Page last updated: 2024-10-21

phenytoin and Critical Illness

phenytoin has been researched along with Critical Illness in 25 studies

Critical Illness: A disease or state in which death is possible or imminent.

Research Excerpts

ExcerptRelevanceReference
"How aggressively these seizures should be treated is unclear."6.52Lacosamide in status epilepticus: Update on the TRENdS study. ( Husain, AM, 2015)
"Sixty critically ill pediatric patients receiving phenytoin for treatment of seizures in a large multidisciplinary intensive care unit."3.73Total phenytoin concentrations do not accurately predict free phenytoin concentrations in critically ill children. ( Dodson, B; McClain, CD; McManus, ML; Wolf, GK; Zurakowski, D, 2006)
"Because hypoalbuminemia is common in the ICU setting, inappropriate ordering of serum albumin levels may lead to unnecessary albumin administration or excessive macronutrient administration in nutritional regimens, leading to possible adverse effects and added costs."2.72Serum Albumin Levels: Who Needs Them? ( Erstad, BL, 2021)
" Modifying dosing according to SIRS will improve the prediction accuracy of drug concentration based on TDM."2.55[Evaluation of Pharmacotherapy on Emergency and Intensive Care Medicine: The Influence of Intensity and Duration of Invasion]. ( Imai, T, 2017)
"The aim of this review was to evaluate current literature for dosing recommendations for the use of antiepileptic medications in patients receiving renal replacement therapy (RRT)."2.53Antiepileptic dosing for critically ill adult patients receiving renal replacement therapy. ( Bastin, ML; Cook, AM; Oyler, DR; Smetana, KS, 2016)
"How aggressively these seizures should be treated is unclear."2.52Lacosamide in status epilepticus: Update on the TRENdS study. ( Husain, AM, 2015)
" Case reports describe phenytoin toxicity secondary to inappropriate dosage adjustments based solely on total serum concentrations in patients with hypoalbuminemia."2.44Therapeutic drug monitoring of phenytoin in critically ill patients. ( Spriet, I; von Winckelmann, SL; Willems, L, 2008)
" The objectives of this study are to develop an ex-vivo in-vivo correlation (EVIVC) model to predict drug clearance for commonly used antiepileptics and to evaluate similarity in drug extraction across different CRRT modalities to extrapolate dosing recommendations."1.72Development and Use of an Ex-Vivo In-Vivo Correlation to Predict Antiepileptic Drug Clearance in Patients Undergoing Continuous Renal Replacement Therapy. ( Armahizer, M; Badjatia, N; Gobburu, JV; Gopalakrishnan, M; Kalaria, SN; McCarthy, P, 2022)
"Phenytoin has a narrow therapeutic index and the potential of under-treatment or toxicity."1.56A Novel Correction Equation Avoids High-Magnitude Errors in Interpreting Therapeutic Drug Monitoring of Phenytoin Among Critically Ill Patients. ( Barra, ME; Chung, DY; Phillips, KM; Rosenthal, ES, 2020)
"Phenytoin is a common medication for seizure treatment and prophylaxis in the intensive care unit (ICU)."1.43Correlation of Free and Total Phenytoin Serum Concentrations in Critically Ill Patients. ( Barletta, JF; Bikin, DS; Buckley, MS; Reeves, BA, 2016)
" A population pharmacokinetic approach was used to analyze paired protein-unbound and total phenytoin plasma concentrations (nā€‰=ā€‰146 each) from 32 critically ill children (0."1.42Population pharmacokinetics of phenytoin in critically ill children. ( Charles, B; Foster, K; Hennig, S; Lister, B; Norris, R; Riney, K; Tu, Q; van Breda, K, 2015)
" Future studies are needed to look at the dosing and monitoring of phenytoin and/or alternative anti-seizure prophylaxis in patients with traumatic brain injury."1.42Anti-seizure prophylaxis in critically ill patients with traumatic brain injury in an intensive care unit. ( Chapman, MJ; Edwards, S; Milne, D; Shakib, S; Sundararajan, K, 2015)
" A loading dose of intravenous phenytoin 2700 mg was administered, followed by maintenance dosing of intravenous phenytoin 150 mg every 8 hours."1.39Phenytoin removal by continuous venovenous hemofiltration. ( Herrmann, DJ; Oltrogge, KM; Peppard, WJ; Regner, KR; Saleh, M, 2013)
" Plasma concentrations of total phenytoin, unbound phenytoin, and the major metabolite of phenytoin, 5-(p-hydroxyphenyl)-5-phenylhydantoin, were measured, and pharmacokinetic variables obtained before and after barbiturate therapy were compared."1.29Effect of barbiturate therapy on phenytoin pharmacokinetics. ( Abe, J; Asada, A; Fujimori, M; Kaji, A; Nishi, S; Oda, Y; Yoshida, N, 1993)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's6 (24.00)18.2507
2000's2 (8.00)29.6817
2010's13 (52.00)24.3611
2020's4 (16.00)2.80

