anesthesiology, 126(6), 1169-1169.
Miller, T. E., Thacker, J. K., & Gan, T. J. (2015). ERAS: Enhancing Recovery One Evidence-Based Step at a Time Response. ANESTHESIA AND ANALGESIA, 120(1), 256-257.
Payton, E., Khubchandani, J., Thompson, A., & Price, J. H. (2017). Parents’ expectations of high schools in firearm violence prevention. Journal of community health, 42, 1118-1126.
Sparrelid, E., Jonas, E., Tzortzakakis, A., Dahlén, U., Murquist, G., Brismar, T., ... & Isaksson, B. (2017). Dynamic evaluation of liver volume and function in associating liver partition and portal vein ligation for staged hepatectomy. Journal of Gastrointestinal Surgery, 21, 967-974.
Struys, M. M., De Smet, T., Glen, J. I. B., Vereecke, H. E., Absalom, A. R., & Schnider, T. W. (2016). The history of target-controlled infusion. Anesthesia & Analgesia, 122(1), 56-69.
Vissers, K. C. P., Besse, K., Hans, G., Devulder, J., & Morlion, B. (2010). Opioid rotation in the management of chronic pain: where is the evidence?. Pain practice, 10(2), 85-93.
Vos, J. J., Kalmar, A. F., Struys, M. M., Wietasch, J. G., Hendriks, H. G., & Scheeren, T. W. (2013). Comparison of arterial pressure and plethysmographic waveform-based dynamic preload variables in assessing fluid responsiveness and dynamic arterial tone in patients undergoing major hepatic resection. British journal of anaesthesia, 110(6), 940-946.
Wahl, R. L., Herman, J. M., & Ford, E. (2011, April). The promise and pitfalls of positron emission tomography and single-photon emission computed tomography molecular imaging–guided radiation therapy. In Seminars in radiation oncology (Vol. 21, No. 2, pp. 88-100). WB Saunders.
Yokoyama, Y., Ebata, T., Igami, T., Sugawara, G., Mizuno, T., Yamaguchi, J., & Nagino, M. (2016). The predictive value of indocyanine green clearance in future liver remnant for posthepatectomy liver failure following hepatectomy with extrahepatic bile duct resection. World journal of surgery, 40, 1440-1447.
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