Table 3

Population pharmacokinetic parameters of epinephrine in 38 patients with septic shock and bootstrap statistics

Parameter

Mean

SE (%)

Mediana

5th to 95th percentilesa


CL (L/hr/70 kg BW/50 SAPS II units)

127

6.0

125

115 to 140

V (L)

7.9

36

7.4

1 to 13

R0 (nmol/h)

43.5

24

43

1 to 65

θBW effect on CL

0.60

33

0.59

0.23 to 0.95

θSAPS II effect on CL

-0.67

21

-0.65

-0.91 to -0.43

BSV(CL) (square root of ω2CL)

0.33

31

0.30

0.20 to 0.39

BSV(R0) (square root of ω2R0)

1.23

20

1.23

1 to 2.85

Residual variability, proportional component

0.1b

NA

NA

NA

Residual variability, additive component, nmol/L

0.1b

NA

NA

NA


aStatistics from 387 bootstrap runs (13 abnormal termination runs). Non parametric 90% confidence interval based on the 5th to 95th percentiles.

bFixed values.

BSV = between subject variability; BW = body weight; CL = epinephrine clearance; NA = not applicable; R0 = baseline rate of epinephrine infusion; SAPS II = new simplified acute physiology score; SE (%) = standard error of estimate in %; V = epinephrine distribution volume.

θBW effect on CL, CL = 127 (BW/70)0.60, the individual CL increases or decreases as a function of BW, it is > 127 L/hr if BW is > 70 kg and < 127 L/hr if BW < 70 kg. θSAPSII effect on CL, CL = 127 (SAPSII/50)-0.67, the individual CL increases or decreases as a function of SAPS II score, it is > 127 L/hr if SAPS II is < 50 and < 127 L/hr if SAPS II > 50 units.

Abboud et al. Critical Care 2009 13:R120   doi:10.1186/cc7972

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