id sid tid token lemma pos cord-277535-u283k70i 1 1 key key NN cord-277535-u283k70i 1 2 : : : cord-277535-u283k70i 2 1 cord-277535-u283k70i cord-277535-u283k70i JJ cord-277535-u283k70i 2 2 authors author NNS cord-277535-u283k70i 2 3 : : : cord-277535-u283k70i 2 4 Vaja Vaja NNP cord-277535-u283k70i 2 5 , , , cord-277535-u283k70i 2 6 Rakesh Rakesh NNP cord-277535-u283k70i 2 7 ; ; : cord-277535-u283k70i 2 8 Rana Rana NNP cord-277535-u283k70i 2 9 , , , cord-277535-u283k70i 2 10 Meenal Meenal NNP cord-277535-u283k70i 2 11 title title NN cord-277535-u283k70i 2 12 : : : cord-277535-u283k70i 2 13 Drugs drug NNS cord-277535-u283k70i 2 14 and and CC cord-277535-u283k70i 2 15 the the DT cord-277535-u283k70i 2 16 liver liver NN cord-277535-u283k70i 2 17 date date NN cord-277535-u283k70i 2 18 : : : cord-277535-u283k70i 2 19 2020 2020 CD cord-277535-u283k70i 2 20 - - HYPH cord-277535-u283k70i 2 21 09 09 CD cord-277535-u283k70i 2 22 - - SYM cord-277535-u283k70i 2 23 22 22 CD cord-277535-u283k70i 2 24 journal journal NN cord-277535-u283k70i 2 25 : : : cord-277535-u283k70i 2 26 nan nan NNP cord-277535-u283k70i 2 27 DOI DOI NNP cord-277535-u283k70i 2 28 : : : cord-277535-u283k70i 2 29 10.1016/ 10.1016/ CD cord-277535-u283k70i 3 1 j.mpaic.2020.07.001 j.mpaic.2020.07.001 NNP cord-277535-u283k70i 3 2 sha sha NNP cord-277535-u283k70i 3 3 : : : cord-277535-u283k70i 3 4 76c266aedbe4bdbed2e120d7b967ff1fb16056cb 76c266aedbe4bdbed2e120d7b967ff1fb16056cb CD cord-277535-u283k70i 3 5 doc_id doc_id CD cord-277535-u283k70i 3 6 : : : cord-277535-u283k70i 3 7 277535 277535 CD cord-277535-u283k70i 3 8 cord_uid cord_uid NNS cord-277535-u283k70i 3 9 : : : cord-277535-u283k70i 3 10 u283k70i u283k70i JJ cord-277535-u283k70i 4 1 The the DT cord-277535-u283k70i 4 2 liver liver NN cord-277535-u283k70i 4 3 is be VBZ cord-277535-u283k70i 4 4 a a DT cord-277535-u283k70i 4 5 major major JJ cord-277535-u283k70i 4 6 organ organ NN cord-277535-u283k70i 4 7 with with IN cord-277535-u283k70i 4 8 multiple multiple JJ cord-277535-u283k70i 4 9 functions function NNS cord-277535-u283k70i 4 10 . . . cord-277535-u283k70i 5 1 A a DT cord-277535-u283k70i 5 2 number number NN cord-277535-u283k70i 5 3 of of IN cord-277535-u283k70i 5 4 drugs drug NNS cord-277535-u283k70i 5 5 are be VBP cord-277535-u283k70i 5 6 metabolized metabolize VBN cord-277535-u283k70i 5 7 by by IN cord-277535-u283k70i 5 8 the the DT cord-277535-u283k70i 5 9 liver liver NN cord-277535-u283k70i 5 10 during during IN cord-277535-u283k70i 5 11 phase phase NN cord-277535-u283k70i 5 12 1 1 CD cord-277535-u283k70i 5 13 and and CC cord-277535-u283k70i 5 14 2 2 CD cord-277535-u283k70i 5 15 reactions reaction NNS cord-277535-u283k70i 5 16 which which WDT cord-277535-u283k70i 5 17 include include VBP cord-277535-u283k70i 5 18 complex complex JJ cord-277535-u283k70i 5 19 processes process NNS cord-277535-u283k70i 5 20 involving involve VBG cord-277535-u283k70i 5 21 cytochrome cytochrome NN cord-277535-u283k70i 5 22 P450 p450 JJ cord-277535-u283k70i 5 23 enzymes enzyme NNS cord-277535-u283k70i 5 24 . . . cord-277535-u283k70i 6 1 Genetic genetic JJ cord-277535-u283k70i 6 2 and and CC cord-277535-u283k70i 6 3 acquired acquire VBD cord-277535-u283k70i 6 4 variability variability NN cord-277535-u283k70i 6 5 in in IN cord-277535-u283k70i 6 6 cytochrome cytochrome NN cord-277535-u283k70i 6 7 P450 p450 JJ cord-277535-u283k70i 6 8 activity activity NN cord-277535-u283k70i 6 9 may may MD cord-277535-u283k70i 6 10 have have VB cord-277535-u283k70i 6 11 profound profound JJ cord-277535-u283k70i 6 12 effects effect NNS cord-277535-u283k70i 6 13 on on IN cord-277535-u283k70i 6 14 pharmacokinetics pharmacokinetic NNS cord-277535-u283k70i 6 15 . . . cord-277535-u283k70i 7 1 Additionally additionally RB cord-277535-u283k70i 7 2 , , , cord-277535-u283k70i 7 3 drugs drug NNS cord-277535-u283k70i 7 4 can can MD cord-277535-u283k70i 7 5 also also RB cord-277535-u283k70i 7 6 modify modify VB cord-277535-u283k70i 7 7 how how WRB cord-277535-u283k70i 7 8 the the DT cord-277535-u283k70i 7 9 liver liver NN cord-277535-u283k70i 7 10 functions function NNS cord-277535-u283k70i 7 11 and and CC cord-277535-u283k70i 7 12 cause cause VB cord-277535-u283k70i 7 13 dysfunction dysfunction NN cord-277535-u283k70i 7 14 or or CC cord-277535-u283k70i 7 15 even even RB cord-277535-u283k70i 7 16 failure failure NN cord-277535-u283k70i 7 17 of of IN cord-277535-u283k70i 7 18 the the DT cord-277535-u283k70i 7 19 organ organ NN cord-277535-u283k70i 7 20 both both DT cord-277535-u283k70i 7 21 by by IN cord-277535-u283k70i 7 22 a a DT cord-277535-u283k70i 7 23 direct direct JJ cord-277535-u283k70i 7 24 effect effect NN cord-277535-u283k70i 7 25 on on IN cord-277535-u283k70i 7 26 the the DT cord-277535-u283k70i 7 27 liver liver NN cord-277535-u283k70i 7 28 or or CC cord-277535-u283k70i 7 29 by by IN cord-277535-u283k70i 7 30 alteration alteration NN cord-277535-u283k70i 7 31 in in IN cord-277535-u283k70i 7 32 liver liver NN cord-277535-u283k70i 7 33 blood blood NN cord-277535-u283k70i 7 34 flow flow NN cord-277535-u283k70i 7 35 . . . cord-277535-u283k70i 8 1 It -PRON- PRP cord-277535-u283k70i 8 2 is be VBZ cord-277535-u283k70i 8 3 important important JJ cord-277535-u283k70i 8 4 to to TO cord-277535-u283k70i 8 5 recognize recognize VB cord-277535-u283k70i 8 6 the the DT cord-277535-u283k70i 8 7 signs sign NNS cord-277535-u283k70i 8 8 and and CC cord-277535-u283k70i 8 9 symptoms symptom NNS cord-277535-u283k70i 8 10 of of IN cord-277535-u283k70i 8 11 liver liver NN cord-277535-u283k70i 8 12 failure failure NN cord-277535-u283k70i 8 13 in in IN cord-277535-u283k70i 8 14 patients patient NNS cord-277535-u283k70i 8 15 and and CC cord-277535-u283k70i 8 16 identify identify VB cord-277535-u283k70i 8 17 possible possible JJ cord-277535-u283k70i 8 18 causes cause NNS cord-277535-u283k70i 8 19 including include VBG cord-277535-u283k70i 8 20 drug drug NN cord-277535-u283k70i 8 21 interactions interaction NNS cord-277535-u283k70i 8 22 . . . cord-277535-u283k70i 9 1 Furthermore furthermore RB cord-277535-u283k70i 9 2 , , , cord-277535-u283k70i 9 3 once once RB cord-277535-u283k70i 9 4 a a DT cord-277535-u283k70i 9 5 patient patient NN cord-277535-u283k70i 9 6 has have VBZ cord-277535-u283k70i 9 7 been be VBN cord-277535-u283k70i 9 8 recognized recognize VBN cord-277535-u283k70i 9 9 to to TO cord-277535-u283k70i 9 10 be be VB cord-277535-u283k70i 9 11 suffering suffer VBG cord-277535-u283k70i 9 12 with with IN cord-277535-u283k70i 9 13 liver liver NN cord-277535-u283k70i 9 14 dysfunction dysfunction NN cord-277535-u283k70i 9 15 or or CC cord-277535-u283k70i 9 16 failure failure NN cord-277535-u283k70i 9 17 drug drug NN cord-277535-u283k70i 9 18 choice choice NN cord-277535-u283k70i 9 19 and and CC cord-277535-u283k70i 9 20 dosing dosing NN cord-277535-u283k70i 9 21 regime regime NN cord-277535-u283k70i 9 22 will will MD cord-277535-u283k70i 9 23 need need VB cord-277535-u283k70i 9 24 to to TO cord-277535-u283k70i 9 25 be be VB cord-277535-u283k70i 9 26 rationalized rationalize VBN cord-277535-u283k70i 9 27 . . . cord-277535-u283k70i 10 1 Paracetamol paracetamol JJ cord-277535-u283k70i 10 2 overdose overdose NN cord-277535-u283k70i 10 3 can can MD cord-277535-u283k70i 10 4 have have VB cord-277535-u283k70i 10 5 severe severe JJ cord-277535-u283k70i 10 6 and and CC cord-277535-u283k70i 10 7 life life NN cord-277535-u283k70i 10 8 threatening threaten VBG cord-277535-u283k70i 10 9 consequences consequence NNS cord-277535-u283k70i 10 10 for for IN cord-277535-u283k70i 10 11 patients patient NNS cord-277535-u283k70i 10 12 due due JJ cord-277535-u283k70i 10 13 to to IN cord-277535-u283k70i 10 14 its -PRON- PRP$ cord-277535-u283k70i 10 15 effect effect NN cord-277535-u283k70i 10 16 on on IN cord-277535-u283k70i 10 17 liver liver NN cord-277535-u283k70i 10 18 function function NN cord-277535-u283k70i 10 19 . . . cord-277535-u283k70i 11 1 It -PRON- PRP cord-277535-u283k70i 11 2 is be VBZ cord-277535-u283k70i 11 3 the the DT cord-277535-u283k70i 11 4 leading leading JJ cord-277535-u283k70i 11 5 cause cause NN cord-277535-u283k70i 11 6 of of IN cord-277535-u283k70i 11 7 acute acute JJ cord-277535-u283k70i 11 8 liver liver NN cord-277535-u283k70i 11 9 failure failure NN cord-277535-u283k70i 11 10 in in IN cord-277535-u283k70i 11 11 the the DT cord-277535-u283k70i 11 12 UK UK NNP cord-277535-u283k70i 11 13 , , , cord-277535-u283k70i 11 14 1 1 CD cord-277535-u283k70i 11 15 Correct correct JJ cord-277535-u283k70i 11 16 and and CC cord-277535-u283k70i 11 17 early early JJ cord-277535-u283k70i 11 18 management management NN cord-277535-u283k70i 11 19 is be VBZ cord-277535-u283k70i 11 20 crucial crucial JJ cord-277535-u283k70i 11 21 and and CC cord-277535-u283k70i 11 22 will will MD cord-277535-u283k70i 11 23 be be VB cord-277535-u283k70i 11 24 discussed discuss VBN cord-277535-u283k70i 11 25 within within IN cord-277535-u283k70i 11 26 this this DT cord-277535-u283k70i 11 27 article article NN cord-277535-u283k70i 11 28 . . . cord-277535-u283k70i 12 1 The the DT cord-277535-u283k70i 12 2 liver liver NN cord-277535-u283k70i 12 3 receives receive VBZ cord-277535-u283k70i 12 4 approximately approximately RB cord-277535-u283k70i 12 5 30 30 CD cord-277535-u283k70i 12 6 % % NN cord-277535-u283k70i 12 7 of of IN cord-277535-u283k70i 12 8 cardiac cardiac JJ cord-277535-u283k70i 12 9 output output NN cord-277535-u283k70i 12 10 . . . cord-277535-u283k70i 13 1 Uniquely uniquely RB cord-277535-u283k70i 13 2 it -PRON- PRP cord-277535-u283k70i 13 3 receives receive VBZ cord-277535-u283k70i 13 4 both both DT cord-277535-u283k70i 13 5 arterial arterial JJ cord-277535-u283k70i 13 6 blood blood NN cord-277535-u283k70i 13 7 from from IN cord-277535-u283k70i 13 8 the the DT cord-277535-u283k70i 13 9 hepatic hepatic JJ cord-277535-u283k70i 13 10 artery artery NN cord-277535-u283k70i 13 11 and and CC cord-277535-u283k70i 13 12 venous venous JJ cord-277535-u283k70i 13 13 blood blood NN cord-277535-u283k70i 13 14 from from IN cord-277535-u283k70i 13 15 the the DT cord-277535-u283k70i 13 16 portal portal JJ cord-277535-u283k70i 13 17 veins vein NNS cord-277535-u283k70i 13 18 . . . cord-277535-u283k70i 14 1 The the DT cord-277535-u283k70i 14 2 portal portal JJ cord-277535-u283k70i 14 3 vein vein NN cord-277535-u283k70i 14 4 supplies supply VBZ cord-277535-u283k70i 14 5 70e75 70e75 CD cord-277535-u283k70i 14 6 % % NN cord-277535-u283k70i 14 7 of of IN cord-277535-u283k70i 14 8 hepatic hepatic JJ cord-277535-u283k70i 14 9 blood blood NN cord-277535-u283k70i 14 10 flow flow NN cord-277535-u283k70i 14 11 but but CC cord-277535-u283k70i 14 12 only only RB cord-277535-u283k70i 14 13 50 50 CD cord-277535-u283k70i 14 14 % % NN cord-277535-u283k70i 14 15 of of IN cord-277535-u283k70i 14 16 oxygen oxygen NN cord-277535-u283k70i 14 17 supply supply NN cord-277535-u283k70i 14 18 , , , cord-277535-u283k70i 14 19 the the DT cord-277535-u283k70i 14 20 remaining remain VBG cord-277535-u283k70i 14 21 blood blood NN cord-277535-u283k70i 14 22 flow flow NN cord-277535-u283k70i 14 23 and and CC cord-277535-u283k70i 14 24 oxygen oxygen NN cord-277535-u283k70i 14 25 supply supply NN cord-277535-u283k70i 14 26 being be VBG cord-277535-u283k70i 14 27 from from IN cord-277535-u283k70i 14 28 the the DT cord-277535-u283k70i 14 29 hepatic hepatic JJ cord-277535-u283k70i 14 30 artery artery NN cord-277535-u283k70i 14 31 . . . cord-277535-u283k70i 15 1 Anatomically anatomically RB cord-277535-u283k70i 15 2 the the DT cord-277535-u283k70i 15 3 liver liver NN cord-277535-u283k70i 15 4 is be VBZ cord-277535-u283k70i 15 5 divided divide VBN cord-277535-u283k70i 15 6 into into IN cord-277535-u283k70i 15 7 two two CD cord-277535-u283k70i 15 8 lobes lobe NNS cord-277535-u283k70i 15 9 and and CC cord-277535-u283k70i 15 10 further far RBR cord-277535-u283k70i 15 11 into into IN cord-277535-u283k70i 15 12 functional functional JJ cord-277535-u283k70i 15 13 lobules lobule NNS cord-277535-u283k70i 15 14 based base VBN cord-277535-u283k70i 15 15 around around IN cord-277535-u283k70i 15 16 a a DT cord-277535-u283k70i 15 17 central central JJ cord-277535-u283k70i 15 18 vein vein NN cord-277535-u283k70i 15 19 , , , cord-277535-u283k70i 15 20 which which WDT cord-277535-u283k70i 15 21 contains contain VBZ cord-277535-u283k70i 15 22 blood blood NN cord-277535-u283k70i 15 23 from from IN cord-277535-u283k70i 15 24 the the DT cord-277535-u283k70i 15 25 hepatic hepatic JJ cord-277535-u283k70i 15 26 arterial arterial NN cord-277535-u283k70i 15 27 and and CC cord-277535-u283k70i 15 28 portal portal JJ cord-277535-u283k70i 15 29 venous venous JJ cord-277535-u283k70i 15 30 circulations circulation NNS cord-277535-u283k70i 15 31 . . . cord-277535-u283k70i 16 1 Blood blood NN cord-277535-u283k70i 16 2 arriving arrive VBG cord-277535-u283k70i 16 3 to to IN cord-277535-u283k70i 16 4 the the DT cord-277535-u283k70i 16 5 liver liver NN cord-277535-u283k70i 16 6 flows flow VBZ cord-277535-u283k70i 16 7 into into IN cord-277535-u283k70i 16 8 the the DT cord-277535-u283k70i 16 9 sinusoids sinusoid NNS cord-277535-u283k70i 16 10 which which WDT cord-277535-u283k70i 16 11 are be VBP cord-277535-u283k70i 16 12 spaces space NNS cord-277535-u283k70i 16 13 lined line VBN cord-277535-u283k70i 16 14 by by IN cord-277535-u283k70i 16 15 hepactocytes hepactocyte NNS cord-277535-u283k70i 16 16 . . . cord-277535-u283k70i 17 1 Blood blood NN cord-277535-u283k70i 17 2 then then RB cord-277535-u283k70i 17 3 drains drain VBZ cord-277535-u283k70i 17 4 towards towards IN cord-277535-u283k70i 17 5 the the DT cord-277535-u283k70i 17 6 centre centre NN cord-277535-u283k70i 17 7 of of IN cord-277535-u283k70i 17 8 the the DT cord-277535-u283k70i 17 9 lobule lobule NN cord-277535-u283k70i 17 10 and and CC cord-277535-u283k70i 17 11 the the DT cord-277535-u283k70i 17 12 central central JJ cord-277535-u283k70i 17 13 vein vein NN cord-277535-u283k70i 17 14 then then RB cord-277535-u283k70i 17 15 hepatic hepatic JJ cord-277535-u283k70i 17 16 vein vein NN cord-277535-u283k70i 17 17 to to TO cord-277535-u283k70i 17 18 return return VB cord-277535-u283k70i 17 19 blood blood NN cord-277535-u283k70i 17 20 back back RB cord-277535-u283k70i 17 21 to to IN cord-277535-u283k70i 17 22 the the DT cord-277535-u283k70i 17 23 heart heart NN cord-277535-u283k70i 17 24 via via IN cord-277535-u283k70i 17 25 the the DT cord-277535-u283k70i 17 26 inferior inferior JJ cord-277535-u283k70i 17 27 vena vena FW cord-277535-u283k70i 17 28 cava cava NN cord-277535-u283k70i 17 29 . . . cord-277535-u283k70i 18 1 It -PRON- PRP cord-277535-u283k70i 18 2 is be VBZ cord-277535-u283k70i 18 3 the the DT cord-277535-u283k70i 18 4 portal portal JJ cord-277535-u283k70i 18 5 veins vein NNS cord-277535-u283k70i 18 6 taking take VBG cord-277535-u283k70i 18 7 blood blood NN cord-277535-u283k70i 18 8 directly directly RB cord-277535-u283k70i 18 9 from from IN cord-277535-u283k70i 18 10 the the DT cord-277535-u283k70i 18 11 gut gut NN cord-277535-u283k70i 18 12 to to IN cord-277535-u283k70i 18 13 the the DT cord-277535-u283k70i 18 14 liver liver NN cord-277535-u283k70i 18 15 which which WDT cord-277535-u283k70i 18 16 allows allow VBZ cord-277535-u283k70i 18 17 for for IN cord-277535-u283k70i 18 18 first first JJ cord-277535-u283k70i 18 19 pass pass NN cord-277535-u283k70i 18 20 metabolism metabolism NN cord-277535-u283k70i 18 21 , , , cord-277535-u283k70i 18 22 making make VBG cord-277535-u283k70i 18 23 the the DT cord-277535-u283k70i 18 24 liver liver NN cord-277535-u283k70i 18 25 susceptible susceptible JJ cord-277535-u283k70i 18 26 to to IN cord-277535-u283k70i 18 27 ingested ingested JJ cord-277535-u283k70i 18 28 drugs drug NNS cord-277535-u283k70i 18 29 as as IN cord-277535-u283k70i 18 30 they -PRON- PRP cord-277535-u283k70i 18 31 are be VBP cord-277535-u283k70i 18 32 absorbed absorb VBN cord-277535-u283k70i 18 33 from from IN cord-277535-u283k70i 18 34 the the DT cord-277535-u283k70i 18 35 gastrointestinal gastrointestinal JJ cord-277535-u283k70i 18 36 tract tract NN cord-277535-u283k70i 18 37 and and CC cord-277535-u283k70i 18 38 transported transport VBN cord-277535-u283k70i 18 39 to to IN cord-277535-u283k70i 18 40 the the DT cord-277535-u283k70i 18 41 liver liver NN cord-277535-u283k70i 18 42 . . . cord-277535-u283k70i 19 1 The the DT cord-277535-u283k70i 19 2 liver liver NN cord-277535-u283k70i 19 3 has have VBZ cord-277535-u283k70i 19 4 a a DT cord-277535-u283k70i 19 5 broad broad JJ cord-277535-u283k70i 19 6 range range NN cord-277535-u283k70i 19 7 of of IN cord-277535-u283k70i 19 8 functions function NNS cord-277535-u283k70i 19 9 categorized categorize VBN cord-277535-u283k70i 19 10 in in IN cord-277535-u283k70i 19 11 Table Table NNP cord-277535-u283k70i 19 12 1 1 CD cord-277535-u283k70i 19 13 . . . cord-277535-u283k70i 20 1 The the DT cord-277535-u283k70i 20 2 liver liver NN cord-277535-u283k70i 20 3 metabolises metabolise VBZ cord-277535-u283k70i 20 4 a a DT cord-277535-u283k70i 20 5 wide wide JJ cord-277535-u283k70i 20 6 range range NN cord-277535-u283k70i 20 7 of of IN cord-277535-u283k70i 20 8 drugs drug NNS cord-277535-u283k70i 20 9 the the DT cord-277535-u283k70i 20 10 end end NN cord-277535-u283k70i 20 11 result result NN cord-277535-u283k70i 20 12 being be VBG cord-277535-u283k70i 20 13 to to TO cord-277535-u283k70i 20 14 produce produce VB cord-277535-u283k70i 20 15 water water NN cord-277535-u283k70i 20 16 soluble soluble JJ cord-277535-u283k70i 20 17 compounds compound NNS cord-277535-u283k70i 20 18 which which WDT cord-277535-u283k70i 20 19 can can MD cord-277535-u283k70i 20 20 be be VB cord-277535-u283k70i 20 21 excreted excrete VBN cord-277535-u283k70i 20 22 in in IN cord-277535-u283k70i 20 23 the the DT cord-277535-u283k70i 20 24 bile bile NN cord-277535-u283k70i 20 25 . . . cord-277535-u283k70i 21 1 This this DT cord-277535-u283k70i 21 2 results result VBZ cord-277535-u283k70i 21 3 from from IN cord-277535-u283k70i 21 4 phase phase NN cord-277535-u283k70i 21 5 1 1 CD cord-277535-u283k70i 21 6 reactions reaction NNS cord-277535-u283k70i 21 7 mediated mediate VBN cord-277535-u283k70i 21 8 by by IN cord-277535-u283k70i 21 9 cytochrome cytochrome NN cord-277535-u283k70i 21 10 p450 p450 NN cord-277535-u283k70i 21 11 including include VBG cord-277535-u283k70i 21 12 oxidation oxidation NN cord-277535-u283k70i 21 13 , , , cord-277535-u283k70i 21 14 reduction reduction NN cord-277535-u283k70i 21 15 and and CC cord-277535-u283k70i 21 16 hydrolysis hydrolysis NN cord-277535-u283k70i 21 17 reactions reaction NNS cord-277535-u283k70i 21 18 . . . cord-277535-u283k70i 22 1 This this DT cord-277535-u283k70i 22 2 is be VBZ cord-277535-u283k70i 22 3 followed follow VBN cord-277535-u283k70i 22 4 by by IN cord-277535-u283k70i 22 5 phase phase NN cord-277535-u283k70i 22 6 2 2 CD cord-277535-u283k70i 22 7 reactions reaction NNS cord-277535-u283k70i 22 8 which which WDT cord-277535-u283k70i 22 9 are be VBP cord-277535-u283k70i 22 10 conjugative conjugative JJ cord-277535-u283k70i 22 11 . . . cord-277535-u283k70i 23 1 The the DT cord-277535-u283k70i 23 2 cytochrome cytochrome NN cord-277535-u283k70i 23 3 P450 p450 JJ cord-277535-u283k70i 23 4 family family NN cord-277535-u283k70i 23 5 are be VBP cord-277535-u283k70i 23 6 a a DT cord-277535-u283k70i 23 7 group group NN cord-277535-u283k70i 23 8 of of IN cord-277535-u283k70i 23 9 enzymes enzyme NNS cord-277535-u283k70i 23 10 found find VBN cord-277535-u283k70i 23 11 mainly mainly RB cord-277535-u283k70i 23 12 in in IN cord-277535-u283k70i 23 13 the the DT cord-277535-u283k70i 23 14 liver liver NN cord-277535-u283k70i 23 15 , , , cord-277535-u283k70i 23 16 which which WDT cord-277535-u283k70i 23 17 perform perform VBP cord-277535-u283k70i 23 18 oxidation oxidation NN cord-277535-u283k70i 23 19 and and CC cord-277535-u283k70i 23 20 reduction reduction NN cord-277535-u283k70i 23 21 reactions reaction NNS cord-277535-u283k70i 23 22 ( ( -LRB- cord-277535-u283k70i 23 23 phase phase NN cord-277535-u283k70i 23 24 1 1 CD cord-277535-u283k70i 23 25 ) ) -RRB- cord-277535-u283k70i 23 26 using use VBG cord-277535-u283k70i 23 27 iron iron NN cord-277535-u283k70i 23 28 to to TO cord-277535-u283k70i 23 29 enhance enhance VB cord-277535-u283k70i 23 30 the the DT cord-277535-u283k70i 23 31 water water NN cord-277535-u283k70i 23 32 solubility solubility NN cord-277535-u283k70i 23 33 of of IN cord-277535-u283k70i 23 34 drugs drug NNS cord-277535-u283k70i 23 35 to to TO cord-277535-u283k70i 23 36 aid aid VB cord-277535-u283k70i 23 37 excretion excretion NN cord-277535-u283k70i 23 38 . . . cord-277535-u283k70i 24 1 CYP450 cyp450 JJ cord-277535-u283k70i 24 2 enzymes enzyme NNS cord-277535-u283k70i 24 3 are be VBP cord-277535-u283k70i 24 4 so so RB cord-277535-u283k70i 24 5 named name VBN cord-277535-u283k70i 24 6 as as IN cord-277535-u283k70i 24 7 they -PRON- PRP cord-277535-u283k70i 24 8 are be VBP cord-277535-u283k70i 24 9 bound bind VBN cord-277535-u283k70i 24 10 to to IN cord-277535-u283k70i 24 11 membranes membrane NNS cord-277535-u283k70i 24 12 within within IN cord-277535-u283k70i 24 13 the the DT cord-277535-u283k70i 24 14 cell cell NN cord-277535-u283k70i 24 15 and and CC cord-277535-u283k70i 24 16 contain contain VBP cord-277535-u283k70i 24 17 a a DT cord-277535-u283k70i 24 18 haem haem NN cord-277535-u283k70i 24 19 pigment pigment NN cord-277535-u283k70i 24 20 that that WDT cord-277535-u283k70i 24 21 