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Alpha-1-acid glycoprotein and its potential impact on local anesthetic dose in neonates.

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Alpha‐1‐acid glycoprotein is an acute‐phase protein with a high affinity for amide local anesthetics. Compared to adults, neonates have lower concentrations of this glycoprotein in plasma, and are therefore at… Click to show full abstract

Alpha‐1‐acid glycoprotein is an acute‐phase protein with a high affinity for amide local anesthetics. Compared to adults, neonates have lower concentrations of this glycoprotein in plasma, and are therefore at higher risk of developing local anesthetic toxicity. Alpha‐1‐acid glycoprotein concentrations rise in adults after surgery as a response to stress as well as in inflammatory conditions. Previous studies have shown that concentrations of alpha‐1‐acid‐glycoprotein in neonates vary postpartum, influenced by gestational age and mode of delivery.

Keywords: glycoprotein potential; potential impact; local anesthetic; impact local; acid glycoprotein; alpha acid

Journal Title: Paediatric anaesthesia
Year Published: 2023

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