{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T09:04:37Z","timestamp":1764493477168},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2003,3,7]],"date-time":"2003-03-07T00:00:00Z","timestamp":1046995200000},"content-version":"vor","delay-in-days":34,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2003,2]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Despite the widespread use of paracetamol for many years, the analgesic serum concentrations of paracetamol are unknown. Therefore the correlation between serum paracetamol concentrations and the analgesic effect was studied.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Sixty\u2010four women undergoing laparoscopic sterilization were included in a double\u2010blind, placebo\u2010controlled, randomized study. Patients were given i.v. propacetamol 40\u2003mg\u2003kg<jats:sup>\u22121<\/jats:sup> (group H), 20\u2003mg\u2003kg<jats:sup>\u22121<\/jats:sup> (group I), 10\u2003mg\u2003kg<jats:sup>\u22121<\/jats:sup> (group L) or placebo after surgery. Alfentanil was available via patient\u2010controlled analgesia (PCA) during the 4\u2010h postoperative study period. The patients' self\u2010reported pain was registered on the visual analog scale (VAS). A pharmacokinetic model was fitted to the paracetamol data.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> One to 3\u2003h after injection of propacetamol the alfentanil consumption was significantly (<jats:italic>P\u2003=\u2003<\/jats:italic>0.01\u20130.04) higher in the placebo group compared with groups H, I, and L receiving propacetamol. There were no significant differences between the amounts of alfentanil consumed in groups H, I, and L. Initial VAS\u2010scores were moderate (5.4\u20136.2), and declined significantly (<jats:italic>P\u2003&lt;\u2003<\/jats:italic>0.0001) over time, with no difference between groups. Paracetamol followed an open two\u2010compartment model with i.v. administration and first order elimination. The estimated concentrations immediately (t\u2003=\u20030) after injection were 56\u2003mg\u2003l<jats:sup>\u22121<\/jats:sup>\u2003(H), 28\u2003mg\u2003l<jats:sup>\u22121<\/jats:sup>\u2003(I) and 14\u2003mg\u2003l<jats:sup>\u22121<\/jats:sup>\u2003(L).<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> We showed a significant opioid\u2010sparing effect of paracetamol in the immediate postoperative period. Pharmacokinetic data were in accordance with other studies. Our results suggest that a ceiling effect of paracetamol may be present at i.v. doses of 5\u2003mg\u2003kg<jats:sup>\u22121<\/jats:sup>, i.e. a serum concentration of 14\u2003mg\u2003l<jats:sup>\u22121<\/jats:sup>, which is a lower dose than previously suggested.<\/jats:p>","DOI":"10.1034\/j.1399-6576.2003.00046.x","type":"journal-article","created":{"date-parts":[[2003,3,10]],"date-time":"2003-03-10T09:51:22Z","timestamp":1047289882000},"page":"138-145","source":"Crossref","is-referenced-by-count":69,"title":["Analgesic effect of i.v. paracetamol: possible ceiling effect of paracetamol in postoperative pain"],"prefix":"10.1111","volume":"47","author":[{"given":"T. W.","family":"Hahn","sequence":"first","affiliation":[]},{"given":"T.","family":"Mogensen","sequence":"additional","affiliation":[]},{"given":"C.","family":"Lund","sequence":"additional","affiliation":[]},{"given":"L. 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