Obstetric anesthesia

A study of the pharmacokinetics and pharmacodynamics of oxytocin at elective caesarean delivery

AnaesthesiaPublished Pharmacokinetic and pharmacodynamic study

Authors' conclusion

In conclusion, we observed a large variation in serum oxytocin concentrations between individuals receiving similar doses of oxytocin and were unable to establish weight-based dosing of exogenous oxytocin at caesarean delivery.

Study context

Population
Women at elective caesarean delivery receiving exogenous oxytocin (initiating bolus and maintenance infusion)
Participants
25 women
Outcome
Oxytocin pharmacokinetics and pharmacodynamics in the first 40 min
Follow-up
First 40 min
Methodological detailsone-compartment pharmacokinetic model
  • One-compartment pharmacokinetic model

Main finding

As reported in the abstract

Volume of distribution (mean [coefficient of variation])

156.1 l

18%

Clearance (mean [coefficient of variation])

83 ml.s-1

32%

Original publication

A study of the pharmacokinetics and pharmacodynamics of oxytocin at elective caesarean delivery. Anaesthesia. Published 18 August 2023. doi:10.1111/anae.16109

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