The Influence of Differences in Solvents and Concentration on the Efficacy of Propofol at Induction of Anesthesia

Background. Propofol is a popular intravenous anesthetic and varieties of formulations were produced from different laboratories. The present study compared efficacy of propofol of different laboratories and different concentrations (1 and 2%) during induction of anesthesia. Methods. Seventy-five sc...

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Main Authors: Yukako Obata, Yushi U. Adachi, Katsumi Suzuki, Taiga Itagaki, Hiromi Kato, Maiko Satomoto, Yoshiki Nakajima
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Anesthesiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/9178523
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author Yukako Obata
Yushi U. Adachi
Katsumi Suzuki
Taiga Itagaki
Hiromi Kato
Maiko Satomoto
Yoshiki Nakajima
author_facet Yukako Obata
Yushi U. Adachi
Katsumi Suzuki
Taiga Itagaki
Hiromi Kato
Maiko Satomoto
Yoshiki Nakajima
author_sort Yukako Obata
collection DOAJ
description Background. Propofol is a popular intravenous anesthetic and varieties of formulations were produced from different laboratories. The present study compared efficacy of propofol of different laboratories and different concentrations (1 and 2%) during induction of anesthesia. Methods. Seventy-five scheduled surgical patients were randomly allocated into three groups. The patients of group D1 received AstraZeneca Diprivan 1% (Osaka, Japan) at a rate of 40 mg kg−1 h−1. Group M1 was given 1% Maruishi (Maruishi Pharmaceutical, Osaka, Japan) and group M2 was given 2% formulation at the same rate of propofol. Achieving hypnosis was defined as failure to open their eyes in response to a verbal command and the venous blood sample was withdrawn. Results. The hypnotic doses of M2 were significantly larger (D1: 91.4±30.9, M1: 90.7±26.7, and M2: 118.4±40.2 mg, resp. (mean ± SD). p<0.005). Age and gender were selected as statistically significant covariates using general linear model-ANOVA. The blood concentration showed no significant difference among the groups (3.73±2.34, 4.10±3.04, and 4.70±2.12 μg mL−1, resp.). Conclusion. The required dose of propofol was different among the formulations; however, the serum concentration showed no significant difference. This trial is registered with UMIN Clinical Trial Registry: UMIN000019925.
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spelling doaj-art-e6c11997694c4bd7afe7ab436af140152025-02-03T01:20:14ZengWileyAnesthesiology Research and Practice1687-69621687-69702016-01-01201610.1155/2016/91785239178523The Influence of Differences in Solvents and Concentration on the Efficacy of Propofol at Induction of AnesthesiaYukako Obata0Yushi U. Adachi1Katsumi Suzuki2Taiga Itagaki3Hiromi Kato4Maiko Satomoto5Yoshiki Nakajima6Department of Intensive Care Unit, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka 4313192, JapanDepartment of Intensive Care Medicine, Tokyo Medical and Dental University Medical Hospital, Tokyo, JapanDepartment of Anesthesia, Enshu Hospital, Hamamatsu, JapanPulmonary and Critical Care Medicine, Massachusetts General Hospital, Boston, USADepartment of Intensive Care Unit, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka 4313192, JapanDepartment of Anesthesiology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, JapanDepartment of Intensive Care Unit, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka 4313192, JapanBackground. Propofol is a popular intravenous anesthetic and varieties of formulations were produced from different laboratories. The present study compared efficacy of propofol of different laboratories and different concentrations (1 and 2%) during induction of anesthesia. Methods. Seventy-five scheduled surgical patients were randomly allocated into three groups. The patients of group D1 received AstraZeneca Diprivan 1% (Osaka, Japan) at a rate of 40 mg kg−1 h−1. Group M1 was given 1% Maruishi (Maruishi Pharmaceutical, Osaka, Japan) and group M2 was given 2% formulation at the same rate of propofol. Achieving hypnosis was defined as failure to open their eyes in response to a verbal command and the venous blood sample was withdrawn. Results. The hypnotic doses of M2 were significantly larger (D1: 91.4±30.9, M1: 90.7±26.7, and M2: 118.4±40.2 mg, resp. (mean ± SD). p<0.005). Age and gender were selected as statistically significant covariates using general linear model-ANOVA. The blood concentration showed no significant difference among the groups (3.73±2.34, 4.10±3.04, and 4.70±2.12 μg mL−1, resp.). Conclusion. The required dose of propofol was different among the formulations; however, the serum concentration showed no significant difference. This trial is registered with UMIN Clinical Trial Registry: UMIN000019925.http://dx.doi.org/10.1155/2016/9178523
spellingShingle Yukako Obata
Yushi U. Adachi
Katsumi Suzuki
Taiga Itagaki
Hiromi Kato
Maiko Satomoto
Yoshiki Nakajima
The Influence of Differences in Solvents and Concentration on the Efficacy of Propofol at Induction of Anesthesia
Anesthesiology Research and Practice
title The Influence of Differences in Solvents and Concentration on the Efficacy of Propofol at Induction of Anesthesia
title_full The Influence of Differences in Solvents and Concentration on the Efficacy of Propofol at Induction of Anesthesia
title_fullStr The Influence of Differences in Solvents and Concentration on the Efficacy of Propofol at Induction of Anesthesia
title_full_unstemmed The Influence of Differences in Solvents and Concentration on the Efficacy of Propofol at Induction of Anesthesia
title_short The Influence of Differences in Solvents and Concentration on the Efficacy of Propofol at Induction of Anesthesia
title_sort influence of differences in solvents and concentration on the efficacy of propofol at induction of anesthesia
url http://dx.doi.org/10.1155/2016/9178523
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