Research Topics
| E OlofsenSummaryAffiliation: Leiden University Medical Center Country: The Netherlands Publications
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Detail Information
Publications
The influence of remifentanil on the dynamic relationship between sevoflurane and surrogate anesthetic effect measures derived from the EEGErik Olofsen
Department of Anesthesiology, Leiden University Medical Center, Leiden, The Netherlands
Anesthesiology 96:555-64. 2002....
Nonlinear mixed-effects modeling: individualization and predictionErik Olofsen
Department of Anesthesiology, Leiden University Medical Center, Leiden, The Netherlands
Aviat Space Environ Med 75:A134-40. 2004..The results serve to demonstrate the usefulness of mixed-effects modeling for data-driven development of individualized predictive models of fatigue and performance...
Population pharmacokinetics/pharmacodynamics of anestheticsErik Olofsen
Department of Anesthesiology, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands
AAPS J 7:E383-9. 2005....
Response surface modeling of alfentanil-sevoflurane interaction on cardiorespiratory control and bispectral indexA Dahan
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 94:982-91. 2001..The authors examined the influence of the combined administration of sevoflurane and alfentanil on ventilatory control, heart rate (HR), and Bispectral Index (BIS) in healthy volunteers...
Recirculatory and compartmental pharmacokinetic modeling of alfentanil in pigs: the influence of cardiac outputJ A Kuipers
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 90:1146-57. 1999..The influence of CO on the pharmacokinetic parameters of alfentanil in pigs was evaluated using compartmental and recirculatory models...
Propofol alters the pharmacokinetics of alfentanil in healthy male volunteersM J Mertens
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 94:949-57. 2001..The influence of propofol on the pharmacokinetics of alfentanil is poorly understood. The authors therefore studied the effect of a pseudo-steady state concentration of propofol on the pharmacokinetics of alfentanil...
Permutation entropy of the electroencephalogram: a measure of anaesthetic drug effectE Olofsen
Department of Anesthesiology, Leiden University Medical Center, Leiden University, Leiden, The Netherlands
Br J Anaesth 101:810-21. 2008....
Speed of onset and offset and mechanisms of ventilatory depression from sevoflurane: an experimental study in the catA Dahan
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 90:1119-28. 1999..To learn more about the mechanisms of sevoflurane-induced respiratory depression, the authors also studied its influence on the dynamic ventilatory response to carbon dioxide...
The dynamic relationship between end-tidal sevoflurane and isoflurane concentrations and bispectral index and spectral edge frequency of the electroencephalogramE Olofsen
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 90:1345-53. 1999..The authors analyzed the relationship between end-tidal sevoflurane and isoflurane concentrations (FET) and BIS and SEF and determined the speed of onset and offset of effect (t1/2k(e0))...
Mechanism-based PK/PD modeling of the respiratory depressant effect of buprenorphine and fentanyl in healthy volunteersA Yassen
Department of Pharmacology, Leiden Amsterdam Center for Drug Research, Leiden, The Netherlands
Clin Pharmacol Ther 81:50-8. 2007..56, 95% confidence interval (CI): 0.50-0.62), whereas fentanyl displayed full respiratory depressant effect (alpha=0.91, 95% CI: 0.19-1.62)...
Buprenorphine induces ceiling in respiratory depression but not in analgesiaA Dahan
Department of Anesthesiology, Leiden University Medical Center PO Box 9600, 2300 RC Leiden, The Netherlands
Br J Anaesth 96:627-32. 2006..The aim of the study was to compare buprenorphine's behaviour with respect to the occurrence of ceiling (or apparent maximum) in these typical micro-opioid protein-(MOP) receptor effects...
Comparison of the respiratory effects of intravenous buprenorphine and fentanyl in humans and ratsA Dahan
Department of Anesthesiology, Leiden University Medical Center, Leiden, The Netherlands
Br J Anaesth 94:825-34. 2005..To study whether an apparent ceiling effect exists for respiratory depression induced by buprenorphine, we compared the respiratory effects of buprenorphine and fentanyl in humans and rats...
Validation of a novel respiratory rate monitor based on exhaled humidityM Niesters
Department of Anesthesiology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands
Br J Anaesth 109:981-9. 2012..measurement is inadequate when used with supplemental oxygen and ECG-derived RR is subject to artifacts. A new monitor measures RR by quantifying the humidity of exhaled air (respiR8(®))...
Recirculatory pharmacokinetics and pharmacodynamics of rocuronium in patients: the influence of cardiac outputJ A Kuipers
Department of Anesthesiology, Leiden University Medical Center, Leiden, The Netherlands
Anesthesiology 94:47-55. 2001..For drugs with a fast onset of effect, a recirculatory model, which includes CO, can give a good description of the relation between concentration and effect, in contrast to a conventional compartmental pharmacokinetic model...
Modeling population pharmacokinetics of lidocaine: should cardiac output be included as a patient factor?J A Kuipers
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 94:566-73. 2001..Inclusion of cardiac output and other physiologic parameters, in addition to or instead of, demographic variables might improve the population pharmacokinetic modeling of lidocaine...
Pharmacokinetic-pharmacodynamic modeling of morphine-6-glucuronide-induced analgesia in healthy volunteers: absence of sex differencesRaymonda Romberg
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 100:120-33. 2004..The predictive pharmacokinetic-pharmacodynamic model was applied successfully and was used to estimate M6G analgesia after morphine in patients with normal and impaired renal function...
Mechanism-based pharmacokinetic-pharmacodynamic modelling of the reversal of buprenorphine-induced respiratory depression by naloxone : a study in healthy volunteersAshraf Yassen
Division of Pharmacology, Leiden Amsterdam Centre for Drug Research, Leiden, The Netherlands
Clin Pharmacokinet 46:965-80. 2007..The aim of this study was to characterise the pharmacodynamic interaction between buprenorphine and naloxone in healthy volunteers...