Authors

AuthorsStudies
Kalaria, SN1
Armahizer, M1
McCarthy, P1
Badjatia, N1
Gobburu, JV1
Gopalakrishnan, M1
Wiebe, AZ1
Terry, K1
Skaggs, J1
Barra, ME1
Phillips, KM1
Chung, DY1
Rosenthal, ES1
Erstad, BL1
Imai, T1
Bolt, J1
Gorman, SK1
Kane, SP3
Bress, AP2
Tesoro, EP2
Brown, AL1
Sangha, KS1
Mueller, EW1
Kaur, D1
Keegan, SP1
Oltrogge, KM1
Peppard, WJ1
Saleh, M1
Regner, KR1
Herrmann, DJ1
Hennig, S1
Norris, R1
Tu, Q1
van Breda, K1
Riney, K1
Foster, K1
Lister, B1
Charles, B1
Husain, AM1
Sundararajan, K1
Milne, D1
Edwards, S1
Chapman, MJ1
Shakib, S1
Buckley, MS2
Reeves, BA1
Barletta, JF2
Bikin, DS2
Kaufman, BA1
Smetana, KS1
Cook, AM1
Bastin, ML1
Oyler, DR1
von Winckelmann, SL1
Spriet, I1
Willems, L1
Wolf, GK1
McClain, CD1
Zurakowski, D1
Dodson, B1
McManus, ML1
Zielmann, S1
Mielck, F1
Kahl, R1
Kazmaier, S1
Sydow, M1
Kolk, J1
Burchardi, H1
Lindow, J1
Wijdicks, EF1
Yoshida, N1
Oda, Y1
Nishi, S1
Abe, J1
Kaji, A1
Asada, A1
Fujimori, M1
Mlynarek, ME1
Peterson, EL1
Zarowitz, BJ1
Williams, PJ1
Roberts, WL1
De, BK1
Coleman, JP1
Annesley, TM1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Study of Pharmacokinetics of Levetiracetam in Patients Undergoing Intermittent Hemodialysis[NCT04511676]12 participants (Actual)Observational2018-11-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

6 reviews available for phenytoin and Critical Illness

ArticleYear
Serum Albumin Levels: Who Needs Them?
    The Annals of pharmacotherapy, 2021, Volume: 55, Issue:6

    Topics: Adult; Critical Illness; Humans; Hypoalbuminemia; Intensive Care Units; Phenytoin; Serum Albumin

2021
[Evaluation of Pharmacotherapy on Emergency and Intensive Care Medicine: The Influence of Intensity and Duration of Invasion].
    Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan, 2017, Volume: 137, Issue:12

    Topics: Critical Care; Critical Illness; Drug Monitoring; Drug Therapy; Emergency Medical Services; Humans;

2017
Precision, bias, and clinical utility of the Sheiner-Tozer equation to guide phenytoin dosing in critically ill adults.
    Journal of clinical pharmacology, 2013, Volume: 53, Issue:4

    Topics: Adult; Algorithms; Anticonvulsants; Critical Illness; Dose-Response Relationship, Drug; Humans; Phen

2013
Lacosamide in status epilepticus: Update on the TRENdS study.
    Epilepsy & behavior : E&B, 2015, Volume: 49

    Topics: Acetamides; Anticonvulsants; Critical Illness; Humans; Lacosamide; Phenytoin; Recurrence; Seizures;

2015
Antiepileptic dosing for critically ill adult patients receiving renal replacement therapy.
    Journal of critical care, 2016, Volume: 36

    Topics: Acetamides; Acute Kidney Injury; Amines; Anticonvulsants; Carbamates; Critical Illness; Cyclohexanec

2016
Therapeutic drug monitoring of phenytoin in critically ill patients.
    Pharmacotherapy, 2008, Volume: 28, Issue:11

    Topics: Animals; Anticonvulsants; Critical Illness; Drug Monitoring; Humans; Phenytoin

2008

Other Studies

19 other studies available for phenytoin and Critical Illness

ArticleYear
Development and Use of an Ex-Vivo In-Vivo Correlation to Predict Antiepileptic Drug Clearance in Patients Undergoing Continuous Renal Replacement Therapy.
    Pharmaceutical research, 2022, Volume: 39, Issue:5

    Topics: Albumins; Anticonvulsants; Continuous Renal Replacement Therapy; Critical Illness; Drug Elimination

2022
Phenytoin Serum Concentrations in Patients With Left Ventricular Support Devices: A Case Series.
    Journal of pharmacy practice, 2021, Volume: 34, Issue:2

    Topics: Critical Illness; Extracorporeal Membrane Oxygenation; Heart-Assist Devices; Humans; Phenytoin; Retr