absorbs absorb VBZ cord-277535-u283k70i 24 22 light light NN cord-277535-u283k70i 24 23 at at IN cord-277535-u283k70i 24 24 a a DT cord-277535-u283k70i 24 25 wavelength wavelength NN cord-277535-u283k70i 24 26 of of IN cord-277535-u283k70i 24 27 450 450 CD cord-277535-u283k70i 24 28 nm nm NN cord-277535-u283k70i 24 29 when when WRB cord-277535-u283k70i 24 30 exposed expose VBN cord-277535-u283k70i 24 31 to to IN cord-277535-u283k70i 24 32 carbon carbon NN cord-277535-u283k70i 24 33 monoxide monoxide NN cord-277535-u283k70i 24 34 . . . cord-277535-u283k70i 25 1 After after IN cord-277535-u283k70i 25 2 reading read VBG cord-277535-u283k70i 25 3 this this DT cord-277535-u283k70i 25 4 article article NN cord-277535-u283k70i 25 5 you -PRON- PRP cord-277535-u283k70i 25 6 should should MD cord-277535-u283k70i 25 7 : : : cord-277535-u283k70i 25 8 C C NNP cord-277535-u283k70i 25 9 understand understand VB cord-277535-u283k70i 25 10 the the DT cord-277535-u283k70i 25 11 mechanisms mechanism NNS cord-277535-u283k70i 25 12 of of IN cord-277535-u283k70i 25 13 drug drug NN cord-277535-u283k70i 25 14 metabolism metabolism NN cord-277535-u283k70i 25 15 by by IN cord-277535-u283k70i 25 16 the the DT cord-277535-u283k70i 25 17 liver liver NN cord-277535-u283k70i 25 18 C C NNP cord-277535-u283k70i 25 19 have have VBP cord-277535-u283k70i 25 20 an an DT cord-277535-u283k70i 25 21 appreciation appreciation NN cord-277535-u283k70i 25 22 of of IN cord-277535-u283k70i 25 23 alterations alteration NNS cord-277535-u283k70i 25 24 to to IN cord-277535-u283k70i 25 25 drug drug NN cord-277535-u283k70i 25 26 choice choice NN cord-277535-u283k70i 25 27 and and CC cord-277535-u283k70i 25 28 dosing dose VBG cord-277535-u283k70i 25 29 regimens regimen NNS cord-277535-u283k70i 25 30 in in IN cord-277535-u283k70i 25 31 patients patient NNS cord-277535-u283k70i 25 32 with with IN cord-277535-u283k70i 25 33 liver liver NN cord-277535-u283k70i 25 34 disease disease NN cord-277535-u283k70i 25 35 due due IN cord-277535-u283k70i 25 36 to to IN cord-277535-u283k70i 25 37 their -PRON- PRP$ cord-277535-u283k70i 25 38 altered alter VBN cord-277535-u283k70i 25 39 pharmacokinetics pharmacokinetic NNS cord-277535-u283k70i 25 40 C c NN cord-277535-u283k70i 26 1 know know VB cord-277535-u283k70i 26 2 the the DT cord-277535-u283k70i 26 3 management management NN cord-277535-u283k70i 26 4 of of IN cord-277535-u283k70i 26 5 a a DT cord-277535-u283k70i 26 6 patient patient NN cord-277535-u283k70i 26 7 with with IN cord-277535-u283k70i 26 8 paracetamol paracetamol JJ cord-277535-u283k70i 26 9 overdose overdose NN cord-277535-u283k70i 27 1 There there EX cord-277535-u283k70i 27 2 are be VBP cord-277535-u283k70i 27 3 many many JJ cord-277535-u283k70i 27 4 different different JJ cord-277535-u283k70i 27 5 isoforms isoform NNS cord-277535-u283k70i 27 6 of of IN cord-277535-u283k70i 27 7 CYP450 cyp450 JJ cord-277535-u283k70i 27 8 , , , cord-277535-u283k70i 27 9 classified classify VBN cord-277535-u283k70i 27 10 according accord VBG cord-277535-u283k70i 27 11 to to IN cord-277535-u283k70i 27 12 their -PRON- PRP$ cord-277535-u283k70i 27 13 amino amino NN cord-277535-u283k70i 27 14 acid acid NN cord-277535-u283k70i 27 15 sequencing sequencing NN cord-277535-u283k70i 27 16 into into IN cord-277535-u283k70i 27 17 families family NNS cord-277535-u283k70i 27 18 , , , cord-277535-u283k70i 27 19 subfamilies subfamily NNS cord-277535-u283k70i 27 20 and and CC cord-277535-u283k70i 27 21 individual individual JJ cord-277535-u283k70i 27 22 genes gene NNS cord-277535-u283k70i 27 23 . . . cord-277535-u283k70i 28 1 Their -PRON- PRP$ cord-277535-u283k70i 28 2 importance importance NN cord-277535-u283k70i 28 3 can can MD cord-277535-u283k70i 28 4 be be VB cord-277535-u283k70i 28 5 seen see VBN cord-277535-u283k70i 28 6 in in IN cord-277535-u283k70i 28 7 certain certain JJ cord-277535-u283k70i 28 8 subgroups subgroup NNS cord-277535-u283k70i 28 9 that that WDT cord-277535-u283k70i 28 10 lack lack VBP cord-277535-u283k70i 28 11 particular particular JJ cord-277535-u283k70i 28 12 genes gene NNS cord-277535-u283k70i 28 13 . . . cord-277535-u283k70i 29 1 An an DT cord-277535-u283k70i 29 2 example example NN cord-277535-u283k70i 29 3 pertinent pertinent JJ cord-277535-u283k70i 29 4 to to IN cord-277535-u283k70i 29 5 anaesthesia anaesthesia NN cord-277535-u283k70i 29 6 is be VBZ cord-277535-u283k70i 29 7 deficiency deficiency NN cord-277535-u283k70i 29 8 in in IN cord-277535-u283k70i 29 9 CYP2D6 CYP2D6 NNP cord-277535-u283k70i 29 10 which which WDT cord-277535-u283k70i 29 11 metabolises metabolise VBZ cord-277535-u283k70i 29 12 codeine codeine NN cord-277535-u283k70i 29 13 to to IN cord-277535-u283k70i 29 14 morphine morphine NN cord-277535-u283k70i 29 15 , , , cord-277535-u283k70i 29 16 these these DT cord-277535-u283k70i 29 17 patients patient NNS cord-277535-u283k70i 29 18 therefore therefore RB cord-277535-u283k70i 29 19 find find VBP cord-277535-u283k70i 29 20 codeine codeine NN cord-277535-u283k70i 29 21 ineffective ineffective JJ cord-277535-u283k70i 29 22 . . . cord-277535-u283k70i 30 1 Conversely conversely RB cord-277535-u283k70i 30 2 there there EX cord-277535-u283k70i 30 3 is be VBZ cord-277535-u283k70i 30 4 a a DT cord-277535-u283k70i 30 5 small small JJ cord-277535-u283k70i 30 6 subgroup subgroup NN cord-277535-u283k70i 30 7 of of IN cord-277535-u283k70i 30 8 people people NNS cord-277535-u283k70i 30 9 of of IN cord-277535-u283k70i 30 10 Saudi saudi JJ cord-277535-u283k70i 30 11 Arabian arabian JJ cord-277535-u283k70i 30 12 and and CC cord-277535-u283k70i 30 13 Ethiopian ethiopian JJ cord-277535-u283k70i 30 14 decent decent JJ cord-277535-u283k70i 30 15 with with IN cord-277535-u283k70i 30 16 very very RB cord-277535-u283k70i 30 17 high high JJ cord-277535-u283k70i 30 18 expression expression NN cord-277535-u283k70i 30 19 of of IN cord-277535-u283k70i 30 20 2D6 2d6 CD cord-277535-u283k70i 30 21 who who WP cord-277535-u283k70i 30 22 metabolize metabolize VBP cord-277535-u283k70i 30 23 codeine codeine NN cord-277535-u283k70i 30 24 into into IN cord-277535-u283k70i 30 25 vast vast JJ cord-277535-u283k70i 30 26 amounts amount NNS cord-277535-u283k70i 30 27 of of IN cord-277535-u283k70i 30 28 morphine morphine NN cord-277535-u283k70i 30 29 . . . cord-277535-u283k70i 31 1 Refer refer VB cord-277535-u283k70i 31 2 to to IN cord-277535-u283k70i 31 3 Table table NN cord-277535-u283k70i 31 4 2 2 CD cord-277535-u283k70i 31 5 for for IN cord-277535-u283k70i 31 6 more more JJR cord-277535-u283k70i 31 7 details detail NNS cord-277535-u283k70i 31 8 . . . cord-277535-u283k70i 32 1 An an DT cord-277535-u283k70i 32 2 individual individual NN cord-277535-u283k70i 32 3 more more RBR cord-277535-u283k70i 32 4 detailed detailed JJ cord-277535-u283k70i 32 5 breakdown breakdown NN cord-277535-u283k70i 32 6 of of IN cord-277535-u283k70i 32 7 CYP450 cyp450 JJ cord-277535-u283k70i 32 8 genes gene NNS cord-277535-u283k70i 32 9 is be VBZ cord-277535-u283k70i 32 10 beyond beyond IN cord-277535-u283k70i 32 11 the the DT cord-277535-u283k70i 32 12 scope scope NN cord-277535-u283k70i 32 13 of of IN cord-277535-u283k70i 32 14 this this DT cord-277535-u283k70i 32 15 article article NN cord-277535-u283k70i 32 16 . . . cord-277535-u283k70i 33 1 Some some DT cord-277535-u283k70i 33 2 drugs drug NNS cord-277535-u283k70i 33 3 can can MD cord-277535-u283k70i 33 4 induce induce VB cord-277535-u283k70i 33 5 or or CC cord-277535-u283k70i 33 6 inhibit inhibit VB cord-277535-u283k70i 33 7 CYP450 cyp450 JJ cord-277535-u283k70i 33 8 enzymes enzyme NNS cord-277535-u283k70i 33 9 which which WDT cord-277535-u283k70i 33 10 have have VBP cord-277535-u283k70i 33 11 the the DT cord-277535-u283k70i 33 12 sequential sequential JJ cord-277535-u283k70i 33 13 effect effect NN cord-277535-u283k70i 33 14 on on IN cord-277535-u283k70i 33 15 the the DT cord-277535-u283k70i 33 16 metabolism metabolism NN cord-277535-u283k70i 33 17 of of IN cord-277535-u283k70i 33 18 other other JJ cord-277535-u283k70i 33 19 drugs drug NNS cord-277535-u283k70i 33 20 , , , cord-277535-u283k70i 33 21 either either CC cord-277535-u283k70i 33 22 increasing increase VBG cord-277535-u283k70i 33 23 or or CC cord-277535-u283k70i 33 24 reducing reduce VBG cord-277535-u283k70i 33 25 it -PRON- PRP cord-277535-u283k70i 33 26 respectively respectively RB cord-277535-u283k70i 33 27 . . . cord-277535-u283k70i 34 1 Possibly possibly RB cord-277535-u283k70i 34 2 the the DT cord-277535-u283k70i 34 3 most most RBS cord-277535-u283k70i 34 4 important important JJ cord-277535-u283k70i 34 5 example example NN cord-277535-u283k70i 34 6 is be VBZ cord-277535-u283k70i 34 7 CYP3A4 CYP3A4 NNP cord-277535-u283k70i 34 8 which which WDT cord-277535-u283k70i 34 9 metabolises metabolise VBZ cord-277535-u283k70i 34 10 many many JJ cord-277535-u283k70i 34 11 substrates substrate NNS cord-277535-u283k70i 34 12 and and CC cord-277535-u283k70i 34 13 is be VBZ cord-277535-u283k70i 34 14 induced induce VBN cord-277535-u283k70i 34 15 by by IN cord-277535-u283k70i 34 16 rifampicin rifampicin NNS cord-277535-u283k70i 34 17 , , , cord-277535-u283k70i 34 18 carbamazepine carbamazepine NN cord-277535-u283k70i 34 19 , , , cord-277535-u283k70i 34 20 phenytonin phenytonin NNP cord-277535-u283k70i 34 21 and and CC cord-277535-u283k70i 34 22 dexamethasone dexamethasone NN cord-277535-u283k70i 34 23 . . . cord-277535-u283k70i 35 1 Of of IN cord-277535-u283k70i 35 2 interest interest NN cord-277535-u283k70i 35 3 to to IN cord-277535-u283k70i 35 4 anaesthesia anaesthesia NN cord-277535-u283k70i 35 5 this this DT cord-277535-u283k70i 35 6 will will MD cord-277535-u283k70i 35 7 increase increase VB cord-277535-u283k70i 35 8 metabolism metabolism NN cord-277535-u283k70i 35 9 of of IN cord-277535-u283k70i 35 10 opioids opioid NNS cord-277535-u283k70i 35 11 , , , cord-277535-u283k70i 35 12 benzodiazepines benzodiazepine NNS cord-277535-u283k70i 35 13 and and CC cord-277535-u283k70i 35 14 local local JJ cord-277535-u283k70i 35 15 anaesthetics anaesthetic NNS cord-277535-u283k70i 35 16 . . . cord-277535-u283k70i 36 1 Another another DT cord-277535-u283k70i 36 2 well well RB cord-277535-u283k70i 36 3 cited cite VBN cord-277535-u283k70i 36 4 example example NN cord-277535-u283k70i 36 5 is be VBZ cord-277535-u283k70i 36 6 the the DT cord-277535-u283k70i 36 7 increased increase VBN cord-277535-u283k70i 36 8 metabolism metabolism NN cord-277535-u283k70i 36 9 of of IN cord-277535-u283k70i 36 10 the the DT cord-277535-u283k70i 36 11 oral oral JJ cord-277535-u283k70i 36 12 contraceptive contraceptive JJ cord-277535-u283k70i 36 13 pill pill NN cord-277535-u283k70i 36 14 and and CC cord-277535-u283k70i 36 15 its -PRON- PRP$ cord-277535-u283k70i 36 16 reduction reduction NN cord-277535-u283k70i 36 17 in in IN cord-277535-u283k70i 36 18 efficacy efficacy NN cord-277535-u283k70i 36 19 . . . cord-277535-u283k70i 37 1 For for IN cord-277535-u283k70i 37 2 a a DT cord-277535-u283k70i 37 3 more more RBR cord-277535-u283k70i 37 4 exhaustive exhaustive JJ cord-277535-u283k70i 37 5 list list NN cord-277535-u283k70i 37 6 of of IN cord-277535-u283k70i 37 7 substrates substrate NNS cord-277535-u283k70i 37 8 , , , cord-277535-u283k70i 37 9 inducers inducer NNS cord-277535-u283k70i 37 10 and and CC cord-277535-u283k70i 37 11 inhibitors inhibitor NNS cord-277535-u283k70i 37 12 see see VBP cord-277535-u283k70i 37 13 Table table NN cord-277535-u283k70i 37 14 3 3 CD cord-277535-u283k70i 38 1 ( ( -LRB- cord-277535-u283k70i 38 2 See see VB cord-277535-u283k70i 38 3 Table Table NNP cord-277535-u283k70i 38 4 4 4 CD cord-277535-u283k70i 38 5 ) ) -RRB- cord-277535-u283k70i 38 6 . . . cord-277535-u283k70i 39 1 A a DT cord-277535-u283k70i 39 2 number number NN cord-277535-u283k70i 39 3 of of IN cord-277535-u283k70i 39 4 non non JJ cord-277535-u283k70i 39 5 - - JJ cord-277535-u283k70i 39 6 cytochrome cytochrome JJ cord-277535-u283k70i 39 7 p450 p450 NN cord-277535-u283k70i 39 8 dependent dependent JJ cord-277535-u283k70i 39 9 reactions reaction NNS cord-277535-u283k70i 39 10 occur occur VBP cord-277535-u283k70i 39 11 in in IN cord-277535-u283k70i 39 12 the the DT cord-277535-u283k70i 39 13 liver liver NN cord-277535-u283k70i 39 14 eg eg IN cord-277535-u283k70i 39 15 oxidation oxidation NN cord-277535-u283k70i 39 16 of of IN cord-277535-u283k70i 39 17 dopamine dopamine NN cord-277535-u283k70i 39 18 and and CC cord-277535-u283k70i 39 19 alcohol alcohol NN cord-277535-u283k70i 39 20 and and CC cord-277535-u283k70i 39 21 hydrolysis hydrolysis NN cord-277535-u283k70i 39 22 of of IN cord-277535-u283k70i 39 23 amides amide NNS cord-277535-u283k70i 39 24 and and CC cord-277535-u283k70i 39 25 esters ester NNS cord-277535-u283k70i 39 26 ( ( -LRB- cord-277535-u283k70i 39 27 eg eg IN cord-277535-u283k70i 39 28 lignocaine lignocaine NNP cord-277535-u283k70i 39 29 and and CC cord-277535-u283k70i 39 30 pethidine pethidine NN cord-277535-u283k70i 39 31 respectively respectively RB cord-277535-u283k70i 39 32 ) ) -RRB- cord-277535-u283k70i 39 33 . . . cord-277535-u283k70i 40 1 A a DT cord-277535-u283k70i 40 2 predominant predominant JJ cord-277535-u283k70i 40 3 rise rise NN cord-277535-u283k70i 40 4 in in IN cord-277535-u283k70i 40 5 aspartate aspartate NN cord-277535-u283k70i 40 6 aminotransferase aminotransferase NN cord-277535-u283k70i 40 7 ( ( -LRB- cord-277535-u283k70i 40 8 AST AST NNP cord-277535-u283k70i 40 9 ) ) -RRB- cord-277535-u283k70i 40 10 and and CC cord-277535-u283k70i 40 11 alanine alanine JJ cord-277535-u283k70i 40 12 aminotransferase aminotransferase NN cord-277535-u283k70i 40 13 ( ( -LRB- cord-277535-u283k70i 40 14 ALT ALT NNP cord-277535-u283k70i 40 15 ) ) -RRB- cord-277535-u283k70i 40 16 signals signal VBZ cord-277535-u283k70i 40 17 hepatocellular hepatocellular JJ cord-277535-u283k70i 40 18 injury injury NN cord-277535-u283k70i 40 19 or or CC cord-277535-u283k70i 40 20 death death NN cord-277535-u283k70i 40 21 . . . cord-277535-u283k70i 41 1 This this DT cord-277535-u283k70i 41 2 can can MD cord-277535-u283k70i 41 3 be be VB cord-277535-u283k70i 41 4 caused cause VBN cord-277535-u283k70i 41 5 by by IN cord-277535-u283k70i 41 6 drug drug NN cord-277535-u283k70i 41 7 reactions reaction NNS cord-277535-u283k70i 41 8 or or CC cord-277535-u283k70i 41 9 toxicity toxicity NN cord-277535-u283k70i 41 10 ( ( -LRB- cord-277535-u283k70i 41 11 e.g. e.g. IN cord-277535-u283k70i 41 12 paracetamol paracetamol NNP cord-277535-u283k70i 41 13 ) ) -RRB- cord-277535-u283k70i 41 14 , , , cord-277535-u283k70i 41 15 viral viral JJ cord-277535-u283k70i 41 16 hepatitis hepatitis NN cord-277535-u283k70i 41 17 , , , cord-277535-u283k70i 41 18 autoimmune autoimmune JJ cord-277535-u283k70i 41 19 hepatitis hepatitis NN cord-277535-u283k70i 41 20 , , , cord-277535-u283k70i 41 21 alcoholic alcoholic JJ cord-277535-u283k70i 41 22 hepatitis hepatitis NN cord-277535-u283k70i 41 23 , , , cord-277535-u283k70i 41 24 ischaemic ischaemic JJ cord-277535-u283k70i 41 25 hepatitis hepatitis NN cord-277535-u283k70i 41 26 secondary secondary JJ cord-277535-u283k70i 41 27 to to IN cord-277535-u283k70i 41 28 profound profound JJ cord-277535-u283k70i 41 29 hypotension hypotension NN cord-277535-u283k70i 41 30 , , , cord-277535-u283k70i 41 31 and and CC cord-277535-u283k70i 41 32 rare rare JJ cord-277535-u283k70i 41 33 causes cause NNS cord-277535-u283k70i 41 34 such such JJ cord-277535-u283k70i 41 35 as as IN cord-277535-u283k70i 41 36 Wilson Wilson NNP cord-277535-u283k70i 41 37 's 's POS cord-277535-u283k70i 41 38 disease disease NN cord-277535-u283k70i 41 39 . . . cord-277535-u283k70i 42 1 An an DT cord-277535-u283k70i 42 2 obstructive obstructive JJ cord-277535-u283k70i 42 3 pattern pattern NN cord-277535-u283k70i 42 4 has have VBZ cord-277535-u283k70i 42 5 a a DT cord-277535-u283k70i 42 6 rise rise NN cord-277535-u283k70i 42 7 predominantly predominantly RB cord-277535-u283k70i 42 8 in in IN cord-277535-u283k70i 42 9 alkaline alkaline JJ cord-277535-u283k70i 42 10 phosphatase phosphatase NN cord-277535-u283k70i 42 11 ( ( -LRB- cord-277535-u283k70i 42 12 ALP ALP NNP cord-277535-u283k70i 42 13 ) ) -RRB- cord-277535-u283k70i 42 14 and and CC cord-277535-u283k70i 42 15 gamma gamma NN cord-277535-u283k70i 42 16 - - HYPH cord-277535-u283k70i 42 17 glutamyltransferase glutamyltransferase JJ cord-277535-u283k70i 42 18 ( ( -LRB- cord-277535-u283k70i 42 19 GGT GGT NNP cord-277535-u283k70i 42 20 ) ) -RRB- cord-277535-u283k70i 42 21 , , , cord-277535-u283k70i 42 22 these these DT cord-277535-u283k70i 42 23 are be VBP cord-277535-u283k70i 42 24 canalicular canalicular JJ cord-277535-u283k70i 42 25 enzymes enzyme NNS cord-277535-u283k70i 42 26 and and CC cord-277535-u283k70i 42 27 suggest suggest VBP cord-277535-u283k70i 42 28 cholestasis cholestasis NN cord-277535-u283k70i 42 29 . . . cord-277535-u283k70i 43 1 This this DT cord-277535-u283k70i 43 2 is be VBZ cord-277535-u283k70i 43 3 caused cause VBN cord-277535-u283k70i 43 4 by by IN cord-277535-u283k70i 43 5 obstruction obstruction NN cord-277535-u283k70i 43 6 , , , cord-277535-u283k70i 43 7 either either CC cord-277535-u283k70i 43 8 calculi calculus NNS cord-277535-u283k70i 43 9 or or CC cord-277535-u283k70i 43 10 tumour tumour NN cord-277535-u283k70i 43 11 ( ( -LRB- cord-277535-u283k70i 43 12 primary primary JJ cord-277535-u283k70i 43 13 biliary biliary NN cord-277535-u283k70i 43 14 , , , cord-277535-u283k70i 43 15 pancreatic pancreatic NN cord-277535-u283k70i 43 16 or or CC cord-277535-u283k70i 43 17 metastases metastasis NNS cord-277535-u283k70i 43 18 ) ) -RRB- cord-277535-u283k70i 43 19 , , , cord-277535-u283k70i 43 20 and and CC cord-277535-u283k70i 43 21 liver liver NN cord-277535-u283k70i 43 22 disease disease NN cord-277535-u283k70i 43 23 such such JJ cord-277535-u283k70i 43 24 as as IN cord-277535-u283k70i 43 25 primary primary JJ cord-277535-u283k70i 43 26 biliary biliary JJ cord-277535-u283k70i 43 27 cirrhosis cirrhosis NN cord-277535-u283k70i 43 28 . . . cord-277535-u283k70i 44 1 Pharmacological pharmacological JJ cord-277535-u283k70i 44 2 causes cause NNS cord-277535-u283k70i 44 3 include include VBP cord-277535-u283k70i 44 4 antibiotics antibiotic NNS cord-277535-u283k70i 44 5 , , , cord-277535-u283k70i 44 6 anabolic anabolic JJ cord-277535-u283k70i 44 7 steroids steroid NNS cord-277535-u283k70i 44 8 and and CC cord-277535-u283k70i 44 9 oral oral JJ cord-277535-u283k70i 44 10 contraceptives contraceptive NNS cord-277535-u283k70i 44 11 . . . cord-277535-u283k70i 45 1 A a DT cord-277535-u283k70i 45 2 mixed mixed JJ cord-277535-u283k70i 45 3 pattern pattern NN cord-277535-u283k70i 45 4 can can MD cord-277535-u283k70i 45 5 be be VB cord-277535-u283k70i 45 6 seen see VBN cord-277535-u283k70i 45 7 in in IN cord-277535-u283k70i 45 8 sepsis sepsis NN cord-277535-u283k70i 45 9 , , , cord-277535-u283k70i 45 10 some some DT cord-277535-u283k70i 45 11 drug drug NN cord-277535-u283k70i 45 12 reactions reaction NNS cord-277535-u283k70i 45 13 , , , cord-277535-u283k70i 45 14 cholangitis cholangitis NN cord-277535-u283k70i 45 15 , , , cord-277535-u283k70i 45 16 congestive congestive JJ cord-277535-u283k70i 45 17 cardiac cardiac JJ cord-277535-u283k70i 45 18 failure failure NN cord-277535-u283k70i 45 19 and and CC cord-277535-u283k70i 45 20 alcoholic alcoholic JJ cord-277535-u283k70i 45 21 liver liver NN cord-277535-u283k70i 45 22 disease disease NN cord-277535-u283k70i 45 23 . . . cord-277535-u283k70i 46 1 Halothane Halothane NNP cord-277535-u283k70i 46 2 hepatitis hepatitis NN cord-277535-u283k70i 46 3 can can MD cord-277535-u283k70i 46 4 cause cause VB cord-277535-u283k70i 46 5 raised raise VBN cord-277535-u283k70i 46 6 liver liver NN cord-277535-u283k70i 46 7 enzyme enzyme NN cord-277535-u283k70i 46 8 assays assay NNS cord-277535-u283k70i 46 9 , , , cord-277535-u283k70i 46 10 raised raise VBD cord-277535-u283k70i 46 11 bilirubin bilirubin NN cord-277535-u283k70i 46 12 and and CC cord-277535-u283k70i 46 13 jaundice jaundice NN cord-277535-u283k70i 46 14 . . . cord-277535-u283k70i 47 1 An an DT cord-277535-u283k70i 47 2 isolated isolated JJ cord-277535-u283k70i 47 3 rise rise NN cord-277535-u283k70i 47 4 in in IN cord-277535-u283k70i 47 5 unconjugated unconjugated JJ cord-277535-u283k70i 47 6 bilirubin bilirubin NN cord-277535-u283k70i 47 7 may may MD cord-277535-u283k70i 47 8 be be VB cord-277535-u283k70i 47 9 attributed attribute VBN cord-277535-u283k70i 47 10 to to IN cord-277535-u283k70i 47 11 Gilbert Gilbert NNP cord-277535-u283k70i 47 12 's 's POS cord-277535-u283k70i 47 13 syndrome syndrome NN cord-277535-u283k70i 47 14 or or CC cord-277535-u283k70i 47 15 haemolysis haemolysis NN cord-277535-u283k70i 47 16 . . . cord-277535-u283k70i 48 1 The the DT cord-277535-u283k70i 48 2 SARS SARS NNP cord-277535-u283k70i 48 3 - - HYPH cord-277535-u283k70i 48 4 CoV-2 CoV-2 NNP cord-277535-u283k70i 48 5 virus virus NN cord-277535-u283k70i 48 6 uses use VBZ cord-277535-u283k70i 48 7 angiotensin angiotensin NN cord-277535-u283k70i 48 8 - - HYPH cord-277535-u283k70i 48 9 converting convert VBG cord-277535-u283k70i 48 10 enzyme enzyme NN cord-277535-u283k70i 48 11 2(ACE-2 2(ace-2 CD cord-277535-u283k70i 48 12 ) ) -RRB- cord-277535-u283k70i 48 13 receptors receptor NNS cord-277535-u283k70i 48 14 to to TO cord-277535-u283k70i 48 15 gain gain VB cord-277535-u283k70i 48 16 entry entry NN cord-277535-u283k70i 48 17 into into IN cord-277535-u283k70i 48 18 cells cell NNS