RESUMO
The study was carried out on 13 children (2-12 years) subjected to abdominal aortography. The children were divided into 2 groups. Changes in plasma concentrations of ketamine and its metabolism were evaluated during anesthesia after bolus injection of ionic highly osmolar and nonionic low-osmolar x-ray contrast agents (RCA). Injection of an RCA bolus was associated with a 2-fold more rapid drop of the anesthetic concentration in the blood, increase of renal clearance of ketamine and its metabolites; the osmotic effect of ionic highly osmolar and nonionic low-osmolar RCA on ketamine pharmacokinetics virtually did not differ.
Assuntos
Anestésicos Dissociativos/sangue , Aorta Abdominal/diagnóstico por imagem , Aortografia , Meios de Contraste/administração & dosagem , Ketamina/sangue , Fatores Etários , Anestésicos Dissociativos/metabolismo , Anestésicos Dissociativos/farmacocinética , Criança , Pré-Escolar , Cromatografia , Humanos , Ketamina/metabolismo , Ketamina/farmacocinética , Espectrometria de MassasRESUMO
Human urinary metabolites of the synthetic corticosteroids prednisone and prednisolone were detected in the course of gas chromatographic steroid profiling as methoxime-trimethylsilyl derivatives. Metabolites were provisionaly identified by combined gas chromatography-mass spectrometry. The major metabolites were 11-keto/11-hydroxy conversion products, 20-hydroxy and 4,5-dihydro analogues of the parent drugs. Cortisone, 6-hydroxy and fully saturated A-ring compounds were minor metabolites. Retention indices and mass spectral data are presented.