Hypothermia Clinical Trial
Official title:
Effectiveness of Nefopam for Thermoregulation During Surgery
Nefopam may help blunt thermoregulatory defenses, thus facilitating induction of therapeutic hypothermia
Hypothermia, whether therapeutically induced or unintentional, triggers thermoregulatory
defenses including vasoconstriction and shivering. Nefopam, a non-opioid, nonsteroidal
centrally acting analgesic, has an opioid-sparing effect and anti-shivering potency without
sedation, making it an ideal candidate to counteract thermoregulatory shivering.
Since complete compartmental pharmacokinetics (PK) are lacking this prospective, randomized,
double-blind study in 8 volunteers was set to investigate the PK of arterial nefopam samples
with non-linear mixed effect modelling. A two compartment mammillary model independent of
covariates was found to describe the data best and could be implemented to drive automated
pumps, achieving and maintaining a desired plasma concentration.
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