cord-277535-u283k70i 48 19 . . . cord-277535-u283k70i 49 1 3 3 LS cord-277535-u283k70i 49 2 Liver liver NN cord-277535-u283k70i 49 3 particularly particularly RB cord-277535-u283k70i 49 4 in in IN cord-277535-u283k70i 49 5 the the DT cord-277535-u283k70i 49 6 ductal ductal JJ cord-277535-u283k70i 49 7 region region NN cord-277535-u283k70i 49 8 has have VBZ cord-277535-u283k70i 49 9 abundance abundance NN cord-277535-u283k70i 49 10 of of IN cord-277535-u283k70i 49 11 these these DT cord-277535-u283k70i 49 12 receptors receptor NNS cord-277535-u283k70i 49 13 , , , cord-277535-u283k70i 49 14 hence hence RB cord-277535-u283k70i 49 15 may may MD cord-277535-u283k70i 49 16 be be VB cord-277535-u283k70i 49 17 susceptible susceptible JJ cord-277535-u283k70i 49 18 to to IN cord-277535-u283k70i 49 19 SARS SARS NNP cord-277535-u283k70i 49 20 - - HYPH cord-277535-u283k70i 49 21 CoV-2 CoV-2 NNP cord-277535-u283k70i 49 22 3 3 CD cord-277535-u283k70i 49 23 Elevated elevated JJ cord-277535-u283k70i 49 24 LFT LFT NNP cord-277535-u283k70i 49 25 have have VBP cord-277535-u283k70i 49 26 been be VBN cord-277535-u283k70i 49 27 reported report VBN cord-277535-u283k70i 49 28 widely widely RB cord-277535-u283k70i 49 29 in in IN cord-277535-u283k70i 49 30 hospitalized hospitalize VBN cord-277535-u283k70i 49 31 patients patient NNS cord-277535-u283k70i 49 32 with with IN cord-277535-u283k70i 49 33 COVID-19 COVID-19 NNP cord-277535-u283k70i 49 34 , , , cord-277535-u283k70i 49 35 the the DT cord-277535-u283k70i 49 36 range range NN cord-277535-u283k70i 49 37 of of IN cord-277535-u283k70i 49 38 elevation elevation NN cord-277535-u283k70i 49 39 is be VBZ cord-277535-u283k70i 49 40 highly highly RB cord-277535-u283k70i 49 41 variable variable JJ cord-277535-u283k70i 49 42 from from IN cord-277535-u283k70i 49 43 14 14 CD cord-277535-u283k70i 49 44 to to TO cord-277535-u283k70i 49 45 58 58 CD cord-277535-u283k70i 49 46 % % NN cord-277535-u283k70i 49 47 . . . cord-277535-u283k70i 50 1 4 4 LS cord-277535-u283k70i 51 1 Surprisingly surprisingly RB cord-277535-u283k70i 51 2 , , , cord-277535-u283k70i 51 3 the the DT cord-277535-u283k70i 51 4 pattern pattern NN cord-277535-u283k70i 51 5 of of IN cord-277535-u283k70i 51 6 elevation elevation NN cord-277535-u283k70i 51 7 mimics mimic VBZ cord-277535-u283k70i 51 8 hepatocyte hepatocyte NN cord-277535-u283k70i 51 9 damage damage NN cord-277535-u283k70i 51 10 ( ( -LRB- cord-277535-u283k70i 51 11 AST AST NNP cord-277535-u283k70i 51 12 / / SYM cord-277535-u283k70i 51 13 ALT alt NN cord-277535-u283k70i 51 14 higher high JJR cord-277535-u283k70i 51 15 than than IN cord-277535-u283k70i 51 16 bilirubin bilirubin NN cord-277535-u283k70i 51 17 or or CC cord-277535-u283k70i 51 18 ALP ALP NNP cord-277535-u283k70i 51 19 ) ) -RRB- cord-277535-u283k70i 51 20 rather rather RB cord-277535-u283k70i 51 21 than than IN cord-277535-u283k70i 51 22 cholangiocytic cholangiocytic JJ cord-277535-u283k70i 51 23 damage damage NN cord-277535-u283k70i 51 24 , , , cord-277535-u283k70i 51 25 as as IN cord-277535-u283k70i 51 26 would would MD cord-277535-u283k70i 51 27 have have VB cord-277535-u283k70i 51 28 been be VBN cord-277535-u283k70i 51 29 expected expect VBN cord-277535-u283k70i 51 30 given give VBN cord-277535-u283k70i 51 31 the the DT cord-277535-u283k70i 51 32 density density NN cord-277535-u283k70i 51 33 of of IN cord-277535-u283k70i 51 34 ACE-2 ACE-2 NNP cord-277535-u283k70i 51 35 receptors receptor NNS cord-277535-u283k70i 51 36 is be VBZ cord-277535-u283k70i 51 37 higher high JJR cord-277535-u283k70i 51 38 in in IN cord-277535-u283k70i 51 39 the the DT cord-277535-u283k70i 51 40 ductal ductal JJ cord-277535-u283k70i 51 41 system system NN cord-277535-u283k70i 51 42 . . . cord-277535-u283k70i 52 1 4 4 LS cord-277535-u283k70i 53 1 Additionally additionally RB cord-277535-u283k70i 53 2 low low JJ cord-277535-u283k70i 53 3 albumin albumin NN cord-277535-u283k70i 53 4 has have VBZ cord-277535-u283k70i 53 5 been be VBN cord-277535-u283k70i 53 6 seen see VBN cord-277535-u283k70i 53 7 and and CC cord-277535-u283k70i 53 8 is be VBZ cord-277535-u283k70i 53 9 a a DT cord-277535-u283k70i 53 10 marker marker NN cord-277535-u283k70i 53 11 of of IN cord-277535-u283k70i 53 12 severe severe JJ cord-277535-u283k70i 53 13 disease disease NN cord-277535-u283k70i 53 14 . . . cord-277535-u283k70i 54 1 5 5 LS cord-277535-u283k70i 55 1 One one CD cord-277535-u283k70i 55 2 study study NN cord-277535-u283k70i 55 3 reported report VBD cord-277535-u283k70i 55 4 longer long JJR cord-277535-u283k70i 55 5 hospital hospital NN cord-277535-u283k70i 55 6 stay stay NN cord-277535-u283k70i 55 7 in in IN cord-277535-u283k70i 55 8 patients patient NNS cord-277535-u283k70i 55 9 with with IN cord-277535-u283k70i 55 10 elevated elevated JJ cord-277535-u283k70i 55 11 LFT lft NN cord-277535-u283k70i 55 12 . . . cord-277535-u283k70i 56 1 6 6 CD cord-277535-u283k70i 57 1 An an DT cord-277535-u283k70i 57 2 international international JJ cord-277535-u283k70i 57 3 registry registry NN cord-277535-u283k70i 57 4 has have VBZ cord-277535-u283k70i 57 5 suggested suggest VBN cord-277535-u283k70i 57 6 that that WDT cord-277535-u283k70i 57 7 has have VBZ cord-277535-u283k70i 57 8 many many JJ cord-277535-u283k70i 57 9 as as IN cord-277535-u283k70i 57 10 25 25 CD cord-277535-u283k70i 57 11 % % NN cord-277535-u283k70i 57 12 of of IN cord-277535-u283k70i 57 13 patients patient NNS cord-277535-u283k70i 57 14 with with IN cord-277535-u283k70i 57 15 COVID-19 COVID-19 NNP cord-277535-u283k70i 57 16 may may MD cord-277535-u283k70i 57 17 present present VB cord-277535-u283k70i 57 18 with with IN cord-277535-u283k70i 57 19 hepatic hepatic JJ cord-277535-u283k70i 57 20 decompensation decompensation NN cord-277535-u283k70i 57 21 in in IN cord-277535-u283k70i 57 22 absence absence NN cord-277535-u283k70i 57 23 of of IN cord-277535-u283k70i 57 24 respiratory respiratory JJ cord-277535-u283k70i 57 25 symptoms symptom NNS cord-277535-u283k70i 57 26 . . . cord-277535-u283k70i 58 1 7 7 CD cord-277535-u283k70i 59 1 The the DT cord-277535-u283k70i 59 2 above above JJ cord-277535-u283k70i 59 3 findings finding NNS cord-277535-u283k70i 59 4 hold hold VBP cord-277535-u283k70i 59 5 important important JJ cord-277535-u283k70i 59 6 implications implication NNS cord-277535-u283k70i 59 7 for for IN cord-277535-u283k70i 59 8 anaesthetists anaesthetist NNS cord-277535-u283k70i 59 9 , , , cord-277535-u283k70i 59 10 especially especially RB cord-277535-u283k70i 59 11 in in IN cord-277535-u283k70i 59 12 preop preop JJ cord-277535-u283k70i 59 13 assessments assessment NNS cord-277535-u283k70i 59 14 . . . cord-277535-u283k70i 60 1 Most Most JJS cord-277535-u283k70i 60 2 drugs drug NNS cord-277535-u283k70i 60 3 given give VBN cord-277535-u283k70i 60 4 in in IN cord-277535-u283k70i 60 5 anaesthesia anaesthesia NN cord-277535-u283k70i 60 6 and and CC cord-277535-u283k70i 60 7 intensive intensive JJ cord-277535-u283k70i 60 8 care care NN cord-277535-u283k70i 60 9 are be VBP cord-277535-u283k70i 60 10 given give VBN cord-277535-u283k70i 60 11 intravenously intravenously RB cord-277535-u283k70i 60 12 , , , cord-277535-u283k70i 60 13 thus thus RB cord-277535-u283k70i 60 14 having have VBG cord-277535-u283k70i 60 15 a a DT cord-277535-u283k70i 60 16 bioavailability bioavailability NN cord-277535-u283k70i 60 17 of of IN cord-277535-u283k70i 60 18 1 1 CD cord-277535-u283k70i 60 19 . . . cord-277535-u283k70i 61 1 However however RB cord-277535-u283k70i 61 2 some some DT cord-277535-u283k70i 61 3 maybe maybe RB cord-277535-u283k70i 61 4 given give VBN cord-277535-u283k70i 61 5 orally orally RB cord-277535-u283k70i 61 6 or or CC cord-277535-u283k70i 61 7 nasogastrically nasogastrically RB cord-277535-u283k70i 61 8 and and CC cord-277535-u283k70i 61 9 absorbed absorb VBN cord-277535-u283k70i 61 10 enterally enterally RB cord-277535-u283k70i 61 11 . . . cord-277535-u283k70i 62 1 The the DT cord-277535-u283k70i 62 2 absorption absorption NN cord-277535-u283k70i 62 3 will will MD cord-277535-u283k70i 62 4 be be VB cord-277535-u283k70i 62 5 affected affect VBN cord-277535-u283k70i 62 6 by by IN cord-277535-u283k70i 62 7 delayed delay VBN cord-277535-u283k70i 62 8 gastric gastric JJ cord-277535-u283k70i 62 9 emptying emptying NN cord-277535-u283k70i 62 10 or or CC cord-277535-u283k70i 62 11 reduced reduce VBN cord-277535-u283k70i 62 12 by by IN cord-277535-u283k70i 62 13 diarrhoea diarrhoea NN cord-277535-u283k70i 62 14 and and CC cord-277535-u283k70i 62 15 increased increase VBD cord-277535-u283k70i 62 16 gastric gastric JJ cord-277535-u283k70i 62 17 transit transit NN cord-277535-u283k70i 62 18 time time NN cord-277535-u283k70i 62 19 seen see VBN cord-277535-u283k70i 62 20 in in IN cord-277535-u283k70i 62 21 liver liver NN cord-277535-u283k70i 62 22 failure failure NN cord-277535-u283k70i 62 23 . . . cord-277535-u283k70i 63 1 Additionally additionally RB cord-277535-u283k70i 63 2 if if IN cord-277535-u283k70i 63 3 vasopressors vasopressor NNS cord-277535-u283k70i 63 4 are be VBP cord-277535-u283k70i 63 5 used use VBN cord-277535-u283k70i 63 6 there there RB cord-277535-u283k70i 63 7 maybe maybe RB cord-277535-u283k70i 63 8 splanchnic splanchnic JJ cord-277535-u283k70i 63 9 vasoconstriction vasoconstriction NN cord-277535-u283k70i 63 10 with with IN cord-277535-u283k70i 63 11 associated associated JJ cord-277535-u283k70i 63 12 reduced reduce VBN cord-277535-u283k70i 63 13 absorption absorption NN cord-277535-u283k70i 63 14 . . . cord-277535-u283k70i 64 1 Volume volume NN cord-277535-u283k70i 64 2 of of IN cord-277535-u283k70i 64 3 distribution distribution NN cord-277535-u283k70i 64 4 is be VBZ cord-277535-u283k70i 64 5 a a DT cord-277535-u283k70i 64 6 theoretical theoretical JJ cord-277535-u283k70i 64 7 calculated calculate VBN cord-277535-u283k70i 64 8 volume volume NN cord-277535-u283k70i 64 9 within within IN cord-277535-u283k70i 64 10 which which WDT cord-277535-u283k70i 64 11 a a DT cord-277535-u283k70i 64 12 dose dose NN cord-277535-u283k70i 64 13 of of IN cord-277535-u283k70i 64 14 a a DT cord-277535-u283k70i 64 15 drug drug NN cord-277535-u283k70i 64 16 is be VBZ cord-277535-u283k70i 64 17 dissolved dissolve VBN cord-277535-u283k70i 64 18 . . . cord-277535-u283k70i 65 1 Hepatic hepatic JJ cord-277535-u283k70i 65 2 dysfunction dysfunction NN cord-277535-u283k70i 65 3 can can MD cord-277535-u283k70i 65 4 cause cause VB cord-277535-u283k70i 65 5 fluid fluid JJ cord-277535-u283k70i 65 6 retention retention NN cord-277535-u283k70i 65 7 and and CC cord-277535-u283k70i 65 8 will will MD cord-277535-u283k70i 65 9 increase increase VB cord-277535-u283k70i 65 10 the the DT cord-277535-u283k70i 65 11 volume volume NN cord-277535-u283k70i 65 12 within within IN cord-277535-u283k70i 65 13 which which WDT cord-277535-u283k70i 65 14 drugs drug NNS cord-277535-u283k70i 65 15 are be VBP cord-277535-u283k70i 65 16 present present JJ cord-277535-u283k70i 65 17 , , , cord-277535-u283k70i 65 18 particularly particularly RB cord-277535-u283k70i 65 19 those those DT cord-277535-u283k70i 65 20 which which WDT cord-277535-u283k70i 65 21 usually usually RB cord-277535-u283k70i 65 22 remain remain VBP cord-277535-u283k70i 65 23 in in IN cord-277535-u283k70i 65 24 the the DT cord-277535-u283k70i 65 25 plasma plasma NN cord-277535-u283k70i 65 26 , , , cord-277535-u283k70i 65 27 thus thus RB cord-277535-u283k70i 65 28 increasing increase VBG cord-277535-u283k70i 65 29 their -PRON- PRP$ cord-277535-u283k70i 65 30 volume volume NN cord-277535-u283k70i 65 31 of of IN cord-277535-u283k70i 65 32 distribution distribution NN cord-277535-u283k70i 65 33 and and CC cord-277535-u283k70i 65 34 reducing reduce VBG cord-277535-u283k70i 65 35 their -PRON- PRP$ cord-277535-u283k70i 65 36 plasma plasma NN cord-277535-u283k70i 65 37 concentration concentration NN cord-277535-u283k70i 65 38 . . . cord-277535-u283k70i 66 1 2 2 LS cord-277535-u283k70i 67 1 In in IN cord-277535-u283k70i 67 2 liver liver NN cord-277535-u283k70i 67 3 disease disease NN cord-277535-u283k70i 67 4 , , , cord-277535-u283k70i 67 5 protein protein NN cord-277535-u283k70i 67 6 synthesis synthesis NN cord-277535-u283k70i 67 7 may may MD cord-277535-u283k70i 67 8 be be VB cord-277535-u283k70i 67 9 reduced reduce VBN cord-277535-u283k70i 67 10 . . . cord-277535-u283k70i 68 1 These these DT cord-277535-u283k70i 68 2 proteins protein NNS cord-277535-u283k70i 68 3 are be VBP cord-277535-u283k70i 68 4 important important JJ cord-277535-u283k70i 68 5 as as IN cord-277535-u283k70i 68 6 binding bind VBG cord-277535-u283k70i 68 7 sites site NNS cord-277535-u283k70i 68 8 for for IN cord-277535-u283k70i 68 9 drugs drug NNS cord-277535-u283k70i 68 10 and and CC cord-277535-u283k70i 68 11 as as IN cord-277535-u283k70i 68 12 such such JJ cord-277535-u283k70i 68 13 alter alter VB cord-277535-u283k70i 68 14 the the DT cord-277535-u283k70i 68 15 amount amount NN cord-277535-u283k70i 68 16 of of IN cord-277535-u283k70i 68 17 free free JJ cord-277535-u283k70i 68 18 drug drug NN cord-277535-u283k70i 68 19 available available JJ cord-277535-u283k70i 68 20 , , , cord-277535-u283k70i 68 21 volume volume NN cord-277535-u283k70i 68 22 of of IN cord-277535-u283k70i 68 23 distribution distribution NN cord-277535-u283k70i 68 24 , , , cord-277535-u283k70i 68 25 half half JJ cord-277535-u283k70i 68 26 life life NN cord-277535-u283k70i 68 27 and and CC cord-277535-u283k70i 68 28 duration duration NN cord-277535-u283k70i 68 29 of of IN cord-277535-u283k70i 68 30 action action NN cord-277535-u283k70i 68 31 . . . cord-277535-u283k70i 69 1 An an DT cord-277535-u283k70i 69 2 important important JJ cord-277535-u283k70i 69 3 example example NN cord-277535-u283k70i 69 4 is be VBZ cord-277535-u283k70i 69 5 albumin albumin NN cord-277535-u283k70i 69 6 . . . cord-277535-u283k70i 70 1 Hypo Hypo NNP cord-277535-u283k70i 70 2 - - HYPH cord-277535-u283k70i 70 3 albuminaemia albuminaemia NN cord-277535-u283k70i 70 4 will will MD cord-277535-u283k70i 70 5 increase increase VB cord-277535-u283k70i 70 6 the the DT cord-277535-u283k70i 70 7 proportion proportion NN cord-277535-u283k70i 70 8 of of IN cord-277535-u283k70i 70 9 free free JJ cord-277535-u283k70i 70 10 drug drug NN cord-277535-u283k70i 70 11 which which WDT cord-277535-u283k70i 70 12 is be VBZ cord-277535-u283k70i 70 13 active active JJ cord-277535-u283k70i 70 14 , , , cord-277535-u283k70i 70 15 therefore therefore RB cord-277535-u283k70i 70 16 doses dose NNS cord-277535-u283k70i 70 17 of of IN cord-277535-u283k70i 70 18 highly highly RB cord-277535-u283k70i 70 19 protein protein NN cord-277535-u283k70i 70 20 bound bind VBN cord-277535-u283k70i 70 21 drugs drug NNS cord-277535-u283k70i 70 22 may may MD cord-277535-u283k70i 70 23 need need VB cord-277535-u283k70i 70 24 to to TO cord-277535-u283k70i 70 25 be be VB cord-277535-u283k70i 70 26 reduced reduce VBN cord-277535-u283k70i 70 27 , , , cord-277535-u283k70i 70 28 for for IN cord-277535-u283k70i 70 29 example example NN cord-277535-u283k70i 70 30 phenytoin phenytoin NN cord-277535-u283k70i 70 31 and and CC cord-277535-u283k70i 70 32 benzodiazepines benzodiazepine NNS cord-277535-u283k70i 70 33 , , , cord-277535-u283k70i 70 34 aspirin aspirin NN cord-277535-u283k70i 70 35 and and CC cord-277535-u283k70i 70 36 warfarin warfarin NN cord-277535-u283k70i 70 37 . . . cord-277535-u283k70i 71 1 8 8 CD cord-277535-u283k70i 72 1 Another another DT cord-277535-u283k70i 72 2 protein protein NN cord-277535-u283k70i 72 3 produced produce VBN cord-277535-u283k70i 72 4 by by IN cord-277535-u283k70i 72 5 the the DT cord-277535-u283k70i 72 6 liver liver NN cord-277535-u283k70i 72 7 , , , cord-277535-u283k70i 72 8 a a DT cord-277535-u283k70i 72 9 1 1 CD cord-277535-u283k70i 72 10 acid acid NN cord-277535-u283k70i 72 11 glycoprotein glycoprotein NN cord-277535-u283k70i 72 12 binds bind VBZ cord-277535-u283k70i 72 13 basic basic JJ cord-277535-u283k70i 72 14 drugs drug NNS cord-277535-u283k70i 72 15 such such JJ cord-277535-u283k70i 72 16 as as IN cord-277535-u283k70i 72 17 carbamazepine carbamazepine NN cord-277535-u283k70i 72 18 , , , cord-277535-u283k70i 72 19 propanolol propanolol NN cord-277535-u283k70i 72 20 , , , cord-277535-u283k70i 72 21 alprenolol alprenolol NNP cord-277535-u283k70i 72 22 and and CC cord-277535-u283k70i 72 23 imipramine imipramine NN cord-277535-u283k70i 72 24 as as RB cord-277535-u283k70i 72 25 well well RB cord-277535-u283k70i 72 26 as as IN cord-277535-u283k70i 72 27 steroids steroid NNS cord-277535-u283k70i 72 28 . . . cord-277535-u283k70i 73 1 Bilirubin bilirubin NN cord-277535-u283k70i 73 2 can can MD cord-277535-u283k70i 73 3 also also RB cord-277535-u283k70i 73 4 compete compete VB cord-277535-u283k70i 73 5 for for IN cord-277535-u283k70i 73 6 protein protein NN cord-277535-u283k70i 73 7 binding bind VBG cord-277535-u283k70i 73 8 sites site NNS cord-277535-u283k70i 73 9 , , , cord-277535-u283k70i 73 10 so so RB cord-277535-u283k70i 73 11 raised raise VBN cord-277535-u283k70i 73 12 levels level NNS cord-277535-u283k70i 73 13 can can MD cord-277535-u283k70i 73 14 increase increase VB cord-277535-u283k70i 73 15 amount amount NN cord-277535-u283k70i 73 16 of of IN cord-277535-u283k70i 73 17 free free JJ cord-277535-u283k70i 73 18 drugs drug NNS cord-277535-u283k70i 73 19 , , , cord-277535-u283k70i 73 20 the the DT cord-277535-u283k70i 73 21 effect effect NN cord-277535-u283k70i 73 22 however however RB cord-277535-u283k70i 73 23 is be VBZ cord-277535-u283k70i 73 24 less less JJR cord-277535-u283k70i 73 25 in in IN cord-277535-u283k70i 73 26 vivo vivo NN cord-277535-u283k70i 73 27 than than IN cord-277535-u283k70i 73 28 in in IN cord-277535-u283k70i 73 29 vitro vitro FW cord-277535-u283k70i 73 30 . . . cord-277535-u283k70i 74 1 1 1 LS cord-277535-u283k70i 74 2 Problems problem NNS cord-277535-u283k70i 74 3 with with IN cord-277535-u283k70i 74 4 absorption absorption NN cord-277535-u283k70i 74 5 of of IN cord-277535-u283k70i 74 6 enterally enterally RB cord-277535-u283k70i 74 7 delivered deliver VBN cord-277535-u283k70i 74 8 drugs drug NNS cord-277535-u283k70i 74 9 have have VBP cord-277535-u283k70i 74 10 been be VBN cord-277535-u283k70i 74 11 described describe VBN cord-277535-u283k70i 74 12 . . . cord-277535-u283k70i 75 1 Once once RB cord-277535-u283k70i 75 2 absorbed absorb VBN cord-277535-u283k70i 75 3 these these DT cord-277535-u283k70i 75 4 drugs drug NNS cord-277535-u283k70i 75 5 undergo undergo VBP cord-277535-u283k70i 75 6 the the DT cord-277535-u283k70i 75 7 " " `` cord-277535-u283k70i 75 8 first first JJ cord-277535-u283k70i 75 9 pass pass NN cord-277535-u283k70i 75 10 effect effect NN cord-277535-u283k70i 75 11 " " '' cord-277535-u283k70i 75 12 by by IN cord-277535-u283k70i 75 13 the the DT cord-277535-u283k70i 75 14 liver liver NN cord-277535-u283k70i 75 15 before before IN cord-277535-u283k70i 75 16 reaching reach VBG cord-277535-u283k70i 75 17 the the DT cord-277535-u283k70i 75 18 systemic systemic JJ cord-277535-u283k70i 75 19 circulation circulation NN cord-277535-u283k70i 75 20 . . . cord-277535-u283k70i 76 1 In in IN cord-277535-u283k70i 76 2 liver liver NN cord-277535-u283k70i 76 3 failure failure NN cord-277535-u283k70i 77 1 the the DT cord-277535-u283k70i 77 2 degree degree NN cord-277535-u283k70i 77 3 of of IN cord-277535-u283k70i 77 4 metabolism metabolism NN cord-277535-u283k70i 77 5 will will MD cord-277535-u283k70i 77 6 be be VB cord-277535-u283k70i 77 7 reduced reduce VBN cord-277535-u283k70i 77 8 , , , cord-277535-u283k70i 77 9 therefore therefore RB cord-277535-u283k70i 77 10 the the DT cord-277535-u283k70i 77 11 extraction extraction NN cord-277535-u283k70i 77 12 ratio ratio NN cord-277535-u283k70i 77 13 will will MD cord-277535-u283k70i 77 14 also also RB cord-277535-u283k70i 77 15 be be VB cord-277535-u283k70i 77 16 reduced reduce VBN cord-277535-u283k70i 77 17 and and CC cord-277535-u283k70i 77 18 more more JJR cord-277535-u283k70i 77 19 drug drug NN cord-277535-u283k70i 77 20 will will MD cord-277535-u283k70i 77 21 reach reach VB cord-277535-u283k70i 77 22 the the DT cord-277535-u283k70i 77 23 systemic systemic JJ cord-277535-u283k70i 77 24 circulation circulation NN cord-277535-u283k70i 77 25 , , , cord-277535-u283k70i 77 26 thus thus RB cord-277535-u283k70i 77 27 increasing increase VBG cord-277535-u283k70i 77 28 bioavailability bioavailability NN cord-277535-u283k70i 77 29 . . . cord-277535-u283k70i 78 1 Prevalence prevalence NN cord-277535-u283k70i 78 2 of of IN cord-277535-u283k70i 78 3 ultrarapid ultrarapid NN cord-277535-u283k70i 78 4 metabolisers metaboliser VBZ cord-277535-u283k70i 78 5 Metabolism metabolism NN cord-277535-u283k70i 78 6 of of IN cord-277535-u283k70i 78 7 drugs drug NNS cord-277535-u283k70i 78 8 in in IN cord-277535-u283k70i 78 9 liver liver NN cord-277535-u283k70i 78 10 disease disease NN cord-277535-u283k70i 78 11 depends depend VBZ cord-277535-u283k70i 78 12 on on IN cord-277535-u283k70i 78 13 liver liver NN cord-277535-u283k70i 78 14 blood blood NN cord-277535-u283k70i 78 15 flow flow NN cord-277535-u283k70i 78 16 . . . cord-277535-u283k70i 79 1 This this DT cord-277535-u283k70i 79 2 can can MD cord-277535-u283k70i 79 3 be be VB cord-277535-u283k70i 79 4 reduced reduce VBN cord-277535-u283k70i 79 5 in in IN cord-277535-u283k70i 79 6 a a DT cord-277535-u283k70i 79 7 cirrhotic cirrhotic JJ cord-277535-u283k70i 79 8 liver liver NN cord-277535-u283k70i 79 9 as as IN