Evidence map›Paper›PMID 28238111›Full record

ArticlePaediatric drugs2017

Use of Fentanyl in Adolescents with Clinically Severe Obesity Undergoing Bariatric Surgery: A Pilot Study.

Janelle D Vaughns, Victoria C Ziesenitz, Elaine F Williams, Alvina Mushtaq, Ricarda Bachmann, Gisela Skopp, Johanna Weiss, Gerd Mikus, Johannes N van den Anker

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Paediatric drugs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01955993 (The Pharmacokinetics of Intravenous Fentanyl in Adolescent Patients With Higher BMI Percentiles.), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
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.

NCT01955993 completednot on this map

The Pharmacokinetics of Intravenous Fentanyl in Adolescent Patients With Higher BMI Percentiles.

TypeobservationalSponsorChildren's National Research InstituteRan2011 to 2013Enrolled12ConditionsMorbid Obesity
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Opioids: A Review of Pharmacokinetics and Pharmacodynamics in Neonates, Infants, and Children.European journal of drug metabolism and pharmacokinetics · 2019
    Review
  7. Article
  8. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 4 countries.

Janelle D VaughnsDivision of Anesthesiology, Sedation and Perioperative Medicine, Children's National Health System, Washington, DC, USA.
Victoria C ZiesenitzDivision of Pediatric Clinical Pharmacology, Children's National Health System, Washington, DC, USA. Ziesenitz.md@gmail.com.ORCID http://orcid.org/0000-0003-2836-4212
Elaine F WilliamsDivision of Pediatric Clinical Pharmacology, Children's National Health System, Washington, DC, USA.
Alvina MushtaqDivision of Pediatric Clinical Pharmacology, Children's National Health System, Washington, DC, USA.
Ricarda BachmannInstitute of Legal and Traffic Medicine, University of Heidelberg, Heidelberg, Germany.
Gisela SkoppInstitute of Legal and Traffic Medicine, University of Heidelberg, Heidelberg, Germany.
Johanna WeissDepartment of Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Heidelberg, Germany.
Gerd MikusDepartment of Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Heidelberg, Germany.
Johannes N van den AnkerDivision of Pediatric Clinical Pharmacology, Children's National Health System, Washington, DC, USA.
Children's National · USHeidelberg University · DE

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR031988 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI JOSEPH, JILL G · 2010 to 2011
$8.2M
Postdoctoral training in Pediatric Clinical PharmacologyT32HD087969 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI VAN DEN ANKER, JOHANNES NICOLAAS · 2016 to 2020
$998k
NCRR NIH HHS UL1 RR031988NICHD NIH HHS T32 HD087969
6 · The paper itself

Abstract

backgroundThe number of obese pediatric patients requiring anesthesia is rapidly increasing. Although fentanyl is a commonly used narcotic during surgery, there are no pharmacokinetic (PK) data available for optimal dosing of fentanyl in adolescents with clinically severe obesity. MATERIALS AND

methodsAn institutional review board-approved exploratory pilot study was conducted in six adolescents aged 14-19 years undergoing bariatric surgery. Mean total body weight (TBW) and mean BMI were 137.4 ± 14.3 kg and 49.6 ± 6.4 kg/m

resultsMean fentanyl AUC

conclusionsThese results suggest that fentanyl clearance is enhanced in adolescents with clinically severe obesity while volume of distribution is comparable to previously published studies. STUDY REGISTRATION: NCT01955993 (clinicaltrials.gov).

Indexed as

Anesthetics, IntravenousFentanylAdministration, IntravenousAdolescentBariatric SurgeryFemaleHumansObesity, MorbidPilot ProjectsProspective StudiesYoung AdultAnesthetics, IntravenousFentanyl

Identifiers

PMID28238111
PMCPMC5861708
OpenAlexW2589362695

What OpenQuestion holds

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Registered trials

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.