Evidence map›Paper›PMID 24595018›Full record

ArticlePloS one2014

Evaluation of fentanyl disposition and effects in newborn piglets as an experimental model for human neonates.

Carmen Rey-Santano, Victoria Mielgo, Adolfo Valls-I-Soler, Esther Encinas, John C Lukas, Valvanera Vozmediano, Elena Suárez

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carmen Rey-SantanoExperimental Neonatal Physiology Unit, BioCruces Health Research Institute, Cruces University Hospital, Barakaldo, Bizkaia, Spain.
Victoria MielgoExperimental Neonatal Physiology Unit, BioCruces Health Research Institute, Cruces University Hospital, Barakaldo, Bizkaia, Spain.
Adolfo Valls-I-SolerExperimental Neonatal Physiology Unit, BioCruces Health Research Institute, Cruces University Hospital, Barakaldo, Bizkaia, Spain.
Esther EncinasDepartment of Pharmacology, Faculty of Medicine, University of the Basque Country, UPV/EHU, Leioa, Bizkaia, Spain.
John C LukasDepartment of Pharmacology, Faculty of Medicine, University of the Basque Country, UPV/EHU, Leioa, Bizkaia, Spain; Drug Modeling and Consulting, Dynakin SL, Derio, Bizkaia, Spain.
Valvanera VozmedianoDrug Modeling and Consulting, Dynakin SL, Derio, Bizkaia, Spain.
Elena SuárezDepartment of Pharmacology, Faculty of Medicine, University of the Basque Country, UPV/EHU, Leioa, Bizkaia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFentanyl is widely used off-label in NICU. Our aim was to investigate its cerebral, cardiovascular and pulmonary effects as well as pharmacokinetics in an experimental model for neonates.

methodsFentanyl (5 µg/kg bolus immediately followed by a 90 minute infusion of 3 µg/kg/h) was administered to six mechanically ventilated newborn piglets. Cardiovascular, ventilation, pulmonary and oxygenation indexes as well as brain activity were monitored from T = 0 up to the end of experiments (T = 225-300 min). Also plasma samples for quantification of fentanyl were drawn.

resultsA "reliable degree of sedation" was observed up to T = 210-240 min, consistent with the selected dosing regimen and the observed fentanyl plasma levels. Unlike cardiovascular parameters, which were unmodified except for an increasing trend in heart rate, some of the ventilation and oxygenation indexes as well as brain activity were significantly altered. The pulmonary and brain effects of fentanyl were mostly recovered from T = 210 min to the end of experiment.

conclusionThe newborn piglet was shown to be a suitable experimental model for studying fentanyl disposition as well as respiratory and cardiovascular effects in human neonates. Therefore, it could be extremely useful for further investigating the drug behaviour under pathophysiological conditions.

Indexed as

Anesthetics, IntravenousAnimalsFemaleFentanylHeart RateHemodynamicsHumansInfant, NewbornMaleModels, AnimalRespirationRespiration, ArtificialSwineAnesthetics, IntravenousFentanyl

Identifiers

PMID24595018
PMCPMC3942469

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.