cord-277535-u283k70i 79 10 portovenous portovenous JJ cord-277535-u283k70i 79 11 shunting shunt VBG cord-277535-u283k70i 79 12 in in IN cord-277535-u283k70i 79 13 the the DT cord-277535-u283k70i 79 14 form form NN cord-277535-u283k70i 79 15 of of IN cord-277535-u283k70i 79 16 varices varix NNS cord-277535-u283k70i 79 17 which which WDT cord-277535-u283k70i 79 18 are be VBP cord-277535-u283k70i 79 19 created create VBN cord-277535-u283k70i 79 20 and and CC cord-277535-u283k70i 79 21 blood blood NN cord-277535-u283k70i 79 22 is be VBZ cord-277535-u283k70i 79 23 diverted divert VBN cord-277535-u283k70i 79 24 directly directly RB cord-277535-u283k70i 79 25 into into IN cord-277535-u283k70i 79 26 the the DT cord-277535-u283k70i 79 27 systemic systemic JJ cord-277535-u283k70i 79 28 circulation circulation NN cord-277535-u283k70i 79 29 by by IN cord-277535-u283k70i 79 30 - - HYPH cord-277535-u283k70i 79 31 passing pass VBG cord-277535-u283k70i 79 32 the the DT cord-277535-u283k70i 79 33 liver liver NN cord-277535-u283k70i 79 34 . . . cord-277535-u283k70i 80 1 Thus thus RB cord-277535-u283k70i 80 2 first first JJ cord-277535-u283k70i 80 3 pass pass NN cord-277535-u283k70i 80 4 metabolism metabolism NN cord-277535-u283k70i 80 5 is be VBZ cord-277535-u283k70i 80 6 reduced reduce VBN cord-277535-u283k70i 80 7 . . . cord-277535-u283k70i 81 1 Drug drug NN cord-277535-u283k70i 81 2 metabolism metabolism NN cord-277535-u283k70i 81 3 by by IN cord-277535-u283k70i 81 4 the the DT cord-277535-u283k70i 81 5 liver liver NN cord-277535-u283k70i 81 6 may may MD cord-277535-u283k70i 81 7 also also RB cord-277535-u283k70i 81 8 be be VB cord-277535-u283k70i 81 9 reduced reduce VBN cord-277535-u283k70i 81 10 by by IN cord-277535-u283k70i 81 11 the the DT cord-277535-u283k70i 81 12 use use NN cord-277535-u283k70i 81 13 of of IN cord-277535-u283k70i 81 14 vasopressors vasopressor NNS cord-277535-u283k70i 81 15 on on IN cord-277535-u283k70i 81 16 intensive intensive JJ cord-277535-u283k70i 81 17 care care NN cord-277535-u283k70i 81 18 which which WDT cord-277535-u283k70i 81 19 reduce reduce VBP cord-277535-u283k70i 81 20 liver liver NN cord-277535-u283k70i 81 21 blood blood NN cord-277535-u283k70i 81 22 flow flow NN cord-277535-u283k70i 81 23 due due IN cord-277535-u283k70i 81 24 to to IN cord-277535-u283k70i 81 25 varying vary VBG cord-277535-u283k70i 81 26 degrees degree NNS cord-277535-u283k70i 81 27 of of IN cord-277535-u283k70i 81 28 splanchnic splanchnic JJ cord-277535-u283k70i 81 29 vasoconstriction vasoconstriction NN cord-277535-u283k70i 81 30 . . . cord-277535-u283k70i 82 1 The the DT cord-277535-u283k70i 82 2 phase phase NN cord-277535-u283k70i 82 3 1 1 CD cord-277535-u283k70i 82 4 and and CC cord-277535-u283k70i 82 5 2 2 CD cord-277535-u283k70i 82 6 reactions reaction NNS cord-277535-u283k70i 82 7 performed perform VBN cord-277535-u283k70i 82 8 by by IN cord-277535-u283k70i 82 9 the the DT cord-277535-u283k70i 82 10 liver liver NN cord-277535-u283k70i 82 11 are be VBP cord-277535-u283k70i 82 12 affected affect VBN cord-277535-u283k70i 82 13 and and CC cord-277535-u283k70i 82 14 metabolism metabolism NN cord-277535-u283k70i 82 15 and and CC cord-277535-u283k70i 82 16 thus thus RB cord-277535-u283k70i 82 17 extraction extraction NN cord-277535-u283k70i 82 18 ratios ratio NNS cord-277535-u283k70i 82 19 are be VBP cord-277535-u283k70i 82 20 reduced reduce VBN cord-277535-u283k70i 82 21 . . . cord-277535-u283k70i 83 1 Drugs drug NNS cord-277535-u283k70i 83 2 can can MD cord-277535-u283k70i 83 3 be be VB cord-277535-u283k70i 83 4 divided divide VBN cord-277535-u283k70i 83 5 into into IN cord-277535-u283k70i 83 6 those those DT cord-277535-u283k70i 83 7 with with IN cord-277535-u283k70i 83 8 high high JJ cord-277535-u283k70i 83 9 extraction extraction NN cord-277535-u283k70i 83 10 ratios ratio NNS cord-277535-u283k70i 83 11 > > XX cord-277535-u283k70i 84 1 0.7 0.7 CD cord-277535-u283k70i 84 2 , , , cord-277535-u283k70i 84 3 for for IN cord-277535-u283k70i 84 4 example example NN cord-277535-u283k70i 84 5 fentanyl fentanyl NN cord-277535-u283k70i 84 6 and and CC cord-277535-u283k70i 84 7 morphine morphine NN cord-277535-u283k70i 84 8 and and CC cord-277535-u283k70i 84 9 low low JJ cord-277535-u283k70i 84 10 extraction extraction NN cord-277535-u283k70i 84 11 ratios ratio NNS cord-277535-u283k70i 84 12 < < XX cord-277535-u283k70i 84 13 0.3 0.3 CD cord-277535-u283k70i 84 14 such such JJ cord-277535-u283k70i 84 15 as as IN cord-277535-u283k70i 84 16 lorazepam lorazepam NN cord-277535-u283k70i 84 17 , , , cord-277535-u283k70i 84 18 diazepam diazepam NN cord-277535-u283k70i 84 19 and and CC cord-277535-u283k70i 84 20 methadone methadone NN cord-277535-u283k70i 84 21 . . . cord-277535-u283k70i 85 1 Most Most JJS cord-277535-u283k70i 85 2 drugs drug NNS cord-277535-u283k70i 85 3 have have VBP cord-277535-u283k70i 85 4 low low JJ cord-277535-u283k70i 85 5 extraction extraction NN cord-277535-u283k70i 85 6 ratios ratio NNS cord-277535-u283k70i 85 7 < < XX cord-277535-u283k70i 85 8 0.3 0.3 CD cord-277535-u283k70i 85 9 that that WDT cord-277535-u283k70i 85 10 is is RB cord-277535-u283k70i 85 11 they -PRON- PRP cord-277535-u283k70i 85 12 have have VBP cord-277535-u283k70i 85 13 poor poor JJ cord-277535-u283k70i 85 14 permeability permeability NN cord-277535-u283k70i 85 15 and and CC cord-277535-u283k70i 85 16 are be VBP cord-277535-u283k70i 85 17 metabolized metabolize VBN cord-277535-u283k70i 85 18 by by IN cord-277535-u283k70i 85 19 the the DT cord-277535-u283k70i 85 20 liver liver NN cord-277535-u283k70i 85 21 but but CC cord-277535-u283k70i 85 22 poorly poorly RB cord-277535-u283k70i 85 23 extracted extract VBN cord-277535-u283k70i 85 24 , , , cord-277535-u283k70i 85 25 therefore therefore RB cord-277535-u283k70i 85 26 clearance clearance NN cord-277535-u283k70i 85 27 is be VBZ cord-277535-u283k70i 85 28 limited limit VBN cord-277535-u283k70i 85 29 by by IN cord-277535-u283k70i 85 30 reduced reduced JJ cord-277535-u283k70i 85 31 metabolism metabolism NN cord-277535-u283k70i 85 32 not not RB cord-277535-u283k70i 85 33 by by IN cord-277535-u283k70i 85 34 blood blood NN cord-277535-u283k70i 85 35 flow flow NN cord-277535-u283k70i 85 36 . . . cord-277535-u283k70i 86 1 Those those DT cord-277535-u283k70i 86 2 with with IN cord-277535-u283k70i 86 3 high high JJ cord-277535-u283k70i 86 4 extraction extraction NN cord-277535-u283k70i 86 5 ratios ratio NNS cord-277535-u283k70i 86 6 > > XX cord-277535-u283k70i 87 1 0.7 0.7 CD cord-277535-u283k70i 87 2 are be VBP cord-277535-u283k70i 87 3 highly highly RB cord-277535-u283k70i 87 4 permeable permeable JJ cord-277535-u283k70i 87 5 and and CC cord-277535-u283k70i 87 6 clearance clearance NN cord-277535-u283k70i 87 7 is be VBZ cord-277535-u283k70i 87 8 dependent dependent JJ cord-277535-u283k70i 87 9 on on IN cord-277535-u283k70i 87 10 blood blood NN cord-277535-u283k70i 87 11 flow flow NN cord-277535-u283k70i 87 12 . . . cord-277535-u283k70i 88 1 9 9 CD cord-277535-u283k70i 88 2 Hepatic hepatic JJ cord-277535-u283k70i 88 3 dysfunction dysfunction NN cord-277535-u283k70i 88 4 is be VBZ cord-277535-u283k70i 88 5 not not RB cord-277535-u283k70i 88 6 uncommon uncommon JJ cord-277535-u283k70i 88 7 within within IN cord-277535-u283k70i 88 8 the the DT cord-277535-u283k70i 88 9 intensive intensive JJ cord-277535-u283k70i 88 10 care care NN cord-277535-u283k70i 88 11 setting set VBG cord-277535-u283k70i 88 12 affecting affect VBG cord-277535-u283k70i 88 13 11e54 11e54 CD cord-277535-u283k70i 88 14 % % NN cord-277535-u283k70i 88 15 of of IN cord-277535-u283k70i 88 16 critically critically RB cord-277535-u283k70i 88 17 ill ill JJ cord-277535-u283k70i 88 18 patients patient NNS cord-277535-u283k70i 88 19 depending depend VBG cord-277535-u283k70i 88 20 on on IN cord-277535-u283k70i 88 21 definitions definition NNS cord-277535-u283k70i 88 22 used use VBN cord-277535-u283k70i 88 23 . . . cord-277535-u283k70i 89 1 2 2 LS cord-277535-u283k70i 90 1 There there EX cord-277535-u283k70i 90 2 is be VBZ cord-277535-u283k70i 90 3 currently currently RB cord-277535-u283k70i 90 4 no no DT cord-277535-u283k70i 90 5 tool tool NN cord-277535-u283k70i 90 6 akin akin JJ cord-277535-u283k70i 90 7 to to IN cord-277535-u283k70i 90 8 renal renal JJ cord-277535-u283k70i 90 9 clearance clearance NN cord-277535-u283k70i 90 10 to to TO cord-277535-u283k70i 90 11 indicate indicate VB cord-277535-u283k70i 90 12 degree degree NN cord-277535-u283k70i 90 13 of of IN cord-277535-u283k70i 90 14 liver liver NN cord-277535-u283k70i 90 15 dysfunction dysfunction NN cord-277535-u283k70i 90 16 . . . cord-277535-u283k70i 91 1 9 9 CD cord-277535-u283k70i 92 1 Therefore therefore RB cord-277535-u283k70i 92 2 clinicians clinician NNS cord-277535-u283k70i 92 3 use use VBP cord-277535-u283k70i 92 4 liver liver NN cord-277535-u283k70i 92 5 function function NN cord-277535-u283k70i 92 6 blood blood NN cord-277535-u283k70i 92 7 tests test NNS cord-277535-u283k70i 92 8 , , , cord-277535-u283k70i 92 9 international international JJ cord-277535-u283k70i 92 10 normalized normalized JJ cord-277535-u283k70i 92 11 ratio ratio NN cord-277535-u283k70i 92 12 ( ( -LRB- cord-277535-u283k70i 92 13 INR INR NNP cord-277535-u283k70i 92 14 ) ) -RRB- cord-277535-u283k70i 92 15 , , , cord-277535-u283k70i 92 16 serum serum NN cord-277535-u283k70i 92 17 albumin albumin NN cord-277535-u283k70i 92 18 and and CC cord-277535-u283k70i 92 19 clinical clinical JJ cord-277535-u283k70i 92 20 scores score NNS cord-277535-u283k70i 92 21 such such JJ cord-277535-u283k70i 92 22 as as IN cord-277535-u283k70i 92 23 the the DT cord-277535-u283k70i 92 24 Child Child NNP cord-277535-u283k70i 92 25 Pugh Pugh NNP cord-277535-u283k70i 92 26 score score NN cord-277535-u283k70i 92 27 act act NN cord-277535-u283k70i 92 28 as as IN cord-277535-u283k70i 92 29 a a DT cord-277535-u283k70i 92 30 surrogate surrogate NN cord-277535-u283k70i 92 31 for for IN cord-277535-u283k70i 92 32 function function NN cord-277535-u283k70i 92 33 . . . cord-277535-u283k70i 93 1 More More JJR cord-277535-u283k70i 93 2 recently recently RB cord-277535-u283k70i 93 3 the the DT cord-277535-u283k70i 93 4 Model Model NNP cord-277535-u283k70i 93 5 for for IN cord-277535-u283k70i 93 6 End End NNP cord-277535-u283k70i 93 7 Stage Stage NNP cord-277535-u283k70i 93 8 Liver liver NN cord-277535-u283k70i 93 9 Disease disease NN cord-277535-u283k70i 93 10 ( ( -LRB- cord-277535-u283k70i 93 11 MELD MELD NNP cord-277535-u283k70i 93 12 Score Score NNP cord-277535-u283k70i 93 13 ) ) -RRB- cord-277535-u283k70i 93 14 and and CC cord-277535-u283k70i 93 15 the the DT cord-277535-u283k70i 93 16 MELD MELD NNP cord-277535-u283k70i 93 17 - - HYPH cord-277535-u283k70i 93 18 Na Na NNP cord-277535-u283k70i 93 19 have have VBP cord-277535-u283k70i 93 20 been be VBN cord-277535-u283k70i 93 21 used use VBN cord-277535-u283k70i 93 22 to to TO cord-277535-u283k70i 93 23 more more RBR cord-277535-u283k70i 93 24 accurately accurately RB cord-277535-u283k70i 93 25 predict predict VB cord-277535-u283k70i 93 26 the the DT cord-277535-u283k70i 93 27 severity severity NN cord-277535-u283k70i 93 28 of of IN cord-277535-u283k70i 93 29 liver liver NN cord-277535-u283k70i 93 30 dysfunction dysfunction NN cord-277535-u283k70i 93 31 . . . cord-277535-u283k70i 94 1 10 10 CD cord-277535-u283k70i 94 2 , , , cord-277535-u283k70i 94 3 11 11 CD cord-277535-u283k70i 95 1 Although although IN cord-277535-u283k70i 95 2 their -PRON- PRP$ cord-277535-u283k70i 95 3 correlation correlation NN cord-277535-u283k70i 95 4 with with IN cord-277535-u283k70i 95 5 pharmacokinetic pharmacokinetic JJ cord-277535-u283k70i 95 6 function function NN cord-277535-u283k70i 95 7 not not RB cord-277535-u283k70i 95 8 well well RB cord-277535-u283k70i 95 9 understood understand VBN cord-277535-u283k70i 95 10 . . . cord-277535-u283k70i 96 1 Due due IN cord-277535-u283k70i 96 2 to to IN cord-277535-u283k70i 96 3 the the DT cord-277535-u283k70i 96 4 alterations alteration NNS cord-277535-u283k70i 96 5 discussed discuss VBN cord-277535-u283k70i 96 6 in in IN cord-277535-u283k70i 96 7 pharmacokinetics pharmacokinetic NNS cord-277535-u283k70i 96 8 in in IN cord-277535-u283k70i 96 9 liver liver NN cord-277535-u283k70i 96 10 dysfunction dysfunction NN cord-277535-u283k70i 96 11 drug drug NN cord-277535-u283k70i 96 12 choices choice NNS cord-277535-u283k70i 96 13 , , , cord-277535-u283k70i 96 14 dosages dosage NNS cord-277535-u283k70i 96 15 and and CC cord-277535-u283k70i 96 16 frequency frequency NN cord-277535-u283k70i 96 17 may may MD cord-277535-u283k70i 96 18 need need VB cord-277535-u283k70i 96 19 to to TO cord-277535-u283k70i 96 20 be be VB cord-277535-u283k70i 96 21 rationalized rationalize VBN cord-277535-u283k70i 96 22 and and CC cord-277535-u283k70i 96 23 altered alter VBN cord-277535-u283k70i 96 24 accordingly accordingly RB cord-277535-u283k70i 96 25 . . . cord-277535-u283k70i 97 1 For for IN cord-277535-u283k70i 97 2 example example NN cord-277535-u283k70i 97 3 the the DT cord-277535-u283k70i 97 4 induction induction NN cord-277535-u283k70i 97 5 dose dose NN cord-277535-u283k70i 97 6 and and CC cord-277535-u283k70i 97 7 maintenance maintenance NN cord-277535-u283k70i 97 8 dose dose NN cord-277535-u283k70i 97 9 , , , cord-277535-u283k70i 97 10 for for IN cord-277535-u283k70i 97 11 either either CC cord-277535-u283k70i 97 12 anaesthesia anaesthesia NN cord-277535-u283k70i 97 13 or or CC cord-277535-u283k70i 97 14 sedation sedation NN cord-277535-u283k70i 97 15 , , , cord-277535-u283k70i 97 16 needs need VBZ cord-277535-u283k70i 97 17 to to TO cord-277535-u283k70i 97 18 be be VB cord-277535-u283k70i 97 19 reduced reduce VBN cord-277535-u283k70i 97 20 . . . cord-277535-u283k70i 98 1 Historically historically RB cord-277535-u283k70i 98 2 inhalational inhalational JJ cord-277535-u283k70i 98 3 agents agent NNS cord-277535-u283k70i 98 4 , , , cord-277535-u283k70i 98 5 particularly particularly RB cord-277535-u283k70i 98 6 halothane halothane NNP cord-277535-u283k70i 98 7 have have VBP cord-277535-u283k70i 98 8 been be VBN cord-277535-u283k70i 98 9 implicated implicate VBN cord-277535-u283k70i 98 10 in in IN cord-277535-u283k70i 98 11 causing cause VBG cord-277535-u283k70i 98 12 hepatitis hepatitis NN cord-277535-u283k70i 98 13 . . . cord-277535-u283k70i 99 1 The the DT cord-277535-u283k70i 99 2 risk risk NN cord-277535-u283k70i 99 3 is be VBZ cord-277535-u283k70i 99 4 related relate VBN cord-277535-u283k70i 99 5 to to IN cord-277535-u283k70i 99 6 the the DT cord-277535-u283k70i 99 7 generation generation NN cord-277535-u283k70i 99 8 of of IN cord-277535-u283k70i 99 9 trifluroacteyl trifluroacteyl NN cord-277535-u283k70i 99 10 chloride chloride NN cord-277535-u283k70i 99 11 ( ( -LRB- cord-277535-u283k70i 99 12 TFA TFA NNP cord-277535-u283k70i 99 13 ) ) -RRB- cord-277535-u283k70i 99 14 by by IN cord-277535-u283k70i 99 15 metabolism metabolism NN cord-277535-u283k70i 99 16 of of IN cord-277535-u283k70i 99 17 agents agent NNS cord-277535-u283k70i 99 18 , , , cord-277535-u283k70i 99 19 which which WDT cord-277535-u283k70i 99 20 is be VBZ cord-277535-u283k70i 99 21 implicated implicate VBN cord-277535-u283k70i 99 22 in in IN cord-277535-u283k70i 99 23 toxicity toxicity NN cord-277535-u283k70i 99 24 12 12 CD cord-277535-u283k70i 99 25 Around around IN cord-277535-u283k70i 99 26 20 20 CD cord-277535-u283k70i 99 27 % % NN cord-277535-u283k70i 99 28 of of IN cord-277535-u283k70i 99 29 administered administer VBN cord-277535-u283k70i 99 30 dose dose NN cord-277535-u283k70i 99 31 of of IN cord-277535-u283k70i 99 32 halothane halothane NNP cord-277535-u283k70i 99 33 is be VBZ cord-277535-u283k70i 99 34 metabolized metabolize VBN cord-277535-u283k70i 99 35 by by IN cord-277535-u283k70i 99 36 the the DT cord-277535-u283k70i 99 37 liver liver NN cord-277535-u283k70i 99 38 , , , cord-277535-u283k70i 99 39 more more RBR cord-277535-u283k70i 99 40 specifically specifically RB cord-277535-u283k70i 99 41 by by IN cord-277535-u283k70i 99 42 cytochrome cytochrome NN cord-277535-u283k70i 99 43 P450 p450 NN cord-277535-u283k70i 99 44 . . . cord-277535-u283k70i 100 1 This this DT cord-277535-u283k70i 100 2 is be VBZ cord-277535-u283k70i 100 3 a a DT cord-277535-u283k70i 100 4 relatively relatively RB cord-277535-u283k70i 100 5 high high JJ cord-277535-u283k70i 100 6 percentage percentage NN cord-277535-u283k70i 100 7 when when WRB cord-277535-u283k70i 100 8 compared compare VBN cord-277535-u283k70i 100 9 to to IN cord-277535-u283k70i 100 10 more more JJR cord-277535-u283k70i 100 11 modern modern JJ cord-277535-u283k70i 100 12 inhalational inhalational JJ cord-277535-u283k70i 100 13 agents agent NNS cord-277535-u283k70i 100 14 , , , cord-277535-u283k70i 100 15 for for IN cord-277535-u283k70i 100 16 example example NN cord-277535-u283k70i 100 17 , , , cord-277535-u283k70i 100 18 0.2 0.2 CD cord-277535-u283k70i 100 19 % % NN cord-277535-u283k70i 100 20 isoflurane isoflurane NN cord-277535-u283k70i 100 21 , , , cord-277535-u283k70i 100 22 0.02 0.02 CD cord-277535-u283k70i 100 23 % % NN cord-277535-u283k70i 100 24 desflurane desflurane NN cord-277535-u283k70i 100 25 and and CC cord-277535-u283k70i 100 26 3 3 CD cord-277535-u283k70i 100 27 % % NN cord-277535-u283k70i 100 28 sevoflurane sevoflurane NN cord-277535-u283k70i 100 29 . . . cord-277535-u283k70i 101 1 even even RB cord-277535-u283k70i 101 2 though though IN cord-277535-u283k70i 101 3 sevoflurane sevoflurane NNP cord-277535-u283k70i 101 4 undergoes undergo VBZ cord-277535-u283k70i 101 5 3 3 CD cord-277535-u283k70i 101 6 % % NN cord-277535-u283k70i 101 7 metabolism metabolism NN cord-277535-u283k70i 101 8 it -PRON- PRP cord-277535-u283k70i 101 9 does do VBZ cord-277535-u283k70i 101 10 not not RB cord-277535-u283k70i 101 11 generate generate VB cord-277535-u283k70i 101 12 TFA TFA NNP cord-277535-u283k70i 101 13 and and CC cord-277535-u283k70i 101 14 hence hence RB cord-277535-u283k70i 101 15 is be VBZ cord-277535-u283k70i 101 16 not not RB cord-277535-u283k70i 101 17 linked link VBN cord-277535-u283k70i 101 18 to to IN cord-277535-u283k70i 101 19 immune immune JJ cord-277535-u283k70i 101 20 mediated mediate VBN cord-277535-u283k70i 101 21 injury injury NN cord-277535-u283k70i 101 22 13 13 CD cord-277535-u283k70i 101 23 Sevoflurane Sevoflurane NNP cord-277535-u283k70i 101 24 metabolism metabolism NN cord-277535-u283k70i 101 25 produces produce VBZ cord-277535-u283k70i 101 26 fluoride fluoride NN cord-277535-u283k70i 101 27 which which WDT cord-277535-u283k70i 101 28 is be VBZ cord-277535-u283k70i 101 29 not not RB cord-277535-u283k70i 101 30 linked link VBN cord-277535-u283k70i 101 31 to to IN cord-277535-u283k70i 101 32 hepatotoxicity hepatotoxicity NN cord-277535-u283k70i 101 33 . . . cord-277535-u283k70i 102 1 14 14 CD cord-277535-u283k70i 102 2 Inhalational Inhalational NNP cord-277535-u283k70i 102 3 agents agent NNS cord-277535-u283k70i 102 4 themselves -PRON- PRP cord-277535-u283k70i 102 5 cause cause VBP cord-277535-u283k70i 102 6 a a DT cord-277535-u283k70i 102 7 dose dose JJ cord-277535-u283k70i 102 8 dependent dependent JJ cord-277535-u283k70i 102 9 reduction reduction NN cord-277535-u283k70i 102 10 in in IN cord-277535-u283k70i 102 11 hepatic hepatic JJ cord-277535-u283k70i 102 12 blood blood NN cord-277535-u283k70i 102 13 flow flow NN cord-277535-u283k70i 102 14 ( ( -LRB- cord-277535-u283k70i 102 15 HBF HBF NNP cord-277535-u283k70i 102 16 ) ) -RRB- cord-277535-u283k70i 102 17 . . . cord-277535-u283k70i 103 1 Isoflurane Isoflurane NNP cord-277535-u283k70i 103 2 and and CC cord-277535-u283k70i 103 3 sevoflurane sevoflurane NNP cord-277535-u283k70i 103 4 result result VBP cord-277535-u283k70i 103 5 in in IN cord-277535-u283k70i 103 6 relatively relatively RB cord-277535-u283k70i 103 7 lower low JJR cord-277535-u283k70i 103 8 reduction reduction NN cord-277535-u283k70i 103 9 in in IN cord-277535-u283k70i 103 10 HBF HBF NNP cord-277535-u283k70i 103 11 at at IN cord-277535-u283k70i 103 12 1 1 CD cord-277535-u283k70i 103 13 MAC MAC NNP cord-277535-u283k70i 103 14 as as IN cord-277535-u283k70i 103 15 compared compare VBN cord-277535-u283k70i 103 16 to to IN cord-277535-u283k70i 103 17 Desflurane Desflurane NNP cord-277535-u283k70i 103 18 . . . cord-277535-u283k70i 104 1 15 15 CD cord-277535-u283k70i 105 1 As as RB cord-277535-u283k70i 105 2 long long RB cord-277535-u283k70i 105 3 as as IN cord-277535-u283k70i 105 4 hypotension hypotension NN cord-277535-u283k70i 105 5 is be VBZ cord-277535-u283k70i 105 6 avoided avoid VBN cord-277535-u283k70i 105 7 and and CC cord-277535-u283k70i 105 8 above above IN cord-277535-u283k70i 105 9 effects effect NNS cord-277535-u283k70i 105 10 are be VBP cord-277535-u283k70i 105 11 kept keep VBN cord-277535-u283k70i 105 12 in in IN cord-277535-u283k70i 105 13 mind mind NN cord-277535-u283k70i 106 1 Desflurane Desflurane NNP cord-277535-u283k70i 106 2 is be VBZ cord-277535-u283k70i 106 3 probably probably RB cord-277535-u283k70i 106 4 the the DT cord-277535-u283k70i 106 5 safest safe JJS cord-277535-u283k70i 106 6 choice choice NN cord-277535-u283k70i 106 7 of of IN cord-277535-u283k70i 106 8 inhalational inhalational JJ cord-277535-u283k70i 106 9 agent agent NN cord-277535-u283k70i 106 10 due due IN cord-277535-u283k70i 106 11 to to IN cord-277535-u283k70i 106 12 its -PRON- PRP$ cord-277535-u283k70i 106 13 ' ' `` cord-277535-u283k70i 106 14 low low JJ cord-277535-u283k70i 106 15 rate rate NN cord-277535-u283k70i 106 16 of of IN cord-277535-u283k70i 106 17 metabolism metabolism NN cord-277535-u283k70i 106 18 and and CC cord-277535-u283k70i 106 19 rapid rapid JJ cord-277535-u283k70i 106 20 and and CC cord-277535-u283k70i 106 21 predictable predictable JJ cord-277535-u283k70i 106 22 emergence emergence NN cord-277535-u283k70i 106 23 from from IN cord-277535-u283k70i 106 24 anaesthesia anaesthesia NN cord-277535-u283k70i 106 25 . . . cord-277535-u283k70i 107 1 13 13 CD cord-277535-u283k70i 108 1 There there EX cord-277535-u283k70i 108 2 are be VBP cord-277535-u283k70i 108 3 two two CD cord-277535-u283k70i 108 4 types type NNS cord-277535-u283k70i 108 5 of of IN cord-277535-u283k70i 108 6 halothane halothane NNP cord-277535-u283k70i 108 7 hepatitis hepatitis NNP cord-277535-u283k70i 108 8 . . . cord-277535-u283k70i 109 1 Type type NN cord-277535-u283k70i 109 2 1 1 CD cord-277535-u283k70i 109 3 which which WDT cord-277535-u283k70i 109 4 is be VBZ cord-277535-u283k70i 109 5 mild mild JJ cord-277535-u283k70i 109 6 , , , cord-277535-u283k70i 109 7 transient transient JJ cord-277535-u283k70i 109 8 and and CC cord-277535-u283k70i 109 9 has have VBZ cord-277535-u283k70i 109 10 a a DT cord-277535-u283k70i 109 11 relatively relatively RB cord-277535-u283k70i 109 12 high high JJ cord-277535-u283k70i 109 13 incidence incidence NN cord-277535-u283k70i 109 14 ( ( -LRB- cord-277535-u283k70i 109 15 25e30 25e30 CD cord-277535-u283k70i 109 16 % % NN cord-277535-u283k70i 109 17 ) ) -RRB- cord-277535-u283k70i 109 18 . . . cord-277535-u283k70i 110 1 Type type NN cord-277535-u283k70i 110 2 2 2 CD cord-277535-u283k70i 110 3 caused cause VBN cord-277535-u283k70i 110 4 by by IN cord-277535-u283k70i 110 5 oxidative oxidative JJ cord-277535-u283k70i 110 6 metabolism metabolism NN cord-277535-u283k70i 110 7 of of IN cord-277535-u283k70i 110 8 halothane halothane NNP cord-277535-u283k70i 110 9 in in IN cord-277535-u283k70i 110 10 the the DT cord-277535-u283k70i 110 11 liver liver NN cord-277535-u283k70i 110 12 leading lead VBG cord-277535-u283k70i 110 13 to to IN cord-277535-u283k70i 110 14 fever fever NN cord-277535-u283k70i 110 15 , , , cord-277535-u283k70i 110 16 jaundice jaundice NN cord-277535-u283k70i 110 17 , , , cord-277535-u283k70i 110 18 and and CC cord-277535-u283k70i 110 19 dramatically dramatically RB cord-277535-u283k70i 110 20 elevated elevated JJ cord-277535-u283k70i 110 21 serum serum NN cord-277535-u283k70i 110 22 transaminases transaminase NNS cord-277535-u283k70i 110 23 . . . cord-277535-u283k70i 111 1 The the DT cord-277535-u283k70i 111 2 compounds compound NNS cord-277535-u283k70i 111 3 synthesized synthesize VBN cord-277535-u283k70i 111 4 by by IN cord-277535-u283k70i 111 5 oxidation oxidation NN cord-277535-u283k70i 111 6 then then RB cord-277535-u283k70i 111 7 bind bind VB cord-277535-u283k70i 111 8 to to IN cord-277535-u283k70i 111 9 trifluoroacetylate trifluoroacetylate JJ cord-277535-u283k70i 111 10 proteins protein NNS cord-277535-u283k70i 111 11 in in IN cord-277535-u283k70i 111 12 the the DT cord-277535-u283k70i 111 13 hepatic hepatic JJ cord-277535-u283k70i 111 14 endoplasmic endoplasmic NN cord-277535-u283k70i 111 15 reticulum reticulum NN cord-277535-u283k70i 111 16 causing cause VBG cord-277535-u283k70i 111 17 cellular cellular JJ cord-277535-u283k70i 111 18 dysfunction dysfunction NN cord-277535-u283k70i 111 19 , , , cord-277535-u283k70i 111 20 it -PRON- PRP cord-277535-u283k70i 111 21 is be VBZ cord-277535-u283k70i 111 22 thought think VBN cord-277535-u283k70i 111 23 to to TO cord-277535-u283k70i 111 24 occur occur VB cord-277535-u283k70i 111 25 in in IN cord-277535-u283k70i 111 26 genetically genetically RB cord-277535-u283k70i 111 27 predisposed predispose VBN cord-277535-u283k70i 111 28 individuals individual NNS cord-277535-u283k70i 111 29 . . . cord-277535-u283k70i 112 1 The the DT cord-277535-u283k70i 112 2 Committee Committee NNP cord-277535-u283k70i 112 3 on on IN cord-277535-u283k70i 112 4 Safety Safety NNP cord-277535-u283k70i 112 5 of of IN cord-277535-u283k70i 112 6 Medicines Medicines NNP cord-277535-u283k70i 112 7 in in IN cord-277535-u283k70i 112 8 1986 1986 CD cord-277535-u283k70i 112 9 recommended recommend VBD cord-277535-u283k70i 112 10 the the DT cord-277535-u283k70i 112 11 avoidance avoidance NN cord-277535-u283k70i 112 12 of of IN cord-277535-u283k70i 112 13 halothane halothane NNP cord-277535-u283k70i 112 14 in in IN cord-277535-u283k70i 112 15 patients patient NNS cord-277535-u283k70i 112 16 with with IN cord-277535-u283k70i 112 17 a a DT cord-277535-u283k70i 112 18 history history NN cord-277535-u283k70i 112 19 of of IN cord-277535-u283k70i 112 20 previous previous JJ cord-277535-u283k70i 112 21 adverse adverse JJ cord-277535-u283k70i 112 22 reactions reaction NNS cord-277535-u283k70i 112 23 , , , cord-277535-u283k70i 112 24 those those DT cord-277535-u283k70i 112 25 who who WP cord-277535-u283k70i 112 26 had have VBD cord-277535-u283k70i 112 27 received receive VBN cord-277535-u283k70i 112 28 halothane halothane NNP cord-277535-u283k70i 112 29 within within IN cord-277535-u283k70i 112 30 3 3 CD cord-277535-u283k70i 112 31 months month NNS cord-277535-u283k70i 112 32 unless unless IN cord-277535-u283k70i 112 33 clinically clinically RB cord-277535-u283k70i 112 34 necessary necessary JJ cord-277535-u283k70i 112 35 , , , cord-277535-u283k70i 112 36 and and CC cord-277535-u283k70i 112 37 those those DT cord-277535-u283k70i 112 38 with with IN cord-277535-u283k70i 112 39 a a DT cord-277535-u283k70i 112 40 history history NN cord-277535-u283k70i 112 41 of of IN cord-277535-u283k70i 112 42 unexplained unexplained JJ cord-277535-u283k70i 112 43 jaundice jaundice NN cord-277535-u283k70i 112 44 or or CC cord-277535-u283k70i 112 45 pyrexia pyrexia NN cord-277535-u283k70i 112 46 following follow VBG cord-277535-u283k70i 112 47 previous previous JJ cord-277535-u283k70i 112 48 halothane halothane NNP cord-277535-u283k70i 112 49 anaesthesia anaesthesia NNP cord-277535-u283k70i 112 50 . . . cord-277535-u283k70i 113 1 IV IV NNP cord-277535-u283k70i 113 2 Anaesthetics anaesthetic NNS cord-277535-u283k70i 113 3 : : : cord-277535-u283k70i 113 4 the the DT cord-277535-u283k70i 113 5 induction induction NN cord-277535-u283k70i 113 6 agents agent NNS cord-277535-u283k70i 113 7 have have VBP cord-277535-u283k70i 113 8 a a DT cord-277535-u283k70i 113 9 marked marked JJ cord-277535-u283k70i 113 10 effect effect NN cord-277535-u283k70i 113 11 on on IN cord-277535-u283k70i 113 12 haemodynamics haemodynamic NNS cord-277535-u283k70i 113 13 and and CC cord-277535-u283k70i 113 14 may may MD cord-277535-u283k70i 113 15 cause cause VB cord-277535-u283k70i 113 16 sudden sudden JJ cord-277535-u283k70i 113 17 precipitious precipitious JJ cord-277535-u283k70i 113 18 fall fall NN cord-277535-u283k70i 113 19 in in IN cord-277535-u283k70i 113 20 blood blood NN cord-277535-u283k70i 113 21 pressure pressure NN cord-277535-u283k70i 113 22 . . . cord-277535-u283k70i 114 1 In in IN cord-277535-u283k70i 114 2 clinical clinical JJ cord-277535-u283k70i 114 3 practice practice NN cord-277535-u283k70i 114 4 a a DT cord-277535-u283k70i 114 5 standard standard JJ cord-277535-u283k70i 114 6 induction induction NN cord-277535-u283k70i 114 7 dose dose NN cord-277535-u283k70i 114 8 need need NN cord-277535-u283k70i 114 9 not not RB cord-277535-u283k70i 114 10 be be VB cord-277535-u283k70i 114 11 altered alter VBN cord-277535-u283k70i 114 12 . . . cord-277535-u283k70i 115 1 However however RB cord-277535-u283k70i 115 2 they -PRON- PRP cord-277535-u283k70i 115 3 should should MD cord-277535-u283k70i 115 4 be be VB cord-277535-u283k70i 115 5 titrated titrate VBN cord-277535-u283k70i 115 6 slowly slowly RB cord-277535-u283k70i 115 7 to to TO cord-277535-u283k70i 115 8 effect effect VB cord-277535-u283k70i 115 9 . . . cord-277535-u283k70i 116 1 There there EX cord-277535-u283k70i 116 2 are be VBP cord-277535-u283k70i 116 3 no no DT cord-277535-u283k70i 116 4 current current JJ cord-277535-u283k70i 116 5 recommendations recommendation NNS cord-277535-u283k70i 116 6 on on IN cord-277535-u283k70i 116 7 the the DT cord-277535-u283k70i 116 8 use use NN cord-277535-u283k70i 116 9 of of IN cord-277535-u283k70i 116 10 TIVA TIVA NNP cord-277535-u283k70i 117 1 ( ( -LRB- cord-277535-u283k70i 117 2 Total Total NNP cord-277535-u283k70i 117 3 Intravenous Intravenous NNP cord-277535-u283k70i 117 4 Anaesthesia Anaesthesia NNP cord-277535-u283k70i 117 5 ) ) -RRB- cord-277535-u283k70i 117 6 in in IN cord-277535-u283k70i 117 7 patients patient NNS cord-277535-u283k70i 117 8 with with IN cord-277535-u283k70i 117 9 liver liver NN cord-277535-u283k70i 117 10 disease disease NN cord-277535-u283k70i 117 11 . . . cord-277535-u283k70i 118 1 Research research NN cord-277535-u283k70i 118 2 is be VBZ cord-277535-u283k70i 118 3 sparse sparse JJ cord-277535-u283k70i 118 4 and and CC cord-277535-u283k70i 118 5 conflicting conflicting JJ cord-277535-u283k70i 118 6 . . . cord-277535-u283k70i 119 1 Some some DT cord-277535-u283k70i 119 2 earlier early JJR cord-277535-u283k70i 119 3 reports report NNS cord-277535-u283k70i 119 4 suggested suggest VBD cord-277535-u283k70i 119 5 that that IN cord-277535-u283k70i 119 6 inhalational inhalational JJ cord-277535-u283k70i 119 7 anaesthesia anaesthesia NN cord-277535-u283k70i 119 8 results result NNS cord-277535-u283k70i 119 9 in in IN cord-277535-u283k70i 119 10 smaller small JJR cord-277535-u283k70i 119 11 elevation elevation NN cord-277535-u283k70i 119 12 of of IN cord-277535-u283k70i 119 13 liver liver NN cord-277535-u283k70i 119 14 enzymes enzyme NNS cord-277535-u283k70i 119 15 than than IN cord-277535-u283k70i 119 16 TIVA TIVA NNP cord-277535-u283k70i 119 17 with with IN cord-277535-u283k70i 119 18 Propofol propofol NN cord-277535-u283k70i 119 19 - - HYPH cord-277535-u283k70i 119 20 Fentanyl fentanyl NN cord-277535-u283k70i 119 21 . . . cord-277535-u283k70i 120 1 16 16 CD cord-277535-u283k70i 121 1 A a DT cord-277535-u283k70i 121 2 more more RBR cord-277535-u283k70i 121 3 recent recent JJ cord-277535-u283k70i 121 4 study study NN cord-277535-u283k70i 121 5 however however RB cord-277535-u283k70i 121 6 suggested suggest VBD cord-277535-u283k70i 121 7 slightly slightly RB cord-277535-u283k70i 121 8 lower low JJR cord-277535-u283k70i 121 9 rate rate NN cord-277535-u283k70i 121 10 of of IN cord-277535-u283k70i 121 11 elevation elevation NN cord-277535-u283k70i 121 12 in in IN cord-277535-u283k70i 121 13 LFT LFT NNP cord-277535-u283k70i 121 14 after after IN cord-277535-u283k70i 121 15 using use VBG cord-277535-u283k70i 121 16 TIVA TIVA NNP cord-277535-u283k70i 121 17 . . . cord-277535-u283k70i 122 1 17 17 CD cord-277535-u283k70i 122 2 Opiates Opiates NNP cord-277535-u283k70i 122 3 Morphine Morphine NNP cord-277535-u283k70i 122 4 is be VBZ cord-277535-u283k70i 122 5 metabolized metabolize VBN cord-277535-u283k70i 122 6 by by IN cord-277535-u283k70i 122 7 the the DT cord-277535-u283k70i 122 8 liver liver NN cord-277535-u283k70i 122 9 to to IN cord-277535-u283k70i 122 10 active active JJ cord-277535-u283k70i 122 11 metabolite metabolite NN cord-277535-u283k70i 122 12 morphine-6-glucoronide morphine-6-glucoronide NNP cord-277535-u283k70i 122 13 which which WDT cord-277535-u283k70i 122 14 has have VBZ cord-277535-u283k70i 122 15 potent potent JJ cord-277535-u283k70i 122 16 analgesic analgesic JJ cord-277535-u283k70i 122 17 properties property NNS cord-277535-u283k70i 122 18 , , , cord-277535-u283k70i 122 19 and and CC cord-277535-u283k70i 122 20 morphine-3-glucuronide morphine-3-glucuronide NNP cord-277535-u283k70i 122 21 , , , cord-277535-u283k70i 122 22 which which WDT cord-277535-u283k70i 122 23 has have VBZ cord-277535-u283k70i 122 24 no no DT cord-277535-u283k70i 122 25 analgesic analgesic JJ cord-277535-u283k70i 122 26 properties property NNS cord-277535-u283k70i 122 27 but but CC cord-277535-u283k70i 122 28 has have VBZ cord-277535-u283k70i 122 29 adverse adverse JJ cord-277535-u283k70i 122 30 neurotoxic neurotoxic JJ cord-277535-u283k70i 122 31 side side NN cord-277535-u283k70i 122 32 effects effect NNS cord-277535-u283k70i 122 33 such such JJ cord-277535-u283k70i 122 34 as as IN cord-277535-u283k70i 122 35 confusion confusion NN cord-277535-u283k70i 122 36 and and CC cord-277535-u283k70i 122 37 respiratory respiratory JJ cord-277535-u283k70i 122 38 depression depression NN cord-277535-u283k70i 122 39 . . . cord-277535-u283k70i 123 1 As as IN cord-277535-u283k70i 123 2 both both DT cord-277535-u283k70i 123 3 metabolites metabolite NNS cord-277535-u283k70i 123 4 are be VBP cord-277535-u283k70i 123 5 excreted excrete VBN cord-277535-u283k70i 123 6 renally renally NN cord-277535-u283k70i 123 7 , , , cord-277535-u283k70i 123 8 they -PRON- PRP cord-277535-u283k70i 123 9 accumulate accumulate VBP cord-277535-u283k70i 123 10 in in IN cord-277535-u283k70i 123 11 renal renal JJ cord-277535-u283k70i 123 12 failure failure NN cord-277535-u283k70i 123 13 . . . cord-277535-u283k70i 124 1 In in IN cord-277535-u283k70i 124 2 liver liver NN cord-277535-u283k70i 124 3 failure failure NN cord-277535-u283k70i 124 4 morphine morphine NN cord-277535-u283k70i 124 5 itself -PRON- PRP cord-277535-u283k70i 124 6 may may MD cord-277535-u283k70i 124 7 accumulate accumulate VB cord-277535-u283k70i 124 8 as as IN cord-277535-u283k70i 124 9 extraction extraction NN cord-277535-u283k70i 124 10 ratio ratio NN cord-277535-u283k70i 124 11 is be VBZ cord-277535-u283k70i 124 12 reduced reduce VBN cord-277535-u283k70i 124 13 thereby thereby RB cord-277535-u283k70i 124 14 enhancing enhance VBG cord-277535-u283k70i 124 15 further far RBR cord-277535-u283k70i 124 16 the the DT cord-277535-u283k70i 124 17 effect effect NN cord-277535-u283k70i 124 18 of of IN cord-277535-u283k70i 124 19 morphine morphine NN cord-277535-u283k70i 124 20 . . . cord-277535-u283k70i 125 1 13 13 CD cord-277535-u283k70i 126 1 Therefore therefore RB cord-277535-u283k70i 126 2 dose dose NN cord-277535-u283k70i 126 3 of of IN cord-277535-u283k70i 126 4 morphine morphine NN cord-277535-u283k70i 126 5 should should MD cord-277535-u283k70i 126 6 be be VB cord-277535-u283k70i 126 7 reduced reduce VBN cord-277535-u283k70i 126 8 . . . cord-277535-u283k70i 127 1 The the DT cord-277535-u283k70i 127 2 same same JJ cord-277535-u283k70i 127 3 is be VBZ cord-277535-u283k70i 127 4 true true JJ cord-277535-u283k70i 127 5 of of IN cord-277535-u283k70i 127 6 fentanyl fentanyl NN cord-277535-u283k70i 127 7 and and CC cord-277535-u283k70i 127 8 alfentanil alfentanil NN cord-277535-u283k70i 127 9 dose dose NN cord-277535-u283k70i 127 10 , , , cord-277535-u283k70i 127 11 as as IN cord-277535-u283k70i 127 12 although although IN cord-277535-u283k70i 127 13 there there EX cord-277535-u283k70i 127 14 is be VBZ cord-277535-u283k70i 127 15 no no DT cord-277535-u283k70i 127 16 active active JJ cord-277535-u283k70i 127 17 metabolite metabolite NN cord-277535-u283k70i 127 18 they -PRON- PRP cord-277535-u283k70i 127 19 also also RB cord-277535-u283k70i 127 20 rely rely VBP cord-277535-u283k70i 127 21 on on IN cord-277535-u283k70i 127 22 hepatic hepatic JJ cord-277535-u283k70i 127 23 metabolism metabolism NN cord-277535-u283k70i 127 24 . . . cord-277535-u283k70i 128 1 Remifentanil Remifentanil NNP cord-277535-u283k70i 128 2 may may MD cord-277535-u283k70i 128 3 be be VB cord-277535-u283k70i 128 4 good good JJ cord-277535-u283k70i 128 5 choice choice NN cord-277535-u283k70i 128 6 as as IN cord-277535-u283k70i 128 7 its -PRON- PRP$ cord-277535-u283k70i 128 8 metabolism metabolism NN cord-277535-u283k70i 128 9 is be VBZ cord-277535-u283k70i 128 10 by by IN cord-277535-u283k70i 128 11 plasma plasma NN cord-277535-u283k70i 128 12 esterases esterase NNS cord-277535-u283k70i 128 13 and and CC cord-277535-u283k70i 128 14 it -PRON- PRP cord-277535-u283k70i 128 15 has have VBZ cord-277535-u283k70i 128 16 no no DT cord-277535-u283k70i 128 17 active active JJ cord-277535-u283k70i 128 18 metabolites metabolite NNS cord-277535-u283k70i 128 19 . . . cord-277535-u283k70i 129 1 A a DT cord-277535-u283k70i 129 2 review review NN cord-277535-u283k70i 129 3 of of IN cord-277535-u283k70i 129 4 pain pain NN cord-277535-u283k70i 129 5 management management NN cord-277535-u283k70i 129 6 in in IN cord-277535-u283k70i 129 7 patients patient NNS cord-277535-u283k70i 129 8 with with IN cord-277535-u283k70i 129 9 liver liver NN cord-277535-u283k70i 129 10 disease disease NN cord-277535-u283k70i 129 11 by by IN cord-277535-u283k70i 129 12 the the DT cord-277535-u283k70i 129 13 American American NNP cord-277535-u283k70i 129 14 Association Association NNP cord-277535-u283k70i 129 15 for for IN cord-277535-u283k70i 129 16 Study Study NNP cord-277535-u283k70i 129 17 of of IN cord-277535-u283k70i 129 18 Liver Liver NNP cord-277535-u283k70i 129 19 Diseases Diseases NNPS cord-277535-u283k70i 129 20 ( ( -LRB- cord-277535-u283k70i 129 21 AALSD AALSD NNP cord-277535-u283k70i 129 22 ) ) -RRB- cord-277535-u283k70i 129 23 in in IN cord-277535-u283k70i 129 24 2018 2018 CD cord-277535-u283k70i 129 25 states state NNS cord-277535-u283k70i 129 26 in in IN cord-277535-u283k70i 129 27 general general JJ cord-277535-u283k70i 129 28 most most JJS cord-277535-u283k70i 129 29 opioids opioid NNS cord-277535-u283k70i 129 30 have have VBP cord-277535-u283k70i 129 31 prolonged prolong VBN cord-277535-u283k70i 129 32 half half JJ cord-277535-u283k70i 129 33 life life NN cord-277535-u283k70i 129 34 . . . cord-277535-u283k70i 130 1 Their -PRON- PRP$ cord-277535-u283k70i 130 2 recommendations recommendation NNS cord-277535-u283k70i 130 3 include include VBP cord-277535-u283k70i 130 4 increase increase VB cord-277535-u283k70i 130 5 the the DT cord-277535-u283k70i 130 6 dosing dose VBG cord-277535-u283k70i 130 7 intervals interval NNS cord-277535-u283k70i 130 8 ( ( -LRB- cord-277535-u283k70i 130 9 6e12hr 6e12hr CD cord-277535-u283k70i 130 10 ) ) -RRB- cord-277535-u283k70i 130 11 and and CC cord-277535-u283k70i 130 12 using use VBG cord-277535-u283k70i 130 13 immediate immediate JJ cord-277535-u283k70i 130 14 release release NN cord-277535-u283k70i 130 15 preparations preparation NNS cord-277535-u283k70i 130 16 over over IN cord-277535-u283k70i 130 17 extended extended JJ cord-277535-u283k70i 130 18 release release NN cord-277535-u283k70i 130 19 18 18 CD cord-277535-u283k70i 131 1 In in IN cord-277535-u283k70i 131 2 July July NNP cord-277535-u283k70i 131 3 2013 2013 CD cord-277535-u283k70i 131 4 the the DT cord-277535-u283k70i 131 5 Medicine Medicine NNP cord-277535-u283k70i 131 6 and and CC cord-277535-u283k70i 131 7 Healthcare Healthcare NNP cord-277535-u283k70i 131 8 products product NNS cord-277535-u283k70i 131 9 Regulatory Regulatory NNP cord-277535-u283k70i 131 10 Agency Agency NNP cord-277535-u283k70i 131 11 ( ( -LRB- cord-277535-u283k70i 131 12 MHRA MHRA NNP cord-277535-u283k70i 131 13 ) ) -RRB- cord-277535-u283k70i 131 14 produced produce VBD cord-277535-u283k70i 131 15 a a DT cord-277535-u283k70i 131 16 drug drug NN cord-277535-u283k70i 131 17 safety safety NN cord-277535-u283k70i 131 18 update update NN cord-277535-u283k70i 131 19 that that WDT cord-277535-u283k70i 131 20 restricted restrict VBD cord-277535-u283k70i 131 21 the the DT cord-277535-u283k70i 131 22 use use NN cord-277535-u283k70i 131 23 of of IN cord-277535-u283k70i 131 24 codeine codeine NN cord-277535-u283k70i 131 25 in in IN cord-277535-u283k70i 131 26 children child NNS cord-277535-u283k70i 131 27 . . . cord-277535-u283k70i 132 1 19 19 CD cord-277535-u283k70i 133 1 This this DT cord-277535-u283k70i 133 2 was be VBD cord-277535-u283k70i 133 3 prompted prompt VBN cord-277535-u283k70i 133 4 by by IN cord-277535-u283k70i 133 5 case case NN cord-277535-u283k70i 133 6 reports report NNS cord-277535-u283k70i 133 7 of of IN cord-277535-u283k70i 133 8 four four CD cord-277535-u283k70i 133 9 children child NNS cord-277535-u283k70i 133 10 suffered suffer VBD cord-277535-u283k70i 133 11 serious serious JJ cord-277535-u283k70i 133 12 harm harm NN cord-277535-u283k70i 133 13 following follow VBG cord-277535-u283k70i 133 14 the the DT cord-277535-u283k70i 133 15 administration administration NN cord-277535-u283k70i 133 16 of of IN cord-277535-u283k70i 133 17 codeine codeine NNP cord-277535-u283k70i 133 18 in in IN cord-277535-u283k70i 133 19 the the DT cord-277535-u283k70i 133 20 immediate immediate JJ cord-277535-u283k70i 133 21 post post JJ cord-277535-u283k70i 133 22 - - JJ cord-277535-u283k70i 133 23 operative operative JJ cord-277535-u283k70i 133 24 period period NN cord-277535-u283k70i 133 25 . . . cord-277535-u283k70i 134 1 Codeine Codeine NNP cord-277535-u283k70i 134 2 should should MD cord-277535-u283k70i 134 3 only only RB cord-277535-u283k70i 134 4 be be VB cord-277535-u283k70i 134 5 used use VBN cord-277535-u283k70i 134 6 to to TO cord-277535-u283k70i 134 7 relieve relieve VB cord-277535-u283k70i 134 8 acute acute JJ cord-277535-u283k70i 134 9 moderate moderate JJ cord-277535-u283k70i 134 10 pain pain NN cord-277535-u283k70i 134 11 in in IN cord-277535-u283k70i 134 12 children child NNS cord-277535-u283k70i 134 13 older old JJR cord-277535-u283k70i 134 14 than than IN cord-277535-u283k70i 134 15 12 12 CD cord-277535-u283k70i 134 16 years year NNS cord-277535-u283k70i 134 17 and and CC cord-277535-u283k70i 134 18 only only RB cord-277535-u283k70i 134 19 if if IN