2021
A Novel Correction Equation Avoids High-Magnitude Errors in Interpreting Therapeutic Drug Monitoring of Phenytoin Among Critically Ill Patients.
    Therapeutic drug monitoring, 2020, Volume: 42, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Anticonvulsants; Critical Care; Critical Illness; Drug Monitoring; F

2020
Characterization of unbound phenytoin concentrations in neurointensive care unit patients using a revised Winter-Tozer equation.
    The Annals of pharmacotherapy, 2013, Volume: 47, Issue:5

    Topics: Adult; Age Factors; Aged; Algorithms; Anticonvulsants; Body Weight; Creatinine; Critical Illness; Hu

2013
Response to "Characterization of unbound phenytoin concentrations in neurointensive care unit patients using a revised Winter-Tozer equation" by Sean P. Kane, Adam P. Bress, and Eljim P. Tesoro.
    The Annals of pharmacotherapy, 2013, Volume: 47, Issue:10

    Topics: Algorithms; Anticonvulsants; Critical Illness; Humans; Intensive Care Units; Phenytoin

2013
Phenytoin removal by continuous venovenous hemofiltration.
    The Annals of pharmacotherapy, 2013, Volume: 47, Issue:9

    Topics: Acute Kidney Injury; Anticonvulsants; Critical Illness; Female; Hemofiltration; Humans; Liver Diseas

2013
Author response to Brown et al characterization of free phenytoin concentrations in neurointensive care unit patients using a revised Winter-Tozer equation.
    The Annals of pharmacotherapy, 2013, Volume: 47, Issue:12

    Topics: Algorithms; Anticonvulsants; Critical Illness; Humans; Intensive Care Units; Phenytoin

2013
Population pharmacokinetics of phenytoin in critically ill children.
    Journal of clinical pharmacology, 2015, Volume: 55, Issue:3

    Topics: Adolescent; Age Factors; Anticonvulsants; Child; Child, Preschool; Critical Illness; Female; Hospita

2015
Anti-seizure prophylaxis in critically ill patients with traumatic brain injury in an intensive care unit.
    Anaesthesia and intensive care, 2015, Volume: 43, Issue:5

    Topics: Adult; Aged; Anticonvulsants; Brain Injuries; Critical Illness; Female; Humans; Intensive Care Units

2015
Correlation of Free and Total Phenytoin Serum Concentrations in Critically Ill Patients.
    The Annals of pharmacotherapy, 2016, Volume: 50, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Anticonvulsants; Critical Illness; Decision Making; Female; Humans;

2016
Reply: Correlation of Free and Total Phenytoin Serum Concentrations in Critically Ill Patients.
    The Annals of pharmacotherapy, 2016, Volume: 50, Issue:6

    Topics: Anticonvulsants; Critical Illness; Humans; Phenytoin; Protein Binding; Seizures

2016
Comment: Correlation of Free and Total Phenytoin Serum Concentrations in Critically Ill Patients.
    The Annals of pharmacotherapy, 2016, Volume: 50, Issue:6

    Topics: Anticonvulsants; Critical Illness; Humans; Phenytoin

2016
Total phenytoin concentrations do not accurately predict free phenytoin concentrations in critically ill children.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2006, Volume: 7, Issue:5

    Topics: Adolescent; Adult; Anti-Bacterial Agents; Anticonvulsants; Blood Chemical Analysis; Cefazolin; Child

2006
A rational basis for the measurement of free phenytoin concentration in critically ill trauma patients.
    Therapeutic drug monitoring, 1994, Volume: 16, Issue:2

    Topics: Adolescent; Adult; Aged; Craniocerebral Trauma; Critical Illness; Female; Humans; Kidney; Liver; Mal

1994
Phenytoin toxicity associated with hypoalbuminemia in critically ill patients.
    Chest, 1994, Volume: 105, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Critical Illness; Epilepsy, Tonic-Clonic; Female; Humans; Male; Midd

1994
Effect of barbiturate therapy on phenytoin pharmacokinetics.
    Critical care medicine, 1993, Volume: 21, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Critical Illness; Epilepsy; Female; Humans; Intracranial Pressure; M

1993
Predicting unbound phenytoin concentrations in the critically ill neurosurgical patient.
    The Annals of pharmacotherapy, 1996, Volume: 30, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Critical Illness; Female; Humans; Intensive Care Units; Male; Mathem

1996
Comment: predicting unbound phenytoin concentrations in the critically ill neurosurgical patient.
    The Annals of pharmacotherapy, 1996, Volume: 30, Issue:10

    Topics: Critical Illness; Humans; Neurosurgical Procedures; Phenytoin; Regression Analysis

1996
Falsely increased immunoassay measurements of total and unbound phenytoin in critically ill uremic patients receiving fosphenytoin.
    Clinical chemistry, 1999, Volume: 45, Issue:6 Pt 1

    Topics: Acute Kidney Injury; Anticonvulsants; Chromatography, High Pressure Liquid; Critical Illness; Cross

1999