Pharmacokinetic-pharmacodynamic modeling of the effectiveness and safety of buprenorphine and fentanyl in ratsAshraf Yassen
Division of Pharmacology, Gorlaeus Laboratories, Leiden Amsterdam Center for Drug Research, Leiden, The Netherlands
Pharm Res 25:183-93. 2008..The objective of this investigation was to characterize the relationship between buprenorphine or fentanyl exposure and the effectiveness and safety outcome in rats...
The interaction between propofol and clonidine for loss of consciousnessHideyuki Higuchi
Department of Anesthesia, Self Defense Force Central Hospital, Tokyo, Japan
Anesth Analg 94:886-91, table of contents. 2002..These results indicate that propofol and clonidine act additively for loss of consciousness. IMPLICATIONS: Oral clonidine 2.5 and 5.0 microg/kg premedication decreases the propofol concentration required for loss of consciousness...
Response surface modeling of remifentanil-propofol interaction on cardiorespiratory control and bispectral indexDiederik J F Nieuwenhuijs
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 98:312-22. 2003..When combined, their effect on respiration is strikingly synergistic, resulting in severe respiratory depression...
Propofol reduces perioperative remifentanil requirements in a synergistic manner: response surface modeling of perioperative remifentanil-propofol interactionsMartijn J Mertens
Department of Anesthesiology, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands
Anesthesiology 99:347-59. 2003..The authors studied the effect of propofol on remifentanil requirements for suppression of responses to clinically relevant stimuli and evaluated this in relation to previously published data on propofol and alfentanil...
Influence of propofol on the control of breathingAlbert Dahan
Department of Anaesthesiology, Leiden University Medical Center, Leiden, The Netherlands
Adv Exp Med Biol 523:81-92. 2003
Mixed-model regression analysis and dealing with interindividual differencesHans P A Van Dongen
Unit for Experimental Psychiatry, University of Pennsylvania School of Medicine, Pennsylvania, Philadelphia 19104-6021, USA
Methods Enzymol 384:139-71. 2004
Mixed-effects modeling of the influence of alfentanil on propofol pharmacokineticsMartijn J Mertens
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 100:795-805. 2004..CONCLUSIONS: Alfentanil alters the pharmacokinetics of propofol. Cardiac output and heart rate have an important influence on the pharmacokinetics of propofol...
Simultaneous measurement and integrated analysis of analgesia and respiration after an intravenous morphine infusionAlbert Dahan
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 101:1201-9. 2004..Both respiratory and pain measurements were performed over single 24-h time spans...
Pharmacodynamic effect of morphine-6-glucuronide versus morphine on hypoxic and hypercapnic breathing in healthy volunteersRaymonda Romberg
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 99:788-98. 2003..Furthermore, the speed of onset/offset of M6G is faster than morphine by a factor of approximately 2. The authors discuss some of the possible mechanisms for the observed differences in opioid behavior...
Animal-to-human extrapolation of the pharmacokinetic and pharmacodynamic properties of buprenorphineAshraf Yassen
Leiden Amsterdam Center for Drug Research, Division of Pharmacology, Gorleaus Laboratories, Leiden, The Netherlands
Clin Pharmacokinet 46:433-47. 2007..This investigation describes the interspecies scaling of the pharmacokinetics and pharmacodynamics of buprenorphine...
Increased margin of safety of morphine-6-glucuronide relative to morphineRaymonda Romberg
Anesthesiology 100:1622; author reply 1622-3. 2004
Naloxone reversal of buprenorphine-induced respiratory depressionEveline van Dorp
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 105:51-7. 2006..Because respiratory depression from buprenorphine may outlast the effects of naloxone boluses or short infusions, a continuous infusion of naloxone may be required to maintain reversal of respiratory depression...
Mechanism-based pharmacokinetic-pharmacodynamic modeling of the antinociceptive effect of buprenorphine in healthy volunteersAshraf Yassen
Leiden/Amsterdam Center for Drug Research, Division of Pharmacology, Gorlaeus Laboratories, The Netherlands
Anesthesiology 104:1232-42. 2006..In the dose range studied, no saturation of receptor occupancy occurred explaining the lack of a ceiling effect for antinociception...
Pharmacokinetic-pharmacodynamic modeling of the antinociceptive effect of buprenorphine and fentanyl in rats: role of receptor equilibration kineticsAshraf Yassen
Leiden/Amsterdam Center for Drug Research, Division of Pharmacology, Gorlaeus Laboratories, The Netherlands
J Pharmacol Exp Ther 313:1136-49. 2005..In contrast to earlier reports in the literature, the findings of this study show that the rate-limiting step in the onset and offset of buprenorphine's antinociceptive effect is distribution to the brain...
Alfentanil and placebo analgesia: no sex differences detected in models of experimental painErik Olofsen
Department of Anesthesiology, Leiden University Medical Center, Leiden, The Netherlands
Anesthesiology 103:130-9. 2005..e., placebo) contributes to the large between-subject response variability with alfentanil analgesia. The difference in alfentanil analgesia onset and offset between pain tests is discussed...
Polymorphism of mu-opioid receptor gene (OPRM1:c.118A>G) does not protect against opioid-induced respiratory depression despite reduced analgesic responseRaymonda R Romberg
Department of Anesthesiology, Leiden University Medical Center, The Netherlands
Anesthesiology 102:522-30. 2005..118A>G) was investigated on morphine-6-glucuronide (M6G)-induced analgesia and respiratory depression in a group of healthy volunteers...