cord-277535-u283k70i 134 20 it -PRON- PRP cord-277535-u283k70i 134 21 can can MD cord-277535-u283k70i 134 22 not not RB cord-277535-u283k70i 134 23 be be VB cord-277535-u283k70i 134 24 relieved relieve VBN cord-277535-u283k70i 134 25 by by IN cord-277535-u283k70i 134 26 other other JJ cord-277535-u283k70i 134 27 painkillers painkiller NNS cord-277535-u283k70i 134 28 such such JJ cord-277535-u283k70i 134 29 as as IN cord-277535-u283k70i 134 30 paracetamol paracetamol JJ cord-277535-u283k70i 134 31 or or CC cord-277535-u283k70i 134 32 ibuprofen ibuprofen NN cord-277535-u283k70i 134 33 alone alone RB cord-277535-u283k70i 134 34 . . . cord-277535-u283k70i 135 1 A a DT cord-277535-u283k70i 135 2 significant significant JJ cord-277535-u283k70i 135 3 risk risk NN cord-277535-u283k70i 135 4 of of IN cord-277535-u283k70i 135 5 serious serious JJ cord-277535-u283k70i 135 6 and and CC cord-277535-u283k70i 135 7 life life NN cord-277535-u283k70i 135 8 - - HYPH cord-277535-u283k70i 135 9 threatening threaten VBG cord-277535-u283k70i 135 10 adverse adverse JJ cord-277535-u283k70i 135 11 reactions reaction NNS cord-277535-u283k70i 135 12 has have VBZ cord-277535-u283k70i 135 13 been be VBN cord-277535-u283k70i 135 14 identified identify VBN cord-277535-u283k70i 135 15 in in IN cord-277535-u283k70i 135 16 children child NNS cord-277535-u283k70i 135 17 with with IN cord-277535-u283k70i 135 18 obstructive obstructive JJ cord-277535-u283k70i 135 19 sleep sleep NN cord-277535-u283k70i 135 20 apnoea apnoea NN cord-277535-u283k70i 135 21 who who WP cord-277535-u283k70i 135 22 received receive VBD cord-277535-u283k70i 135 23 codeine codeine NN cord-277535-u283k70i 135 24 after after IN cord-277535-u283k70i 135 25 tonsillectomy tonsillectomy NN cord-277535-u283k70i 135 26 or or CC cord-277535-u283k70i 135 27 adenoidectomy adenoidectomy NN cord-277535-u283k70i 135 28 ( ( -LRB- cord-277535-u283k70i 135 29 or or CC cord-277535-u283k70i 135 30 both both DT cord-277535-u283k70i 135 31 ) ) -RRB- cord-277535-u283k70i 135 32 . . . cord-277535-u283k70i 136 1 Codeine codeine NN cord-277535-u283k70i 136 2 is be VBZ cord-277535-u283k70i 136 3 now now RB cord-277535-u283k70i 136 4 contraindicated contraindicate VBN cord-277535-u283k70i 136 5 in in IN cord-277535-u283k70i 136 6 all all DT cord-277535-u283k70i 136 7 children child NNS cord-277535-u283k70i 136 8 younger young JJR cord-277535-u283k70i 136 9 than than IN cord-277535-u283k70i 136 10 18 18 CD cord-277535-u283k70i 136 11 years year NNS cord-277535-u283k70i 136 12 who who WP cord-277535-u283k70i 136 13 undergo undergo VBP cord-277535-u283k70i 136 14 these these DT cord-277535-u283k70i 136 15 procedures procedure NNS cord-277535-u283k70i 136 16 for for IN cord-277535-u283k70i 136 17 obstructive obstructive JJ cord-277535-u283k70i 136 18 sleep sleep NN cord-277535-u283k70i 136 19 apnoea apnoea NN cord-277535-u283k70i 136 20 . . . cord-277535-u283k70i 137 1 Codeine Codeine NNP cord-277535-u283k70i 137 2 is be VBZ cord-277535-u283k70i 137 3 converted convert VBN cord-277535-u283k70i 137 4 to to IN cord-277535-u283k70i 137 5 morphine morphine NN cord-277535-u283k70i 137 6 in in IN cord-277535-u283k70i 137 7 the the DT cord-277535-u283k70i 137 8 liver liver NN cord-277535-u283k70i 137 9 by by IN cord-277535-u283k70i 137 10 the the DT cord-277535-u283k70i 137 11 CYP2D6 cyp2d6 JJ cord-277535-u283k70i 137 12 enzyme enzyme NN cord-277535-u283k70i 137 13 . . . cord-277535-u283k70i 138 1 The the DT cord-277535-u283k70i 138 2 extent extent NN cord-277535-u283k70i 138 3 of of IN cord-277535-u283k70i 138 4 conversion conversion NN cord-277535-u283k70i 138 5 of of IN cord-277535-u283k70i 138 6 codeine codeine NN cord-277535-u283k70i 138 7 to to IN cord-277535-u283k70i 138 8 morphine morphine NN cord-277535-u283k70i 138 9 depends depend VBZ cord-277535-u283k70i 138 10 on on IN cord-277535-u283k70i 138 11 genetic genetic JJ cord-277535-u283k70i 138 12 variations variation NNS cord-277535-u283k70i 138 13 of of IN cord-277535-u283k70i 138 14 CYP2D6 CYP2D6 NNP cord-277535-u283k70i 138 15 . . . cord-277535-u283k70i 139 1 People People NNS cord-277535-u283k70i 139 2 can can MD cord-277535-u283k70i 139 3 be be VB cord-277535-u283k70i 139 4 classified classify VBN cord-277535-u283k70i 139 5 as as IN cord-277535-u283k70i 139 6 : : : cord-277535-u283k70i 139 7 poor poor JJ cord-277535-u283k70i 139 8 ; ; : cord-277535-u283k70i 139 9 intermediate intermediate JJ cord-277535-u283k70i 139 10 ; ; : cord-277535-u283k70i 139 11 extensive extensive JJ cord-277535-u283k70i 139 12 ; ; : cord-277535-u283k70i 139 13 or or CC cord-277535-u283k70i 139 14 ultra ultra JJ cord-277535-u283k70i 139 15 - - JJ cord-277535-u283k70i 139 16 rapid rapid JJ cord-277535-u283k70i 139 17 metabolisers metaboliser NNS cord-277535-u283k70i 139 18 . . . cord-277535-u283k70i 140 1 Poor poor JJ cord-277535-u283k70i 140 2 metabolisers metaboliser NNS cord-277535-u283k70i 140 3 convert convert VBP cord-277535-u283k70i 140 4 very very RB cord-277535-u283k70i 140 5 little little JJ cord-277535-u283k70i 140 6 codeine codeine NN cord-277535-u283k70i 140 7 into into IN cord-277535-u283k70i 140 8 morphine morphine NN cord-277535-u283k70i 140 9 and and CC cord-277535-u283k70i 140 10 therefore therefore RB cord-277535-u283k70i 140 11 have have VBP cord-277535-u283k70i 140 12 little little JJ cord-277535-u283k70i 140 13 or or CC cord-277535-u283k70i 140 14 no no DT cord-277535-u283k70i 140 15 pain pain NN cord-277535-u283k70i 140 16 relief relief NN cord-277535-u283k70i 140 17 , , , cord-277535-u283k70i 140 18 ultra ultra JJ cord-277535-u283k70i 140 19 - - JJ cord-277535-u283k70i 140 20 rapid rapid JJ cord-277535-u283k70i 140 21 metabolisers metaboliser NNS cord-277535-u283k70i 140 22 or or CC cord-277535-u283k70i 140 23 extensive extensive JJ cord-277535-u283k70i 140 24 metabolisers metaboliser NNS cord-277535-u283k70i 140 25 have have VBP cord-277535-u283k70i 140 26 an an DT cord-277535-u283k70i 140 27 excessive excessive JJ cord-277535-u283k70i 140 28 amount amount NN cord-277535-u283k70i 140 29 of of IN cord-277535-u283k70i 140 30 morphine morphine NN cord-277535-u283k70i 140 31 in in IN cord-277535-u283k70i 140 32 their -PRON- PRP$ cord-277535-u283k70i 140 33 blood blood NN cord-277535-u283k70i 140 34 following follow VBG cord-277535-u283k70i 140 35 ingestion ingestion NN cord-277535-u283k70i 140 36 of of IN cord-277535-u283k70i 140 37 codeine codeine NN cord-277535-u283k70i 140 38 . . . cord-277535-u283k70i 141 1 Ethnic ethnic JJ cord-277535-u283k70i 141 2 origin origin NN cord-277535-u283k70i 141 3 is be VBZ cord-277535-u283k70i 141 4 an an DT cord-277535-u283k70i 141 5 important important JJ cord-277535-u283k70i 141 6 factor factor NN cord-277535-u283k70i 141 7 in in IN cord-277535-u283k70i 141 8 genetic genetic JJ cord-277535-u283k70i 141 9 variability variability NN cord-277535-u283k70i 141 10 . . . cord-277535-u283k70i 142 1 Up up IN cord-277535-u283k70i 142 2 to to TO cord-277535-u283k70i 142 3 10 10 CD cord-277535-u283k70i 142 4 % % NN cord-277535-u283k70i 142 5 of of IN cord-277535-u283k70i 142 6 Caucasians Caucasians NNPS cord-277535-u283k70i 142 7 are be VBP cord-277535-u283k70i 142 8 poor poor JJ cord-277535-u283k70i 142 9 metabolisers metaboliser NNS cord-277535-u283k70i 142 10 whereas whereas IN cord-277535-u283k70i 142 11 up up IN cord-277535-u283k70i 142 12 to to TO cord-277535-u283k70i 142 13 29 29 CD cord-277535-u283k70i 142 14 % % NN cord-277535-u283k70i 142 15 of of IN cord-277535-u283k70i 142 16 patients patient NNS cord-277535-u283k70i 142 17 of of IN cord-277535-u283k70i 142 18 African african JJ cord-277535-u283k70i 142 19 origin origin NN cord-277535-u283k70i 142 20 may may MD cord-277535-u283k70i 142 21 be be VB cord-277535-u283k70i 142 22 ultra ultra JJ cord-277535-u283k70i 142 23 - - JJ cord-277535-u283k70i 142 24 rapid rapid JJ cord-277535-u283k70i 142 25 metabolisers metaboliser NNS cord-277535-u283k70i 142 26 . . . cord-277535-u283k70i 143 1 ( ( -LRB- cord-277535-u283k70i 143 2 Table table NN cord-277535-u283k70i 143 3 2 2 CD cord-277535-u283k70i 143 4 ) ) -RRB- cord-277535-u283k70i 143 5 . . . cord-277535-u283k70i 144 1 This this DT cord-277535-u283k70i 144 2 genetic genetic JJ cord-277535-u283k70i 144 3 variability variability NN cord-277535-u283k70i 144 4 leads lead VBZ cord-277535-u283k70i 144 5 to to IN cord-277535-u283k70i 144 6 different different JJ cord-277535-u283k70i 144 7 plasma plasma NN cord-277535-u283k70i 144 8 morphine morphine NN cord-277535-u283k70i 144 9 concentrations concentration NNS cord-277535-u283k70i 144 10 in in IN cord-277535-u283k70i 144 11 patients patient NNS cord-277535-u283k70i 144 12 leading lead VBG cord-277535-u283k70i 144 13 to to IN cord-277535-u283k70i 144 14 different different JJ cord-277535-u283k70i 144 15 analgesic analgesic JJ cord-277535-u283k70i 144 16 effects effect NNS cord-277535-u283k70i 144 17 as as RB cord-277535-u283k70i 144 18 well well RB cord-277535-u283k70i 144 19 as as IN cord-277535-u283k70i 144 20 side side NN cord-277535-u283k70i 144 21 effects effect NNS cord-277535-u283k70i 144 22 including include VBG cord-277535-u283k70i 144 23 respiratory respiratory JJ cord-277535-u283k70i 144 24 depression depression NN cord-277535-u283k70i 144 25 . . . cord-277535-u283k70i 145 1 Codeine codeine NN cord-277535-u283k70i 145 2 is be VBZ cord-277535-u283k70i 145 3 contraindicated contraindicated JJ cord-277535-u283k70i 145 4 in in IN cord-277535-u283k70i 145 5 all all DT cord-277535-u283k70i 145 6 patients patient NNS cord-277535-u283k70i 145 7 of of IN cord-277535-u283k70i 145 8 any any DT cord-277535-u283k70i 145 9 age age NN cord-277535-u283k70i 145 10 known know VBN cord-277535-u283k70i 145 11 to to TO cord-277535-u283k70i 145 12 be be VB cord-277535-u283k70i 145 13 CYP2D6 cyp2d6 JJ cord-277535-u283k70i 145 14 ultra ultra JJ cord-277535-u283k70i 145 15 - - JJ cord-277535-u283k70i 145 16 rapid rapid JJ cord-277535-u283k70i 145 17 metabolisers metaboliser NNS cord-277535-u283k70i 145 18 and and CC cord-277535-u283k70i 145 19 should should MD cord-277535-u283k70i 145 20 not not RB cord-277535-u283k70i 145 21 be be VB cord-277535-u283k70i 145 22 used use VBN cord-277535-u283k70i 145 23 by by IN cord-277535-u283k70i 145 24 breastfeeding breastfeed VBG cord-277535-u283k70i 145 25 mothers mother NNS cord-277535-u283k70i 145 26 because because IN cord-277535-u283k70i 145 27 it -PRON- PRP cord-277535-u283k70i 145 28 can can MD cord-277535-u283k70i 145 29 pass pass VB cord-277535-u283k70i 145 30 to to IN cord-277535-u283k70i 145 31 the the DT cord-277535-u283k70i 145 32 baby baby NN cord-277535-u283k70i 145 33 through through IN cord-277535-u283k70i 145 34 breast breast NN cord-277535-u283k70i 145 35 milk milk NN cord-277535-u283k70i 145 36 and and CC cord-277535-u283k70i 145 37 potentially potentially RB cord-277535-u283k70i 145 38 cause cause VB cord-277535-u283k70i 145 39 harm harm NN cord-277535-u283k70i 145 40 . . . cord-277535-u283k70i 146 1 NSAIDS NSAIDS NNP cord-277535-u283k70i 146 2 are be VBP cord-277535-u283k70i 146 3 contraindicated contraindicated JJ cord-277535-u283k70i 146 4 for for IN cord-277535-u283k70i 146 5 systemic systemic JJ cord-277535-u283k70i 146 6 use use NN cord-277535-u283k70i 146 7 in in IN cord-277535-u283k70i 146 8 most most JJS cord-277535-u283k70i 146 9 liver liver NN cord-277535-u283k70i 146 10 disease disease NN cord-277535-u283k70i 146 11 patients patient NNS cord-277535-u283k70i 146 12 , , , cord-277535-u283k70i 146 13 because because IN cord-277535-u283k70i 146 14 of of IN cord-277535-u283k70i 146 15 increased increase VBN cord-277535-u283k70i 146 16 bioavalibilty bioavalibilty NN cord-277535-u283k70i 146 17 , , , cord-277535-u283k70i 146 18 the the DT cord-277535-u283k70i 146 19 high high JJ cord-277535-u283k70i 146 20 risk risk NN cord-277535-u283k70i 146 21 of of IN cord-277535-u283k70i 146 22 precipitating precipitate VBG cord-277535-u283k70i 146 23 gastrointestinal gastrointestinal JJ cord-277535-u283k70i 146 24 bleeding bleeding NN cord-277535-u283k70i 146 25 and and CC cord-277535-u283k70i 146 26 renal renal JJ cord-277535-u283k70i 146 27 failure failure NN cord-277535-u283k70i 146 28 . . . cord-277535-u283k70i 147 1 20 20 CD cord-277535-u283k70i 147 2 Pregabalin Pregabalin NNP cord-277535-u283k70i 147 3 and and CC cord-277535-u283k70i 147 4 gabapentin gabapentin NNS cord-277535-u283k70i 147 5 are be VBP cord-277535-u283k70i 147 6 not not RB cord-277535-u283k70i 147 7 metabolized metabolize VBN cord-277535-u283k70i 147 8 in in IN cord-277535-u283k70i 147 9 the the DT cord-277535-u283k70i 147 10 liver liver NN cord-277535-u283k70i 147 11 and and CC cord-277535-u283k70i 147 12 can can MD cord-277535-u283k70i 147 13 be be VB cord-277535-u283k70i 147 14 considered consider VBN cord-277535-u283k70i 147 15 for for IN cord-277535-u283k70i 147 16 use use NN cord-277535-u283k70i 147 17 . . . cord-277535-u283k70i 148 1 These these DT cord-277535-u283k70i 148 2 drugs drug NNS cord-277535-u283k70i 148 3 are be VBP cord-277535-u283k70i 148 4 renally renally RB cord-277535-u283k70i 148 5 excreted excrete VBN cord-277535-u283k70i 148 6 therefore therefore RB cord-277535-u283k70i 148 7 patients patient NNS cord-277535-u283k70i 148 8 with with IN cord-277535-u283k70i 148 9 hepatorenal hepatorenal JJ cord-277535-u283k70i 148 10 syndrome syndrome NNP cord-277535-u283k70i 148 11 warrant warrant VBP cord-277535-u283k70i 148 12 cautious cautious JJ cord-277535-u283k70i 148 13 adminstration adminstration NN cord-277535-u283k70i 148 14 . . . cord-277535-u283k70i 149 1 18 18 CD cord-277535-u283k70i 149 2 , , , cord-277535-u283k70i 149 3 20 20 CD cord-277535-u283k70i 149 4 Gabapentin Gabapentin NNP cord-277535-u283k70i 149 5 is be VBZ cord-277535-u283k70i 149 6 considered consider VBN cord-277535-u283k70i 149 7 as as IN cord-277535-u283k70i 149 8 first first JJ cord-277535-u283k70i 149 9 line line NN cord-277535-u283k70i 149 10 non non JJ cord-277535-u283k70i 149 11 opiod opiod NNP cord-277535-u283k70i 149 12 drug drug NN cord-277535-u283k70i 149 13 for for IN cord-277535-u283k70i 149 14 analgesia analgesia NN cord-277535-u283k70i 149 15 . . . cord-277535-u283k70i 150 1 Among among IN cord-277535-u283k70i 150 2 the the DT cord-277535-u283k70i 150 3 tricyclic tricyclic NN cord-277535-u283k70i 150 4 antidepressants antidepressant NNS cord-277535-u283k70i 150 5 nortryptilline nortryptilline NNP cord-277535-u283k70i 150 6 appear appear VBP cord-277535-u283k70i 150 7 safer safe JJR cord-277535-u283k70i 150 8 than than IN cord-277535-u283k70i 150 9 amitriptyline amitriptyline NN cord-277535-u283k70i 150 10 and and CC cord-277535-u283k70i 150 11 imipramine imipramine NN cord-277535-u283k70i 150 12 . . . cord-277535-u283k70i 151 1 20 20 CD cord-277535-u283k70i 152 1 An an DT cord-277535-u283k70i 152 2 increased increased JJ cord-277535-u283k70i 152 3 dose dose NN cord-277535-u283k70i 152 4 of of IN cord-277535-u283k70i 152 5 non non JJ cord-277535-u283k70i 152 6 - - JJ cord-277535-u283k70i 152 7 depolarising depolarising JJ cord-277535-u283k70i 152 8 neuromuscular neuromuscular JJ cord-277535-u283k70i 152 9 blockers blocker NNS cord-277535-u283k70i 152 10 ( ( -LRB- cord-277535-u283k70i 152 11 NMB NMB NNP cord-277535-u283k70i 152 12 ) ) -RRB- cord-277535-u283k70i 152 13 may may MD cord-277535-u283k70i 152 14 be be VB cord-277535-u283k70i 152 15 required require VBN cord-277535-u283k70i 152 16 in in IN cord-277535-u283k70i 152 17 liver liver NN cord-277535-u283k70i 152 18 disease disease NN cord-277535-u283k70i 152 19 possibly possibly RB cord-277535-u283k70i 152 20 due due JJ cord-277535-u283k70i 152 21 to to IN cord-277535-u283k70i 152 22 altered alter VBN cord-277535-u283k70i 152 23 PHARMACOLOGY PHARMACOLOGY NNP cord-277535-u283k70i 152 24 ANAESTHESIA ANAESTHESIA NNP cord-277535-u283k70i 152 25 AND and CC cord-277535-u283k70i 152 26 INTENSIVE intensive JJ cord-277535-u283k70i 152 27 CARE care NN cord-277535-u283k70i 152 28 MEDICINE medicine NN cord-277535-u283k70i 153 1 xxx xxx NNP cord-277535-u283k70i 153 2 : : : cord-277535-u283k70i 154 1 xxx xxx NNP cord-277535-u283k70i 154 2 protein protein NN cord-277535-u283k70i 154 3 binding bind VBG cord-277535-u283k70i 154 4 and and CC cord-277535-u283k70i 154 5 increased increased JJ cord-277535-u283k70i 154 6 volume volume NN cord-277535-u283k70i 154 7 of of IN cord-277535-u283k70i 154 8 distribution distribution NN cord-277535-u283k70i 154 9 . . . cord-277535-u283k70i 155 1 However however RB cord-277535-u283k70i 155 2 , , , cord-277535-u283k70i 155 3 those those DT cord-277535-u283k70i 155 4 which which WDT cord-277535-u283k70i 155 5 are be VBP cord-277535-u283k70i 155 6 metabolized metabolize VBN cord-277535-u283k70i 155 7 by by IN cord-277535-u283k70i 155 8 the the DT cord-277535-u283k70i 155 9 liver liver NN cord-277535-u283k70i 155 10 have have VBP cord-277535-u283k70i 155 11 a a DT cord-277535-u283k70i 155 12 prolonged prolonged JJ cord-277535-u283k70i 155 13 duration duration NN cord-277535-u283k70i 155 14 of of IN cord-277535-u283k70i 155 15 action action NN cord-277535-u283k70i 155 16 , , , cord-277535-u283k70i 155 17 atracurium atracurium NN cord-277535-u283k70i 155 18 as as IN cord-277535-u283k70i 155 19 metabolized metabolize VBN cord-277535-u283k70i 155 20 in in IN cord-277535-u283k70i 155 21 the the DT cord-277535-u283k70i 155 22 plasma plasma NN cord-277535-u283k70i 155 23 has have VBZ cord-277535-u283k70i 155 24 a a DT cord-277535-u283k70i 155 25 more more RBR cord-277535-u283k70i 155 26 predictable predictable JJ cord-277535-u283k70i 155 27 duration duration NN cord-277535-u283k70i 155 28 of of IN cord-277535-u283k70i 155 29 action action NN cord-277535-u283k70i 155 30 . . . cord-277535-u283k70i 156 1 However however RB cord-277535-u283k70i 156 2 , , , cord-277535-u283k70i 156 3 it -PRON- PRP cord-277535-u283k70i 156 4 is be VBZ cord-277535-u283k70i 156 5 worth worth JJ cord-277535-u283k70i 156 6 noting note VBG cord-277535-u283k70i 156 7 that that IN cord-277535-u283k70i 156 8 in in IN cord-277535-u283k70i 156 9 prolonged prolonged JJ cord-277535-u283k70i 156 10 usage usage NN cord-277535-u283k70i 156 11 concentrations concentration NNS cord-277535-u283k70i 156 12 laudanosine laudanosine NN cord-277535-u283k70i 156 13 from from IN cord-277535-u283k70i 156 14 Hoffmann Hoffmann NNP cord-277535-u283k70i 156 15 degradation degradation NN cord-277535-u283k70i 156 16 may may MD cord-277535-u283k70i 156 17 accumulate accumulate VB cord-277535-u283k70i 156 18 with with IN cord-277535-u283k70i 156 19 the the DT cord-277535-u283k70i 156 20 potential potential NN cord-277535-u283k70i 156 21 to to TO cord-277535-u283k70i 156 22 provoke provoke VB cord-277535-u283k70i 156 23 epileptiform epileptiform JJ cord-277535-u283k70i 156 24 activity activity NN cord-277535-u283k70i 156 25 on on IN cord-277535-u283k70i 156 26 electro electro NNP cord-277535-u283k70i 156 27 encephalography encephalography NNP cord-277535-u283k70i 156 28 ( ( -LRB- cord-277535-u283k70i 156 29 EEG EEG NNP cord-277535-u283k70i 156 30 ) ) -RRB- cord-277535-u283k70i 156 31 . . . cord-277535-u283k70i 157 1 13 13 CD cord-277535-u283k70i 158 1 This this DT cord-277535-u283k70i 158 2 is be VBZ cord-277535-u283k70i 158 3 of of IN cord-277535-u283k70i 158 4 greater great JJR cord-277535-u283k70i 158 5 concern concern NN cord-277535-u283k70i 158 6 if if IN cord-277535-u283k70i 158 7 the the DT cord-277535-u283k70i 158 8 patient patient NN cord-277535-u283k70i 158 9 has have VBZ cord-277535-u283k70i 158 10 concomitant concomitant JJ cord-277535-u283k70i 158 11 renal renal JJ cord-277535-u283k70i 158 12 failure failure NN cord-277535-u283k70i 158 13 or or CC cord-277535-u283k70i 158 14 impaired impaired JJ cord-277535-u283k70i 158 15 blood blood NN cord-277535-u283k70i 158 16 brain brain NN cord-277535-u283k70i 158 17 barrier barrier NN cord-277535-u283k70i 158 18 . . . cord-277535-u283k70i 159 1 The the DT cord-277535-u283k70i 159 2 metabolism metabolism NN cord-277535-u283k70i 159 3 of of IN cord-277535-u283k70i 159 4 succinylcholine succinylcholine NN cord-277535-u283k70i 159 5 may may MD cord-277535-u283k70i 159 6 be be VB cord-277535-u283k70i 159 7 prolonged prolong VBN cord-277535-u283k70i 159 8 due due IN cord-277535-u283k70i 159 9 to to IN cord-277535-u283k70i 159 10 reductions reduction NNS cord-277535-u283k70i 159 11 in in IN cord-277535-u283k70i 159 12 pseudocholinesterase pseudocholinesterase NN cord-277535-u283k70i 159 13 concentrations concentration NNS cord-277535-u283k70i 159 14 , , , cord-277535-u283k70i 159 15 but but CC cord-277535-u283k70i 159 16 clinically clinically RB cord-277535-u283k70i 159 17 this this DT cord-277535-u283k70i 159 18 is be VBZ cord-277535-u283k70i 159 19 of of IN cord-277535-u283k70i 159 20 little little JJ cord-277535-u283k70i 159 21 significance significance NN cord-277535-u283k70i 159 22 . . . cord-277535-u283k70i 160 1 Suggamadex Suggamadex NNP cord-277535-u283k70i 160 2 is be VBZ cord-277535-u283k70i 160 3 a a DT cord-277535-u283k70i 160 4 unique unique JJ cord-277535-u283k70i 160 5 reversal reversal NN cord-277535-u283k70i 160 6 agent agent NN cord-277535-u283k70i 160 7 for for IN cord-277535-u283k70i 160 8 amniosteriodal amniosteriodal JJ cord-277535-u283k70i 160 9 NMB NMB NNP cord-277535-u283k70i 160 10 which which WDT cord-277535-u283k70i 160 11 acts act VBZ cord-277535-u283k70i 160 12 by by IN cord-277535-u283k70i 