Evidence map›Paper›PMID 32434285›Full record

ArticleJournal of clinical pharmacology2020

Exploring the Relationship Between Morphine Concentration and Oversedation in Children After Cardiac Surgery.

Abraham J Valkenburg, Sebastiaan C Goulooze, Chun Yin Ng, Cormac V Breatnach, Dick Tibboel, Monique van Dijk, Catherijne A J Knibbe, Elke H J Krekels

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical pharmacology, 2020. 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
0.8field-weighted citation impact, top 29% 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.

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, 4 citations in OpenAlex.

  1. Article
  2. Review
  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

8 authors at 3 institutions in 3 countries.

Abraham J ValkenburgDepartment of Intensive Care, Erasmus University Medical Center, Rotterdam, the Netherlands.
Sebastiaan C GouloozeDivision of Systems Biomedicine and Pharmacology, Leiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands.ORCID 0000-0003-3369-6107
Chun Yin NgDivision of Systems Biomedicine and Pharmacology, Leiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands.
Cormac V BreatnachDepartment of Anaesthesia and Critical Care Medicine, Our Lady's Children's Hospital, Dublin, Ireland.
Dick TibboelDepartment of Pediatric Surgery, Erasmus University Medical Center-Sophia Children's Hospital, Rotterdam, the Netherlands.
Monique van DijkDepartment of Pediatric Surgery, Erasmus University Medical Center-Sophia Children's Hospital, Rotterdam, the Netherlands.
Catherijne A J KnibbeDivision of Systems Biomedicine and Pharmacology, Leiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands.
Elke H J KrekelsDivision of Systems Biomedicine and Pharmacology, Leiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands.
Leiden University · NLErasmus MC · NLOur Lady's Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Titrating analgesic and sedative drugs in pediatric intensive care remains a challenge for caregivers due to the lack of pharmacodynamic knowledge in this population. The aim of the current study is to explore the concentration-effect relationship for morphine-associated oversedation after cardiac surgery in children aged 3 months to 3 years. Data on morphine dosing, as well as morphine plasma concentrations, were available from a previous study on the pharmacokinetics of morphine after cardiac surgery in children. Oversedation was defined as scores below 11 on the validated COMFORT-behavioral scale. Population pharmacokinetic-pharmacodynamic modeling was performed in NONMEM 7.3. The probability of oversedation as a function of morphine concentration was best described using a step function in which the EC

Indexed as

Analgesics, OpioidCardiac Surgical ProceduresChild, PreschoolComputer SimulationDeep SedationDrug OverdoseHumansHypnotics and SedativesInfantInfusions, IntravenousModels, BiologicalMorphinePostoperative PainRespiration, ArtificialAnalgesics, OpioidHypnotics and SedativesMorphineadverse effectscardiac surgical proceduresintensive care unit, pediatricsmorphinepharmacodynamics

Identifiers

PMID32434285
PMCPMC7496665
OpenAlexW3028368598

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.