Understanding the stability of dopamine and dobutamine over 24 h in simulated neonatal ward conditions
File(s)stability-paper-peddrugs CLEAN.docx (712.12 KB)
Accepted version
Author(s)
Kirupakaran, K
Mahoney, L
Rabe, H
Patel, BA
Type
Journal Article
Abstract
OBJECTIVES: Our objectives were to investigate the possible effects of temperature and light on the stability of dopamine and dobutamine continuous infusions over 24 h when prepared in a variety of dilution vehicles. METHODS: Syringe-driver infusion apparatuses were set up for dopamine and dobutamine diluted with either 0.9% sodium chloride (NaCl) or 5% glucose delivering 3 and 5 μg/kg/min, respectively, via 206-cm extension sets. All infusions were prepared for a neonate weight of 1 kg. Infusions were run over 24 h with approximately half the tubing within an incubator set at 35 °C. Cyclic voltammetry was used to monitor the concentration of the inotrope within the syringe and at the end of the extension set, both initially and after 24 h. RESULTS: The variation in the concentration of dopamine and dobutamine in the vials (n = 6) was 3.58 and 1.22%, respectively. This variation increased to 10.88% for dopamine and 5.76% for dobutamine in the syringe. After 24 h, a significant reduction in the concentration of dopamine was observed at the end of the extension set when prepared in 0.9% NaCl versus 5% glucose (p < 0.001; n = 6-7) and in dobutamine when prepared in 0.9% NaCl (p < 0.001; n = 6-7). No differences in the concentration of dopamine prepared in 0.9% NaCl were observed after 24 h in light-exposed and light-protected extension sets (n = 6-7). CONCLUSIONS: Dobutamine is more stable in dilution vehicles than dopamine, and inotropes are more stable in the 5% glucose dilution vehicle than in 0.9% NaCl. Such findings will provide guidance on the choice of inotropes.
Date Issued
2017-05-17
Date Acceptance
2017-05-01
Citation
Paediatric Drugs, 2017, 19 (5), pp.487-495
ISSN
1174-5878
Publisher
Springer
Start Page
487
End Page
495
Journal / Book Title
Paediatric Drugs
Volume
19
Issue
5
Copyright Statement
© Springer International Publishing Switzerland 2017. The final publication is available at Springer via https://link.springer.com/article/10.1007%2Fs40272-017-0234-4
Identifier
PII: 10.1007/s40272-017-0234-4
Subjects
1114 Paediatrics And Reproductive Medicine
1115 Pharmacology And Pharmaceutical Sciences
Pediatrics
Publication Status
Published