160 13 chelating chelate VBG cord-277535-u283k70i 160 14 the the DT cord-277535-u283k70i 160 15 NMB NMB NNP cord-277535-u283k70i 160 16 . . . cord-277535-u283k70i 161 1 It -PRON- PRP cord-277535-u283k70i 161 2 is be VBZ cord-277535-u283k70i 161 3 not not RB cord-277535-u283k70i 161 4 metabolized metabolize VBN cord-277535-u283k70i 161 5 and and CC cord-277535-u283k70i 161 6 is be VBZ cord-277535-u283k70i 161 7 excreted excrete VBN cord-277535-u283k70i 161 8 almost almost RB cord-277535-u283k70i 161 9 exclusively exclusively RB cord-277535-u283k70i 161 10 unchanged unchanged JJ cord-277535-u283k70i 161 11 by by IN cord-277535-u283k70i 161 12 the the DT cord-277535-u283k70i 161 13 kidneys kidney NNS cord-277535-u283k70i 161 14 within within IN cord-277535-u283k70i 161 15 24 24 CD cord-277535-u283k70i 161 16 h. h. NNP cord-277535-u283k70i 161 17 Data Data NNP cord-277535-u283k70i 161 18 regarding regard VBG cord-277535-u283k70i 161 19 use use NN cord-277535-u283k70i 161 20 of of IN cord-277535-u283k70i 161 21 sugammadex sugammadex NN cord-277535-u283k70i 161 22 , , , cord-277535-u283k70i 161 23 in in IN cord-277535-u283k70i 161 24 patients patient NNS cord-277535-u283k70i 161 25 with with IN cord-277535-u283k70i 161 26 liver liver NN cord-277535-u283k70i 161 27 dysfunction dysfunction NN cord-277535-u283k70i 161 28 is be VBZ cord-277535-u283k70i 161 29 limited limit VBN cord-277535-u283k70i 161 30 . . . cord-277535-u283k70i 162 1 However however RB cord-277535-u283k70i 162 2 as as IN cord-277535-u283k70i 162 3 sugammadex sugammadex NN cord-277535-u283k70i 162 4 is be VBZ cord-277535-u283k70i 162 5 almost almost RB cord-277535-u283k70i 162 6 entirely entirely RB cord-277535-u283k70i 162 7 excreted excreted JJ cord-277535-u283k70i 162 8 renally renally NN cord-277535-u283k70i 162 9 , , , cord-277535-u283k70i 162 10 no no DT cord-277535-u283k70i 162 11 dose dose JJ cord-277535-u283k70i 162 12 reduction reduction NN cord-277535-u283k70i 162 13 is be VBZ cord-277535-u283k70i 162 14 required require VBN cord-277535-u283k70i 162 15 in in IN cord-277535-u283k70i 162 16 patients patient NNS cord-277535-u283k70i 162 17 with with IN cord-277535-u283k70i 162 18 mild mild JJ cord-277535-u283k70i 162 19 to to IN cord-277535-u283k70i 162 20 moderate moderate JJ cord-277535-u283k70i 162 21 liver liver NN cord-277535-u283k70i 162 22 dysfunction dysfunction NN cord-277535-u283k70i 162 23 . . . cord-277535-u283k70i 163 1 In in IN cord-277535-u283k70i 163 2 patients patient NNS cord-277535-u283k70i 163 3 undergoing undergo VBG cord-277535-u283k70i 163 4 liver liver NN cord-277535-u283k70i 163 5 transplant transplant NN cord-277535-u283k70i 163 6 sugammadex sugammadex NN cord-277535-u283k70i 163 7 is be VBZ cord-277535-u283k70i 163 8 able able JJ cord-277535-u283k70i 163 9 to to TO cord-277535-u283k70i 163 10 reverse reverse VB cord-277535-u283k70i 163 11 neuromuscular neuromuscular JJ cord-277535-u283k70i 163 12 block block NN cord-277535-u283k70i 163 13 maintained maintain VBN cord-277535-u283k70i 163 14 by by IN cord-277535-u283k70i 163 15 rocuronium rocuronium JJ cord-277535-u283k70i 163 16 continuous continuous JJ cord-277535-u283k70i 163 17 infusion infusion NN cord-277535-u283k70i 163 18 . . . cord-277535-u283k70i 164 1 21 21 CD cord-277535-u283k70i 165 1 However however RB cord-277535-u283k70i 165 2 it -PRON- PRP cord-277535-u283k70i 165 3 is be VBZ cord-277535-u283k70i 165 4 important important JJ cord-277535-u283k70i 165 5 to to TO cord-277535-u283k70i 165 6 note note VB cord-277535-u283k70i 165 7 that that IN cord-277535-u283k70i 165 8 the the DT cord-277535-u283k70i 165 9 sugammadex sugammadex JJ cord-277535-u283k70i 165 10 recovery recovery NN cord-277535-u283k70i 165 11 time time NN cord-277535-u283k70i 165 12 in in IN cord-277535-u283k70i 165 13 this this DT cord-277535-u283k70i 165 14 population population NN cord-277535-u283k70i 165 15 was be VBD cord-277535-u283k70i 165 16 found find VBN cord-277535-u283k70i 165 17 to to TO cord-277535-u283k70i 165 18 be be VB cord-277535-u283k70i 165 19 considerably considerably RB cord-277535-u283k70i 165 20 longer long JJR cord-277535-u283k70i 165 21 than than IN cord-277535-u283k70i 165 22 in in IN cord-277535-u283k70i 165 23 other other JJ cord-277535-u283k70i 165 24 surgical surgical JJ cord-277535-u283k70i 165 25 settings setting NNS cord-277535-u283k70i 165 26 , , , cord-277535-u283k70i 165 27 and and CC cord-277535-u283k70i 165 28 should should MD cord-277535-u283k70i 165 29 be be VB cord-277535-u283k70i 165 30 considered consider VBN cord-277535-u283k70i 165 31 in in IN cord-277535-u283k70i 165 32 clinical clinical JJ cord-277535-u283k70i 165 33 practice practice NN cord-277535-u283k70i 165 34 . . . cord-277535-u283k70i 166 1 Dexmedetomidine Dexmedetomidine NNP cord-277535-u283k70i 166 2 is be VBZ cord-277535-u283k70i 166 3 a a DT cord-277535-u283k70i 166 4 highly highly RB cord-277535-u283k70i 166 5 selective selective JJ cord-277535-u283k70i 166 6 alpha-2 alpha-2 NN cord-277535-u283k70i 166 7 receptor receptor NN cord-277535-u283k70i 166 8 agonist agonist NN cord-277535-u283k70i 166 9 , , , cord-277535-u283k70i 166 10 with with IN cord-277535-u283k70i 166 11 analgesic analgesic JJ cord-277535-u283k70i 166 12 , , , cord-277535-u283k70i 166 13 anxiolytic anxiolytic JJ cord-277535-u283k70i 166 14 and and CC cord-277535-u283k70i 166 15 sedative sedative JJ cord-277535-u283k70i 166 16 . . . cord-277535-u283k70i 167 1 It -PRON- PRP cord-277535-u283k70i 167 2 is be VBZ cord-277535-u283k70i 167 3 primarily primarily RB cord-277535-u283k70i 167 4 metabolized metabolize VBN cord-277535-u283k70i 167 5 in in IN cord-277535-u283k70i 167 6 the the DT cord-277535-u283k70i 167 7 liver liver NN cord-277535-u283k70i 167 8 and and CC cord-277535-u283k70i 167 9 may may MD cord-277535-u283k70i 167 10 have have VB cord-277535-u283k70i 167 11 a a DT cord-277535-u283k70i 167 12 prolonged prolonged JJ cord-277535-u283k70i 167 13 half half JJ cord-277535-u283k70i 167 14 - - HYPH cord-277535-u283k70i 167 15 life life NN cord-277535-u283k70i 167 16 in in IN cord-277535-u283k70i 167 17 patients patient NNS cord-277535-u283k70i 167 18 with with IN cord-277535-u283k70i 167 19 liver liver NN cord-277535-u283k70i 167 20 disease disease NN cord-277535-u283k70i 167 21 . . . cord-277535-u283k70i 168 1 Dexmedetomidine Dexmedetomidine NNP cord-277535-u283k70i 168 2 has have VBZ cord-277535-u283k70i 168 3 potential potential JJ cord-277535-u283k70i 168 4 protective protective JJ cord-277535-u283k70i 168 5 effects effect NNS cord-277535-u283k70i 168 6 on on IN cord-277535-u283k70i 168 7 the the DT cord-277535-u283k70i 168 8 liver liver NN cord-277535-u283k70i 168 9 and and CC cord-277535-u283k70i 168 10 intestine intestine NN cord-277535-u283k70i 168 11 during during IN cord-277535-u283k70i 168 12 hepatectomy hepatectomy NN cord-277535-u283k70i 168 13 and and CC cord-277535-u283k70i 168 14 intraoperative intraoperative JJ cord-277535-u283k70i 168 15 use use NN cord-277535-u283k70i 168 16 of of IN cord-277535-u283k70i 168 17 dexmedetomidine dexmedetomidine NN cord-277535-u283k70i 168 18 during during IN cord-277535-u283k70i 168 19 liver liver NN cord-277535-u283k70i 168 20 surgery surgery NN cord-277535-u283k70i 169 1 is be VBZ cord-277535-u283k70i 169 2 subject subject JJ cord-277535-u283k70i 169 3 to to IN cord-277535-u283k70i 169 4 ongoing ongoing JJ cord-277535-u283k70i 169 5 research research NN cord-277535-u283k70i 169 6 . . . cord-277535-u283k70i 170 1 22 22 CD cord-277535-u283k70i 170 2 Additionally additionally RB cord-277535-u283k70i 170 3 patients patient NNS cord-277535-u283k70i 170 4 with with IN cord-277535-u283k70i 170 5 elevated elevated JJ cord-277535-u283k70i 170 6 bilirubin bilirubin NN cord-277535-u283k70i 170 7 and and CC cord-277535-u283k70i 170 8 bile bile NN cord-277535-u283k70i 170 9 salts salt NNS cord-277535-u283k70i 170 10 secondary secondary JJ cord-277535-u283k70i 170 11 to to IN cord-277535-u283k70i 170 12 jaundice jaundice NN cord-277535-u283k70i 170 13 may may MD cord-277535-u283k70i 170 14 show show VB cord-277535-u283k70i 170 15 bradycardias bradycardia NNS cord-277535-u283k70i 170 16 limiting limit VBG cord-277535-u283k70i 170 17 its -PRON- PRP$ cord-277535-u283k70i 170 18 use use NN cord-277535-u283k70i 170 19 . . . cord-277535-u283k70i 171 1 23 23 CD cord-277535-u283k70i 172 1 Paracetamol paracetamol JJ cord-277535-u283k70i 172 2 overdose overdose NN cord-277535-u283k70i 173 1 Paracetamol Paracetamol NNP cord-277535-u283k70i 173 2 is be VBZ cord-277535-u283k70i 173 3 the the DT cord-277535-u283k70i 173 4 commonest common JJS cord-277535-u283k70i 173 5 drug drug NN cord-277535-u283k70i 173 6 taken take VBN cord-277535-u283k70i 173 7 in in IN cord-277535-u283k70i 173 8 overdose overdose NN cord-277535-u283k70i 173 9 in in IN cord-277535-u283k70i 173 10 the the DT cord-277535-u283k70i 173 11 UK UK NNP cord-277535-u283k70i 173 12 to to IN cord-277535-u283k70i 173 13 date date NN cord-277535-u283k70i 173 14 , , , cord-277535-u283k70i 173 15 it -PRON- PRP cord-277535-u283k70i 173 16 can can MD cord-277535-u283k70i 173 17 result result VB cord-277535-u283k70i 173 18 in in IN cord-277535-u283k70i 173 19 liver liver NN cord-277535-u283k70i 173 20 failure failure NN cord-277535-u283k70i 173 21 and and CC cord-277535-u283k70i 173 22 in in IN cord-277535-u283k70i 173 23 some some DT cord-277535-u283k70i 173 24 cases case NNS cord-277535-u283k70i 173 25 fatal fatal JJ cord-277535-u283k70i 173 26 . . . cord-277535-u283k70i 174 1 24 24 CD cord-277535-u283k70i 174 2 Hepatocelluar Hepatocelluar NNP cord-277535-u283k70i 174 3 necrosis necrosis NN cord-277535-u283k70i 174 4 can can MD cord-277535-u283k70i 174 5 occur occur VB cord-277535-u283k70i 174 6 if if IN cord-277535-u283k70i 174 7 as as RB cord-277535-u283k70i 174 8 little little JJ cord-277535-u283k70i 174 9 as as IN cord-277535-u283k70i 174 10 7.5 7.5 CD cord-277535-u283k70i 174 11 g g NN cord-277535-u283k70i 174 12 of of IN cord-277535-u283k70i 174 13 paracetamol paracetamol NNP cord-277535-u283k70i 174 14 is be VBZ cord-277535-u283k70i 174 15 ingested ingest VBN cord-277535-u283k70i 174 16 . . . cord-277535-u283k70i 175 1 Normal normal JJ cord-277535-u283k70i 175 2 pathways pathway NNS cord-277535-u283k70i 175 3 of of IN cord-277535-u283k70i 175 4 metabolism metabolism NN cord-277535-u283k70i 175 5 are be VBP cord-277535-u283k70i 175 6 saturated saturated JJ cord-277535-u283k70i 175 7 and and CC cord-277535-u283k70i 175 8 hepatic hepatic JJ cord-277535-u283k70i 175 9 glutathione glutathione NN cord-277535-u283k70i 175 10 stores store NNS cord-277535-u283k70i 175 11 are be VBP cord-277535-u283k70i 175 12 exhausted exhausted JJ cord-277535-u283k70i 175 13 . . . cord-277535-u283k70i 176 1 Patients patient NNS cord-277535-u283k70i 176 2 are be VBP cord-277535-u283k70i 176 3 often often RB cord-277535-u283k70i 176 4 initially initially RB cord-277535-u283k70i 176 5 asymptomatic asymptomatic JJ cord-277535-u283k70i 176 6 for for IN cord-277535-u283k70i 176 7 the the DT cord-277535-u283k70i 176 8 first first JJ cord-277535-u283k70i 176 9 24 24 CD cord-277535-u283k70i 176 10 h h NN cord-277535-u283k70i 176 11 before before IN cord-277535-u283k70i 176 12 reporting report VBG cord-277535-u283k70i 176 13 nausea nausea NN cord-277535-u283k70i 176 14 , , , cord-277535-u283k70i 176 15 vomiting vomiting NN cord-277535-u283k70i 176 16 , , , cord-277535-u283k70i 176 17 right right JJ cord-277535-u283k70i 176 18 upper upper JJ cord-277535-u283k70i 176 19 quadrant quadrant JJ cord-277535-u283k70i 176 20 pain pain NN cord-277535-u283k70i 176 21 with with IN cord-277535-u283k70i 176 22 progressive progressive JJ cord-277535-u283k70i 176 23 derangement derangement NN cord-277535-u283k70i 176 24 of of IN cord-277535-u283k70i 176 25 liver liver NN cord-277535-u283k70i 176 26 function function NN cord-277535-u283k70i 176 27 tests test NNS cord-277535-u283k70i 176 28 ( ( -LRB- cord-277535-u283k70i 176 29 LFTs LFTs NNP cord-277535-u283k70i 176 30 ) ) -RRB- cord-277535-u283k70i 176 31 after after IN cord-277535-u283k70i 176 32 18 18 CD cord-277535-u283k70i 176 33 h. h. NN cord-277535-u283k70i 177 1 The the DT cord-277535-u283k70i 177 2 MHRA MHRA NNP cord-277535-u283k70i 177 3 produced produce VBD cord-277535-u283k70i 177 4 new new JJ cord-277535-u283k70i 177 5 guidelines guideline NNS cord-277535-u283k70i 177 6 for for IN cord-277535-u283k70i 177 7 treatment treatment NN cord-277535-u283k70i 177 8 of of IN cord-277535-u283k70i 177 9 paracetamol paracetamol JJ cord-277535-u283k70i 177 10 overdose overdose NN cord-277535-u283k70i 177 11 in in IN cord-277535-u283k70i 177 12 2012 2012 CD cord-277535-u283k70i 177 13 ; ; : cord-277535-u283k70i 177 14 the the DT cord-277535-u283k70i 177 15 changes change NNS cord-277535-u283k70i 177 16 included include VBD cord-277535-u283k70i 177 17 an an DT cord-277535-u283k70i 177 18 updated update VBN cord-277535-u283k70i 177 19 nomogram nomogram NNP cord-277535-u283k70i 177 20 and and CC cord-277535-u283k70i 177 21 a a DT cord-277535-u283k70i 177 22 simplified simplified JJ cord-277535-u283k70i 177 23 treatment treatment NN cord-277535-u283k70i 177 24 schedule schedule NN cord-277535-u283k70i 177 25 . . . cord-277535-u283k70i 178 1 25 25 CD cord-277535-u283k70i 179 1 The the DT cord-277535-u283k70i 179 2 administration administration NN cord-277535-u283k70i 179 3 of of IN cord-277535-u283k70i 179 4 acetylcysteine acetylcysteine NNP cord-277535-u283k70i 179 5 has have VBZ cord-277535-u283k70i 179 6 previously previously RB cord-277535-u283k70i 179 7 been be VBN cord-277535-u283k70i 179 8 based base VBN cord-277535-u283k70i 179 9 on on IN cord-277535-u283k70i 179 10 the the DT cord-277535-u283k70i 179 11 Rumack Rumack NNP cord-277535-u283k70i 179 12 - - HYPH cord-277535-u283k70i 179 13 Matthew Matthew NNP cord-277535-u283k70i 179 14 nomogram nomogram NNP cord-277535-u283k70i 179 15 , , , cord-277535-u283k70i 179 16 which which WDT cord-277535-u283k70i 179 17 divided divide VBD cord-277535-u283k70i 179 18 treatment treatment NN cord-277535-u283k70i 179 19 groups group NNS cord-277535-u283k70i 179 20 into into IN cord-277535-u283k70i 179 21 high high JJ cord-277535-u283k70i 179 22 and and CC cord-277535-u283k70i 179 23 low low JJ cord-277535-u283k70i 179 24 risk risk NN cord-277535-u283k70i 179 25 . . . cord-277535-u283k70i 180 1 The the DT cord-277535-u283k70i 180 2 dose dose NN cord-277535-u283k70i 180 3 was be VBD cord-277535-u283k70i 180 4 then then RB cord-277535-u283k70i 180 5 calculated calculate VBN cord-277535-u283k70i 180 6 on on IN cord-277535-u283k70i 180 7 a a DT cord-277535-u283k70i 180 8 weight weight NN cord-277535-u283k70i 180 9 - - HYPH cord-277535-u283k70i 180 10 based base VBN cord-277535-u283k70i 180 11 table table NN cord-277535-u283k70i 180 12 , , , cord-277535-u283k70i 180 13 which which WDT cord-277535-u283k70i 180 14 increased increase VBD cord-277535-u283k70i 180 15 the the DT cord-277535-u283k70i 180 16 risk risk NN cord-277535-u283k70i 180 17 of of IN cord-277535-u283k70i 180 18 drug drug NN cord-277535-u283k70i 180 19 error error NN cord-277535-u283k70i 180 20 . . . cord-277535-u283k70i 181 1 The the DT cord-277535-u283k70i 181 2 updated update VBN cord-277535-u283k70i 181 3 nomogram nomogram NNP cord-277535-u283k70i 181 4 has have VBZ cord-277535-u283k70i 181 5 a a DT cord-277535-u283k70i 181 6 single single JJ cord-277535-u283k70i 181 7 treatment treatment NN cord-277535-u283k70i 181 8 line line NN cord-277535-u283k70i 181 9 ( ( -LRB- cord-277535-u283k70i 181 10 Figure figure NN cord-277535-u283k70i 181 11 1 1 CD cord-277535-u283k70i 181 12 ) ) -RRB- cord-277535-u283k70i 181 13 25 25 CD cord-277535-u283k70i 181 14 ; ; : cord-277535-u283k70i 181 15 thereby thereby RB cord-277535-u283k70i 181 16 eliminating eliminate VBG cord-277535-u283k70i 181 17 the the DT cord-277535-u283k70i 181 18 need need NN cord-277535-u283k70i 181 19 for for IN cord-277535-u283k70i 181 20 assessing assess VBG cord-277535-u283k70i 181 21 whether whether IN cord-277535-u283k70i 181 22 the the DT cord-277535-u283k70i 181 23 patient patient NN cord-277535-u283k70i 181 24 falls fall VBZ cord-277535-u283k70i 181 25 into into IN cord-277535-u283k70i 181 26 the the DT cord-277535-u283k70i 181 27 high high JJ cord-277535-u283k70i 181 28 - - HYPH cord-277535-u283k70i 181 29 risk risk NN cord-277535-u283k70i 181 30 category category NN cord-277535-u283k70i 181 31 . . . cord-277535-u283k70i 182 1 It -PRON- PRP cord-277535-u283k70i 182 2 also also RB cord-277535-u283k70i 182 3 advises advise VBZ cord-277535-u283k70i 182 4 that that IN cord-277535-u283k70i 182 5 in in IN cord-277535-u283k70i 182 6 cases case NNS cord-277535-u283k70i 182 7 of of IN cord-277535-u283k70i 182 8 staggered stagger VBN cord-277535-u283k70i 182 9 overdoses overdose NNS cord-277535-u283k70i 182 10 there there EX cord-277535-u283k70i 182 11 should should MD cord-277535-u283k70i 182 12 be be VB cord-277535-u283k70i 182 13 no no DT cord-277535-u283k70i 182 14 delay delay NN cord-277535-u283k70i 182 15 in in IN cord-277535-u283k70i 182 16 the the DT cord-277535-u283k70i 182 17 administration administration NN cord-277535-u283k70i 182 18 of of IN cord-277535-u283k70i 182 19 acetylcysteine acetylcysteine NNP cord-277535-u283k70i 182 20 . . . cord-277535-u283k70i 183 1 Another another DT cord-277535-u283k70i 183 2 cause cause NN cord-277535-u283k70i 183 3 for for IN cord-277535-u283k70i 183 4 concern concern NN cord-277535-u283k70i 183 5 was be VBD cord-277535-u283k70i 183 6 the the DT cord-277535-u283k70i 183 7 adverse adverse JJ cord-277535-u283k70i 183 8 events event NNS cord-277535-u283k70i 183 9 that that WDT cord-277535-u283k70i 183 10 had have VBD cord-277535-u283k70i 183 11 been be VBN cord-277535-u283k70i 183 12 reported report VBN cord-277535-u283k70i 183 13 following follow VBG cord-277535-u283k70i 183 14 the the DT cord-277535-u283k70i 183 15 bolus bolus NN cord-277535-u283k70i 183 16 dose dose NN cord-277535-u283k70i 183 17 of of IN cord-277535-u283k70i 183 18 acetylcysteine acetylcysteine NN cord-277535-u283k70i 183 19 , , , cord-277535-u283k70i 183 20 this this DT cord-277535-u283k70i 183 21 has have VBZ cord-277535-u283k70i 183 22 been be VBN cord-277535-u283k70i 183 23 addressed address VBN cord-277535-u283k70i 183 24 by by IN cord-277535-u283k70i 183 25 increasing increase VBG cord-277535-u283k70i 183 26 the the DT cord-277535-u283k70i 183 27 duration duration NN cord-277535-u283k70i 183 28 over over IN cord-277535-u283k70i 183 29 which which WDT cord-277535-u283k70i 183 30 it -PRON- PRP cord-277535-u283k70i 183 31 is be VBZ cord-277535-u283k70i 183 32 infused infuse VBN cord-277535-u283k70i 183 33 , , , cord-277535-u283k70i 183 34 from from IN cord-277535-u283k70i 183 35 15 15 CD cord-277535-u283k70i 183 36 min min NN cord-277535-u283k70i 183 37 to to IN cord-277535-u283k70i 183 38 60 60 CD cord-277535-u283k70i 183 39 min min NN cord-277535-u283k70i 183 40 . . . cord-277535-u283k70i 184 1 Acetylcysteine Acetylcysteine NNP cord-277535-u283k70i 184 2 should should MD cord-277535-u283k70i 184 3 be be VB cord-277535-u283k70i 184 4 administered administer VBN cord-277535-u283k70i 184 5 when when WRB cord-277535-u283k70i 184 6 the the DT cord-277535-u283k70i 184 7 plasma plasma NN cord-277535-u283k70i 184 8 paracetamol paracetamol JJ cord-277535-u283k70i 184 9 level level NN cord-277535-u283k70i 184 10 is be VBZ cord-277535-u283k70i 184 11 on on IN cord-277535-u283k70i 184 12 or or CC cord-277535-u283k70i 184 13 above above IN cord-277535-u283k70i 184 14 a a DT cord-277535-u283k70i 184 15 single single JJ cord-277535-u283k70i 184 16 treatment treatment NN cord-277535-u283k70i 184 17 line line NN cord-277535-u283k70i 184 18 joining join VBG cord-277535-u283k70i 184 19 points point NNS cord-277535-u283k70i 184 20 of of IN cord-277535-u283k70i 184 21 100mg 100mg NNP cord-277535-u283k70i 184 22 / / SYM cord-277535-u283k70i 184 23 L L NNP cord-277535-u283k70i 184 24 at at IN cord-277535-u283k70i 184 25 4 4 CD cord-277535-u283k70i 184 26 h h NN cord-277535-u283k70i 184 27 and and CC cord-277535-u283k70i 184 28 15mg 15mg NNP cord-277535-u283k70i 184 29 / / SYM cord-277535-u283k70i 184 30 L l NN cord-277535-u283k70i 184 31 at at IN cord-277535-u283k70i 184 32 15 15 CD cord-277535-u283k70i 184 33 h h NN cord-277535-u283k70i 184 34 after after IN cord-277535-u283k70i 184 35 ingestion ingestion NN cord-277535-u283k70i 184 36 . . . cord-277535-u283k70i 185 1 A a DT cord-277535-u283k70i 185 2 baseline baseline JJ cord-277535-u283k70i 185 3 full full JJ cord-277535-u283k70i 185 4 blood blood NN cord-277535-u283k70i 185 5 count count NN cord-277535-u283k70i 185 6 ( ( -LRB- cord-277535-u283k70i 185 7 FBC FBC NNP cord-277535-u283k70i 185 8 ) ) -RRB- cord-277535-u283k70i 185 9 , , , cord-277535-u283k70i 185 10 urea urea NN cord-277535-u283k70i 185 11 and and CC cord-277535-u283k70i 185 12 electrolytes electrolyte NNS cord-277535-u283k70i 185 13 ( ( -LRB- cord-277535-u283k70i 185 14 U&Es U&Es NNP cord-277535-u283k70i 185 15 ) ) -RRB- cord-277535-u283k70i 185 16 , , , cord-277535-u283k70i 185 17 LFTs lft NNS cord-277535-u283k70i 185 18 and and CC cord-277535-u283k70i 185 19 coagulation coagulation NN cord-277535-u283k70i 185 20 screen screen NN cord-277535-u283k70i 185 21 along along IN cord-277535-u283k70i 185 22 with with IN cord-277535-u283k70i 185 23 an an DT cord-277535-u283k70i 