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. 2020 Sep 8;126(1):139–148. doi: 10.1016/j.bja.2020.07.053

Table 2.

Pharmacokinetic models and sedation algorithms used in published studies. Terms are defined as follows: Starting concentration, the concentration of propofol at which participants commence the sedation regime; Increment concentration, the increase applied to the target-site concentration of propofol obtained by each participant handheld trigger activation; Lock-out time, the time after an increment in target-site concentration during which a subsequent handheld trigger activation will not cause a further increment; Maximum obtainable concentration, the ‘ceiling’ target-site concentration, above which the sedation will not increment regardless of handheld trigger activations; Decrement concentration, the target-site concentration reduction which is automatically applied in the event of no handheld trigger activations within the decrement time; Decrement time, the time which must expire with no handheld trigger activations before the decrement concentration is automatically applied; Minimum concentration, the target-site concentration below which the sedation will not decrement during the sedation period.

Authors Year Propofol model Target-site Starting concentration (μg ml−1) Increment concentration (μg ml−1) Lock-out (sec) Maximum obtainable concentration (μg ml−1) Decrement concentration (μg ml−1) Decrement time (s) Minimum concentration (μg ml−1)
Irwin and colleagues8 1997 Marsh Plasma 1.0 0.2 120 3.0 0.2 Variable 0.2
Murdoch and Kenny9 1999 Marsh Plasma 1.0 0.2 120 3.0 Unspecified 360 0.2
Murdoch and colleagues10 2000 Marsh Plasma 1.0 0.2 120 3.0 Unspecified 360 0.2
Gillham and colleagues11 2001 Marsh Plasma 1.0 0.2 120 3.0 0.2 360 Unspecified
Henderson and colleagues12 2002 Marsh Plasma 0.5 0.1 240 3.0 Unspecified Unspecified Unspecified
Leitch and colleagues13 2003 Marsh Plasma 1.0 0.2 120 3.0 0.2 360 Unspecified
Rodrigo and colleagues14 2003 Marsh Plasma 1.4 0.2 120 3.0 0.2 Variable 0.2
Campbell and colleagues15 2004 Marsh Plasma 1.0 0.2 120 4.5 Unspecified Unspecified Unspecified
Leitch and colleagues16 2004 Marsh Plasma 1.0 0.2 120 3.0 Unspecified 360 Unspecified
Rodrigo and colleagues17 2004 Marsh Plasma 1.4 0.2 120 3.0 0.2 Variable 0.2
Anderson and colleagues18 2005 Marsh Effect-site 1.0 0.2 Variable No maximum 0.2 360 Unspecified
Chapman and colleagues19 2006 Marsh Effect-site 1.0 0.2 Variable No maximum No decrement N/A Unspecified
Stonell and colleagues20 2006 Schnider Effect-site 0.8 0.1 180 No maximum 0.1 300 Unspecified
Allam and colleagues21 2013 Marsh Effect-site 1.0 0.2 Variable 3.0 Variable Variable Unspecified
O'Brien and colleagues22 2013 Marsh Effect-site 1.0 0.2 Variable 3.0 No decrement N/A Unspecified
Hewson and colleagues23 2019 Schnider Effect-site 0.5 0.2 Variable 2.0 0.1 360 0.5
Hewson and colleagues24 2019 Schnider Effect-site 0.5 0.2 120 2.0 0.1 900 0.5