Neuroanesthesia & neurocritical care

Intestinal Drug Absorption After Subarachnoid Hemorrhage and Elective Neurosurgery: Insights From Esomeprazole Pharmacokinetics

Crit Care MedPublished Prospective observational cohort study

Authors' conclusion

Following SAH, significantly reduced drug absorption may be attributed to decreased intestinal motility and compromised intestinal mucosal function.

Study context

Population
Patients with high-grade subarachnoid hemorrhage (SAH) and elective cranial surgery controls receiving esomeprazole (orally or via nasogastric tube), academic hospital in Germany
Participants
17 vs 17
Exposure
High-grade SAH vs elective cranial surgery controls
  • SAHn = 17
  • Controlsn = 17reference
Outcome
Intestinal drug absorption (esomeprazole)
Methodological detailssingle-centre, Esomeprazole serum concentrations measured on days 1, 3 and 4 in both groups and day 7 in the SAH group
  • Single-centre
  • Esomeprazole serum concentrations measured on days 1, 3 and 4 in both groups and day 7 in the SAH group

Main finding

As reported in the abstract

  • Severely impaired drug absorption in patients with high-grade SAH

Observational data: associations, not effects.

Further findings

Intestinal drug absorption, SAH group · a week after hemorrhage

Most patients showed no improvement

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Intestinal Drug Absorption After Subarachnoid Hemorrhage and Elective Neurosurgery: Insights From Esomeprazole Pharmacokinetics. Crit Care Med. Published 20 November 2024. doi:10.1097/ccm.0000000000006512

Composed by AI from the published abstract and checked against it. How Briefs are made →

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