Protein-bound drugs are prone to sequestration in the extracorporeal membrane oxygenation circuit: results from an ex vivo study.

Author: AnsteyChris, FraserJohn F, FungYoke L, GhassabianSussan, McdonaldCharles I, MullanyDaniel V, RobertsJason A, ShekarKiran, WallisSteven C

Paper Details 
Original Abstract of the Article :
Vital drugs may be degraded or sequestered in extracorporeal membrane oxygenation (ECMO) circuits, with lipophilic drugs considered to be particularly vulnerable. However, the circuit effects on protein-bound drugs have not been fully elucidated. The aim of this experimental study was to investigate...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4407324/

データ提供:米国国立医学図書館(NLM)

Protein-Bound Drugs and ECMO Circuits: Navigating the Desert of Drug Sequestration

Extracorporeal membrane oxygenation (ECMO) is a life-saving treatment for critically ill patients, but it can pose challenges for drug delivery. This study investigates the potential for drug sequestration within ECMO circuits, focusing specifically on protein-bound drugs. The researchers conducted an ex vivo study to assess the impact of ECMO circuits on the disposition of protein-bound drugs.

Their findings revealed that protein-bound drugs are susceptible to sequestration within ECMO circuits, highlighting a potential concern for drug delivery during ECMO therapy. The researchers suggest that this sequestration could lead to reduced drug availability and potentially compromise treatment effectiveness. This discovery, like a hidden sandstorm in the desert of ECMO therapy, reveals a potential complication that requires careful consideration and further investigation. This study underscores the importance of understanding the complexities of drug delivery during ECMO therapy and the need for strategies to optimize drug availability and maintain treatment efficacy.

Drug Sequestration in ECMO Circuits: A Sandstorm in the Desert of Treatment

The study suggests that protein-bound drugs are prone to sequestration within ECMO circuits, potentially leading to reduced drug availability and compromised treatment effectiveness. This finding highlights the need for careful monitoring and potentially for adjustments to drug dosing during ECMO therapy to ensure adequate drug levels and optimal treatment outcomes.

The Camel's Wisdom: Navigating the Sands of Drug Delivery

This research emphasizes the importance of understanding the complex interactions between drugs, ECMO circuits, and the patient's physiology. It highlights the need for further research to develop strategies for minimizing drug sequestration within ECMO circuits and optimizing drug delivery during this critical treatment modality. The findings underscore the importance of vigilant monitoring and individualized care to ensure the safe and effective administration of medications during ECMO therapy.

Dr. Camel's Conclusion

This study highlights the potential for drug sequestration in ECMO circuits, particularly for protein-bound drugs. Further research is needed to develop strategies to optimize drug delivery and minimize drug sequestration in ECMO circuits.

Date :
  1. Date Completed 2016-01-26
  2. Date Revised 2022-03-17
Further Info :

Pubmed ID

25888449

DOI: Digital Object Identifier

PMC4407324

Related Literature

SNS
PICO Info
in preparation
Languages

English

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