Anaes Vivas · Physiology
Data viva — concentration-time curves and the context-sensitive half-time
A Primary data viva — read a bi-exponential concentration-time curve and derive Vd, CL and kelim; explain the alpha (distribution) and beta (elimination) phases and why recovery from a bolus is governed by redistribution; then read the context-sensitive half-time-versus-duration graph and explain why remifentanil is flat while fentanyl, thiopental and alfentanil rise, and how this guides the choice of infusion opioid.
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Two graphs are shown. The first is a log-concentration-versus-time plot after an intravenous bolus, showing a bi-exponential decline with a steep alpha (distribution) phase and a shallow beta (elimination) phase, with the rate constants k12, k21 and k10 indicated. The second plots context-sensitive half-time (vertical, minutes) against infusion duration (horizontal, hours): a flat line at about 3 minutes labelled remifentanil, and rising curves labelled fentanyl, thiopental and alfentanil. Define Vd, CL and t1/2 from the first graph, explain the alpha and beta phases, and explain the shape of the CSHT curves.
References6ShowHide
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