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Anaes SAQsAnaesthetic adjuncts

Anaes SAQs · Anaesthetic adjuncts

Pharmacology of fentanyl

Short-answer question on fentanyl pharmacokinetics, context-sensitive half-time and comparison with morphine.

10 marks10 min4 min readVerification in progress

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ANZCAFRCAABAEDAICFCAIFCA_SA
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Target exams

ANZCAFRCAABAEDAICFCAIFCA_SA
Prompt
Describe the pharmacokinetics of fentanyl, explain the concept of context-sensitive half-time, and compare fentanyl with morphine.

Question

Describe the pharmacokinetics of fentanyl, explain the concept of context-sensitive half-time, and compare fentanyl with morphine.

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You have read the opening of this SAQ. The complete unit — every section and its primary-source references — is part of the Anaesthesia fellowship library.

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References7ShowHide
  1. [1]Ramos-Matos CF, et al. Fentanyl StatPearls, 2023.PMID 29083586
  2. [2]Patocka J, et al. Fentanyl and its derivatives: Pain-killers or man-killers? Heliyon, 2024.PMID 38644874
  3. [3]Bowdle TA Adverse effects of opioid agonists and agonist-antagonists in anaesthesia Drug Saf, 1998.PMID 9747665
  4. [4]Baldo BA, et al. Opioid toxicity: histamine, hypersensitivity, and MRGPRX2 Arch Toxicol, 2023.PMID 36344690
  5. [5]Feierman DE, et al. Metabolism of fentanyl, a synthetic opioid analgesic, by human liver microsomes. Role of CYP3A4 Drug Metab Dispos, 1996.PMID 8886601
  6. [6]Hughes MA, et al. Context-sensitive half-time in multicompartment pharmacokinetic models for intravenous anesthetic drugs Anesthesiology, 1992.PMID 1539843
  7. [7]Egan TD Remifentanil pharmacokinetics and pharmacodynamics. A preliminary appraisal Clin Pharmacokinet, 1995.PMID 7586903
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