185 24 arterial arterial JJ cord-277535-u283k70i 185 25 blood blood NN cord-277535-u283k70i 185 26 gas gas NN cord-277535-u283k70i 185 27 sample sample NN cord-277535-u283k70i 185 28 should should MD cord-277535-u283k70i 185 29 also also RB cord-277535-u283k70i 185 30 be be VB cord-277535-u283k70i 185 31 done do VBN cord-277535-u283k70i 185 32 at at IN cord-277535-u283k70i 185 33 the the DT cord-277535-u283k70i 185 34 earliest early JJS cord-277535-u283k70i 185 35 opportunity opportunity NN cord-277535-u283k70i 185 36 . . . cord-277535-u283k70i 186 1 Intravenous intravenous JJ cord-277535-u283k70i 186 2 preparations preparation NNS cord-277535-u283k70i 186 3 of of IN cord-277535-u283k70i 186 4 paracetamol paracetamol NNP cord-277535-u283k70i 186 5 were be VBD cord-277535-u283k70i 186 6 licensed license VBN cord-277535-u283k70i 186 7 in in IN cord-277535-u283k70i 186 8 the the DT cord-277535-u283k70i 186 9 UK UK NNP cord-277535-u283k70i 186 10 in in IN cord-277535-u283k70i 186 11 2004 2004 CD cord-277535-u283k70i 186 12 and and CC cord-277535-u283k70i 186 13 it -PRON- PRP cord-277535-u283k70i 186 14 is be VBZ cord-277535-u283k70i 186 15 routinely routinely RB cord-277535-u283k70i 186 16 used use VBN cord-277535-u283k70i 186 17 in in IN cord-277535-u283k70i 186 18 anaesthetic anaesthetic JJ cord-277535-u283k70i 186 19 practice practice NN cord-277535-u283k70i 186 20 . . . cord-277535-u283k70i 187 1 However however RB cord-277535-u283k70i 187 2 , , , cord-277535-u283k70i 187 3 there there EX cord-277535-u283k70i 187 4 have have VBP cord-277535-u283k70i 187 5 been be VBN cord-277535-u283k70i 187 6 some some DT cord-277535-u283k70i 187 7 concerns concern NNS cord-277535-u283k70i 187 8 regarding regard VBG cord-277535-u283k70i 187 9 the the DT cord-277535-u283k70i 187 10 dosage dosage NN cord-277535-u283k70i 187 11 and and CC cord-277535-u283k70i 187 12 administration administration NN cord-277535-u283k70i 187 13 ; ; : cord-277535-u283k70i 187 14 especially especially RB cord-277535-u283k70i 187 15 in in IN cord-277535-u283k70i 187 16 adults adult NNS cord-277535-u283k70i 187 17 and and CC cord-277535-u283k70i 187 18 children child NNS cord-277535-u283k70i 187 19 under under IN cord-277535-u283k70i 187 20 50 50 CD cord-277535-u283k70i 187 21 kg kg NNS cord-277535-u283k70i 187 22 , , , cord-277535-u283k70i 187 23 patients patient NNS cord-277535-u283k70i 187 24 with with IN cord-277535-u283k70i 187 25 pre pre JJ cord-277535-u283k70i 187 26 - - JJ cord-277535-u283k70i 187 27 existing existing JJ cord-277535-u283k70i 187 28 hepatic hepatic JJ cord-277535-u283k70i 187 29 dysfunction dysfunction NN cord-277535-u283k70i 187 30 and and CC cord-277535-u283k70i 187 31 the the DT cord-277535-u283k70i 187 32 elderly elderly JJ cord-277535-u283k70i 187 33 . . . cord-277535-u283k70i 188 1 Children child NNS cord-277535-u283k70i 188 2 and and CC cord-277535-u283k70i 188 3 infants infant NNS cord-277535-u283k70i 188 4 weighing weigh VBG cord-277535-u283k70i 188 5 less less JJR cord-277535-u283k70i 188 6 than than IN cord-277535-u283k70i 188 7 10 10 CD cord-277535-u283k70i 188 8 kg kg NNS cord-277535-u283k70i 188 9 should should MD cord-277535-u283k70i 188 10 receive receive VB cord-277535-u283k70i 188 11 the the DT cord-277535-u283k70i 188 12 reduced reduced JJ cord-277535-u283k70i 188 13 dose dose NN cord-277535-u283k70i 188 14 of of IN cord-277535-u283k70i 188 15 7.5mg 7.5mg CD cord-277535-u283k70i 188 16 / / SYM cord-277535-u283k70i 188 17 kg kg NNS cord-277535-u283k70i 188 18 not not RB cord-277535-u283k70i 188 19 exceeding exceed VBG cord-277535-u283k70i 188 20 the the DT cord-277535-u283k70i 188 21 daily daily JJ cord-277535-u283k70i 188 22 dose dose NN cord-277535-u283k70i 188 23 of of IN cord-277535-u283k70i 188 24 30mg/ 30mg/ CD cord-277535-u283k70i 188 25 kg kg NNS cord-277535-u283k70i 188 26 , , , cord-277535-u283k70i 188 27 whilst whilst IN cord-277535-u283k70i 188 28 those those DT cord-277535-u283k70i 188 29 > > XX cord-277535-u283k70i 188 30 10 10 CD cord-277535-u283k70i 188 31 kg kg NNS cord-277535-u283k70i 188 32 can can MD cord-277535-u283k70i 188 33 be be VB cord-277535-u283k70i 188 34 prescribed prescribe VBN cord-277535-u283k70i 188 35 up up RP cord-277535-u283k70i 188 36 to to IN cord-277535-u283k70i 188 37 15mg 15mg NN cord-277535-u283k70i 188 38 / / SYM cord-277535-u283k70i 188 39 kg kg NNS cord-277535-u283k70i 188 40 not not RB cord-277535-u283k70i 188 41 exceeding exceed VBG cord-277535-u283k70i 188 42 the the DT cord-277535-u283k70i 188 43 daily daily JJ cord-277535-u283k70i 188 44 dose dose NN cord-277535-u283k70i 188 45 of of IN cord-277535-u283k70i 188 46 60mg 60mg NN cord-277535-u283k70i 188 47 / / SYM cord-277535-u283k70i 188 48 kg kg NNS cord-277535-u283k70i 188 49 . . . cord-277535-u283k70i 189 1 Both both DT cord-277535-u283k70i 189 2 the the DT cord-277535-u283k70i 189 3 MHRA MHRA NNP cord-277535-u283k70i 189 4 and and CC cord-277535-u283k70i 189 5 the the DT cord-277535-u283k70i 189 6 NPSA NPSA NNP cord-277535-u283k70i 189 7 have have VBP cord-277535-u283k70i 189 8 issued issue VBN cord-277535-u283k70i 189 9 alerts alert NNS cord-277535-u283k70i 189 10 , , , cord-277535-u283k70i 189 11 regarding regard VBG cord-277535-u283k70i 189 12 the the DT cord-277535-u283k70i 189 13 correct correct JJ cord-277535-u283k70i 189 14 dose dose NN cord-277535-u283k70i 189 15 prescription prescription NN cord-277535-u283k70i 189 16 as as IN cord-277535-u283k70i 189 17 there there EX cord-277535-u283k70i 189 18 have have VBP cord-277535-u283k70i 189 19 been be VBN cord-277535-u283k70i 189 20 reported report VBN cord-277535-u283k70i 189 21 cases case NNS cord-277535-u283k70i 189 22 of of IN cord-277535-u283k70i 189 23 accidental accidental JJ cord-277535-u283k70i 189 24 overdose overdose NN cord-277535-u283k70i 189 25 due due IN cord-277535-u283k70i 189 26 to to IN cord-277535-u283k70i 189 27 ml ml NNS cord-277535-u283k70i 189 28 to to IN cord-277535-u283k70i 189 29 mg mg NNP cord-277535-u283k70i 189 30 conversion conversion NN cord-277535-u283k70i 189 31 and and CC cord-277535-u283k70i 189 32 the the DT cord-277535-u283k70i 189 33 administration administration NN cord-277535-u283k70i 189 34 of of IN cord-277535-u283k70i 189 35 1 1 CD cord-277535-u283k70i 189 36 g g NN cord-277535-u283k70i 189 37 in in IN cord-277535-u283k70i 189 38 adults adult NNS cord-277535-u283k70i 189 39 weighing weigh VBG cord-277535-u283k70i 189 40 less less JJR cord-277535-u283k70i 189 41 than than IN cord-277535-u283k70i 189 42 50 50 CD cord-277535-u283k70i 189 43 kg kg NNS cord-277535-u283k70i 189 44 . . . cord-277535-u283k70i 190 1 The the DT cord-277535-u283k70i 190 2 key key JJ cord-277535-u283k70i 190 3 issue issue NN cord-277535-u283k70i 190 4 is be VBZ cord-277535-u283k70i 190 5 that that IN cord-277535-u283k70i 190 6 with with IN cord-277535-u283k70i 190 7 intravenous intravenous JJ cord-277535-u283k70i 190 8 paracetamol paracetamol JJ cord-277535-u283k70i 190 9 plasma plasma NN cord-277535-u283k70i 190 10 levels level NNS cord-277535-u283k70i 190 11 will will MD cord-277535-u283k70i 190 12 peak peak VB cord-277535-u283k70i 190 13 immediately immediately RB cord-277535-u283k70i 190 14 after after IN cord-277535-u283k70i 190 15 administration administration NN cord-277535-u283k70i 190 16 . . . cord-277535-u283k70i 191 1 The the DT cord-277535-u283k70i 191 2 traditional traditional JJ cord-277535-u283k70i 191 3 nomograms nomogram NNS cord-277535-u283k70i 191 4 used use VBN cord-277535-u283k70i 191 5 to to TO cord-277535-u283k70i 191 6 predict predict VB cord-277535-u283k70i 191 7 plasma plasma NN cord-277535-u283k70i 191 8 levels level NNS cord-277535-u283k70i 191 9 after after IN cord-277535-u283k70i 191 10 overdose overdose NN cord-277535-u283k70i 191 11 refer refer NN cord-277535-u283k70i 191 12 to to IN cord-277535-u283k70i 191 13 oral oral JJ cord-277535-u283k70i 191 14 ingestion ingestion NN cord-277535-u283k70i 191 15 where where WRB cord-277535-u283k70i 191 16 the the DT cord-277535-u283k70i 191 17 levels level NNS cord-277535-u283k70i 191 18 peak peak VBP cord-277535-u283k70i 191 19 some some DT cord-277535-u283k70i 191 20 hours hour NNS cord-277535-u283k70i 191 21 after after RB cord-277535-u283k70i 191 22 . . . cord-277535-u283k70i 192 1 Indicators indicator NNS cord-277535-u283k70i 192 2 of of IN cord-277535-u283k70i 192 3 severe severe JJ cord-277535-u283k70i 192 4 paracetamol paracetamol JJ cord-277535-u283k70i 192 5 poisoning poisoning NN cord-277535-u283k70i 192 6 which which WDT cord-277535-u283k70i 192 7 is be VBZ cord-277535-u283k70i 192 8 likely likely JJ cord-277535-u283k70i 192 9 to to TO cord-277535-u283k70i 192 10 require require VB cord-277535-u283k70i 192 11 referral referral NN cord-277535-u283k70i 192 12 to to IN cord-277535-u283k70i 192 13 a a DT cord-277535-u283k70i 192 14 specialist specialist JJ cord-277535-u283k70i 192 15 liver liver NN cord-277535-u283k70i 192 16 centre centre NN cord-277535-u283k70i 192 17 include include VBP cord-277535-u283k70i 192 18 : : : cord-277535-u283k70i 192 19 INR INR NNP cord-277535-u283k70i 192 20 of of IN cord-277535-u283k70i 192 21 > > $ cord-277535-u283k70i 192 22 2.0 2.0 CD cord-277535-u283k70i 192 23 at at IN cord-277535-u283k70i 192 24 24 24 CD cord-277535-u283k70i 192 25 h h NN cord-277535-u283k70i 192 26 , , , cord-277535-u283k70i 192 27 > > XX cord-277535-u283k70i 192 28 4 4 CD cord-277535-u283k70i 192 29 at at IN cord-277535-u283k70i 192 30 48 48 CD cord-277535-u283k70i 192 31 h h NN cord-277535-u283k70i 192 32 or or CC cord-277535-u283k70i 192 33 > > XX cord-277535-u283k70i 192 34 6 6 CD cord-277535-u283k70i 192 35 at at IN cord-277535-u283k70i 192 36 72 72 CD cord-277535-u283k70i 192 37 hours hour NNS cord-277535-u283k70i 192 38 ; ; , cord-277535-u283k70i 192 39 renal renal JJ cord-277535-u283k70i 192 40 impairment impairment NN cord-277535-u283k70i 192 41 ( ( -LRB- cord-277535-u283k70i 192 42 creatinine creatinine NN cord-277535-u283k70i 192 43 > > XX cord-277535-u283k70i 192 44 200 200 CD cord-277535-u283k70i 192 45 micromol micromol JJ cord-277535-u283k70i 192 46 / / SYM cord-277535-u283k70i 192 47 l l NN cord-277535-u283k70i 192 48 ) ) -RRB- cord-277535-u283k70i 192 49 ; ; : cord-277535-u283k70i 192 50 hypoglycaemia hypoglycaemia NN cord-277535-u283k70i 192 51 ; ; : cord-277535-u283k70i 192 52 metabolic metabolic JJ cord-277535-u283k70i 192 53 acidosis acidosis NN cord-277535-u283k70i 192 54 despite despite IN cord-277535-u283k70i 192 55 rehydration rehydration NN cord-277535-u283k70i 192 56 ; ; : cord-277535-u283k70i 192 57 hypotension hypotension NN cord-277535-u283k70i 192 58 despite despite IN cord-277535-u283k70i 192 59 resuscitation resuscitation NN cord-277535-u283k70i 192 60 or or CC cord-277535-u283k70i 192 61 encephalopathy encephalopathy NN cord-277535-u283k70i 192 62 . . . cord-277535-u283k70i 193 1 26 26 CD cord-277535-u283k70i 194 1 The the DT cord-277535-u283k70i 194 2 only only JJ cord-277535-u283k70i 194 3 other other JJ cord-277535-u283k70i 194 4 treatment treatment NN cord-277535-u283k70i 194 5 in in IN cord-277535-u283k70i 194 6 fulminant fulminant JJ cord-277535-u283k70i 194 7 liver liver NN cord-277535-u283k70i 194 8 failure failure NN cord-277535-u283k70i 194 9 is be VBZ cord-277535-u283k70i 194 10 transplantation transplantation NN cord-277535-u283k70i 194 11 . . . cord-277535-u283k70i 195 1 Paracetamol paracetamol JJ cord-277535-u283k70i 195 2 as as IN cord-277535-u283k70i 195 3 analgesic analgesic JJ cord-277535-u283k70i 195 4 in in IN cord-277535-u283k70i 195 5 chronic chronic JJ cord-277535-u283k70i 195 6 liver liver NN cord-277535-u283k70i 195 7 disease disease NN cord-277535-u283k70i 196 1 Given give VBN cord-277535-u283k70i 196 2 the the DT cord-277535-u283k70i 196 3 potential potential NN cord-277535-u283k70i 196 4 of of IN cord-277535-u283k70i 196 5 paracetamol paracetamol NN cord-277535-u283k70i 196 6 to to TO cord-277535-u283k70i 196 7 cause cause VB cord-277535-u283k70i 196 8 liver liver NN cord-277535-u283k70i 196 9 injury injury NN cord-277535-u283k70i 196 10 , , , cord-277535-u283k70i 196 11 there there EX cord-277535-u283k70i 196 12 is be VBZ cord-277535-u283k70i 196 13 a a DT cord-277535-u283k70i 196 14 common common JJ cord-277535-u283k70i 196 15 misconception misconception NN cord-277535-u283k70i 196 16 that that IN cord-277535-u283k70i 196 17 these these DT cord-277535-u283k70i 196 18 patients patient NNS cord-277535-u283k70i 196 19 should should MD cord-277535-u283k70i 196 20 never never RB cord-277535-u283k70i 196 21 take take VB cord-277535-u283k70i 196 22 paracetamol paracetamol NN cord-277535-u283k70i 196 23 . . . cord-277535-u283k70i 197 1 However however RB cord-277535-u283k70i 197 2 , , , cord-277535-u283k70i 197 3 various various JJ cord-277535-u283k70i 197 4 studies study NNS cord-277535-u283k70i 197 5 have have VBP cord-277535-u283k70i 197 6 shown show VBN cord-277535-u283k70i 197 7 that that IN cord-277535-u283k70i 197 8 if if IN cord-277535-u283k70i 197 9 taken take VBN cord-277535-u283k70i 197 10 in in IN cord-277535-u283k70i 197 11 appropriate appropriate JJ cord-277535-u283k70i 197 12 doses dose NNS cord-277535-u283k70i 197 13 , , , cord-277535-u283k70i 197 14 paracetamol paracetamol NN cord-277535-u283k70i 197 15 is be VBZ cord-277535-u283k70i 197 16 one one CD cord-277535-u283k70i 197 17 of of IN cord-277535-u283k70i 197 18 the the DT cord-277535-u283k70i 197 19 safest safe JJS cord-277535-u283k70i 197 20 analgesics analgesic NNS cord-277535-u283k70i 197 21 for for IN cord-277535-u283k70i 197 22 patients patient NNS cord-277535-u283k70i 197 23 with with IN cord-277535-u283k70i 197 24 cirrhosis cirrhosis NN cord-277535-u283k70i 197 25 . . . cord-277535-u283k70i 198 1 Limiting limit VBG cord-277535-u283k70i 198 2 the the DT cord-277535-u283k70i 198 3 total total JJ cord-277535-u283k70i 198 4 daily daily JJ cord-277535-u283k70i 198 5 dosage dosage NN cord-277535-u283k70i 198 6 to to IN cord-277535-u283k70i 198 7 2e3 2e3 NNP cord-277535-u283k70i 198 8 g g NN cord-277535-u283k70i 198 9 / / SYM cord-277535-u283k70i 198 10 day day NN cord-277535-u283k70i 198 11 with with IN cord-277535-u283k70i 198 12 thrice thrice RB cord-277535-u283k70i 198 13 daily daily JJ cord-277535-u283k70i 198 14 dosing dosing NN cord-277535-u283k70i 198 15 is be VBZ cord-277535-u283k70i 198 16 generally generally RB cord-277535-u283k70i 198 17 recommended recommend VBN cord-277535-u283k70i 198 18 . . . cord-277535-u283k70i 199 1 27 27 CD cord-277535-u283k70i 199 2 Patients patient NNS cord-277535-u283k70i 199 3 should should MD cord-277535-u283k70i 199 4 be be VB cord-277535-u283k70i 199 5 educated educate VBN cord-277535-u283k70i 199 6 about about IN cord-277535-u283k70i 199 7 over over IN cord-277535-u283k70i 199 8 - - HYPH cord-277535-u283k70i 199 9 the the DT cord-277535-u283k70i 199 10 - - HYPH cord-277535-u283k70i 199 11 counter counter NN cord-277535-u283k70i 199 12 and and CC cord-277535-u283k70i 199 13 prescription prescription NN cord-277535-u283k70i 199 14 medications medication NNS cord-277535-u283k70i 199 15 that that WDT cord-277535-u283k70i 199 16 may may MD cord-277535-u283k70i 199 17 also also RB cord-277535-u283k70i 199 18 contain contain VB cord-277535-u283k70i 199 19 acetaminophen acetaminophen NN cord-277535-u283k70i 199 20 to to TO cord-277535-u283k70i 199 21 avoid avoid VB cord-277535-u283k70i 199 22 overdose overdose NN cord-277535-u283k70i 199 23 . . . cord-277535-u283k70i 200 1 Remdesvir Remdesvir NNP cord-277535-u283k70i 200 2 : : : cord-277535-u283k70i 201 1 elevated elevated JJ cord-277535-u283k70i 201 2 liver liver NN cord-277535-u283k70i 201 3 enzymes enzyme NNS cord-277535-u283k70i 201 4 are be VBP cord-277535-u283k70i 201 5 commonly commonly RB cord-277535-u283k70i 201 6 observed observe VBN cord-277535-u283k70i 201 7 in in IN cord-277535-u283k70i 201 8 clinical clinical JJ cord-277535-u283k70i 201 9 trials trial NNS cord-277535-u283k70i 201 10 of of IN cord-277535-u283k70i 201 11 patients patient NNS cord-277535-u283k70i 201 12 with with IN cord-277535-u283k70i 201 13 remedevir remedevir NNS cord-277535-u283k70i 201 14 . . . cord-277535-u283k70i 202 1 28 28 CD cord-277535-u283k70i 203 1 The the DT cord-277535-u283k70i 203 2 elevated elevated JJ cord-277535-u283k70i 203 3 values value NNS cord-277535-u283k70i 203 4 rarely rarely RB cord-277535-u283k70i 203 5 warrant warrant VBP cord-277535-u283k70i 203 6 treatment treatment NN cord-277535-u283k70i 203 7 discontinuation discontinuation NN cord-277535-u283k70i 203 8 . . . cord-277535-u283k70i 204 1 Current current JJ cord-277535-u283k70i 204 2 recommendations recommendation NNS cord-277535-u283k70i 204 3 suggest suggest VBP cord-277535-u283k70i 204 4 that that IN cord-277535-u283k70i 204 5 if if IN cord-277535-u283k70i 204 6 the the DT cord-277535-u283k70i 204 7 enzymes enzyme NNS cord-277535-u283k70i 204 8 are be VBP cord-277535-u283k70i 204 9 elevated elevate VBN cord-277535-u283k70i 204 10 to to IN cord-277535-u283k70i 204 11 5 5 CD cord-277535-u283k70i 204 12 times time NNS cord-277535-u283k70i 204 13 or or CC cord-277535-u283k70i 204 14 more more RBR cord-277535-u283k70i 204 15 above above IN cord-277535-u283k70i 204 16 baseline baseline NN cord-277535-u283k70i 204 17 , , , cord-277535-u283k70i 204 18 to to TO cord-277535-u283k70i 204 19 discontinue discontinue VB cord-277535-u283k70i 204 20 the the DT cord-277535-u283k70i 204 21 drug drug NN cord-277535-u283k70i 204 22 . . . cord-277535-u283k70i 205 1 Tocilizumab Tocilizumab NNP cord-277535-u283k70i 205 2 : : : cord-277535-u283k70i 206 1 ALT ALT NNP cord-277535-u283k70i 206 2 elevations elevation NNS cord-277535-u283k70i 206 3 are be VBP cord-277535-u283k70i 206 4 frequent frequent JJ cord-277535-u283k70i 206 5 but but CC cord-277535-u283k70i 206 6 fulminant fulminant JJ cord-277535-u283k70i 206 7 hepatitis hepatitis NN cord-277535-u283k70i 206 8 is be VBZ cord-277535-u283k70i 206 9 rare rare JJ cord-277535-u283k70i 206 10 . . . cord-277535-u283k70i 207 1 The the DT cord-277535-u283k70i 207 2 risk risk NN cord-277535-u283k70i 207 3 of of IN cord-277535-u283k70i 207 4 re re NN cord-277535-u283k70i 207 5 activation activation NN cord-277535-u283k70i 207 6 of of IN cord-277535-u283k70i 207 7 HBV HBV NNP cord-277535-u283k70i 207 8 should should MD cord-277535-u283k70i 207 9 be be VB cord-277535-u283k70i 207 10 kept keep VBN cord-277535-u283k70i 207 11 in in IN cord-277535-u283k70i 207 12 mind mind NN cord-277535-u283k70i 207 13 if if IN cord-277535-u283k70i 207 14 patient patient JJ cord-277535-u283k70i 207 15 had have VBD cord-277535-u283k70i 207 16 chronic chronic JJ cord-277535-u283k70i 207 17 liver liver NN cord-277535-u283k70i 207 18 disease disease NN cord-277535-u283k70i 207 19 secondary secondary JJ cord-277535-u283k70i 207 20 to to IN cord-277535-u283k70i 207 21 viral viral JJ cord-277535-u283k70i 207 22 etiology etiology NN cord-277535-u283k70i 207 23 . . . cord-277535-u283k70i 208 1 28 28 CD cord-277535-u283k70i 208 2 Steriods Steriods NNPS cord-277535-u283k70i 208 3 : : : cord-277535-u283k70i 208 4 low low JJ cord-277535-u283k70i 208 5 dose dose NN cord-277535-u283k70i 208 6 dexamethasone dexamethasone NN cord-277535-u283k70i 208 7 is be VBZ cord-277535-u283k70i 208 8 probably probably RB cord-277535-u283k70i 208 9 safe safe JJ cord-277535-u283k70i 208 10 in in IN cord-277535-u283k70i 208 11 patients patient NNS cord-277535-u283k70i 208 12 with with IN cord-277535-u283k70i 208 13 chronic chronic JJ cord-277535-u283k70i 208 14 stable stable JJ cord-277535-u283k70i 208 15 liver liver NN cord-277535-u283k70i 208 16 diease diease NN cord-277535-u283k70i 208 17 . . . cord-277535-u283k70i 209 1 However however RB cord-277535-u283k70i 209 2 use use NN cord-277535-u283k70i 209 3 of of IN cord-277535-u283k70i 209 4 methylprednisolone methylprednisolone NN cord-277535-u283k70i 209 5 in in IN cord-277535-u283k70i 209 6 high high JJ cord-277535-u283k70i 209 7 doses dose NNS cord-277535-u283k70i 209 8 may may MD cord-277535-u283k70i 209 9 reactivate reactivate VB cord-277535-u283k70i 209 10 HBV HBV NNP cord-277535-u283k70i 209 11 and and CC cord-277535-u283k70i 209 12 increase increase VB cord-277535-u283k70i 209 13 risk risk NN cord-277535-u283k70i 209 14 of of IN cord-277535-u283k70i 209 15 spontaneous spontaneous JJ cord-277535-u283k70i 209 16 bacterial bacterial JJ cord-277535-u283k70i 209 17 peritonitis peritonitis NN cord-277535-u283k70i 209 18 ( ( -LRB- cord-277535-u283k70i 209 19 SBP SBP NNP cord-277535-u283k70i 209 20 ) ) -RRB- cord-277535-u283k70i 209 21 in in IN cord-277535-u283k70i 209 22 severe severe JJ cord-277535-u283k70i 209 23 cases case NNS cord-277535-u283k70i 209 24 . . . cord-277535-u283k70i 210 1 28 28 CD cord-277535-u283k70i 210 2 Hydoxychloroquine Hydoxychloroquine NNP cord-277535-u283k70i 210 3 : : : cord-277535-u283k70i 210 4 data data NN cord-277535-u283k70i 210 5 is be VBZ cord-277535-u283k70i 210 6 limited limit VBN cord-277535-u283k70i 210 7 but but CC cord-277535-u283k70i 210 8 generally generally RB cord-277535-u283k70i 210 9 has have VBZ cord-277535-u283k70i 210 10 not not RB cord-277535-u283k70i 210 11 been be VBN cord-277535-u283k70i 210 12 associated associate VBN cord-277535-u283k70i 210 13 with with IN cord-277535-u283k70i 210 14 elevations elevation NNS cord-277535-u283k70i 210 15 in in IN cord-277535-u283k70i 210 16 ALT alt NN cord-277535-u283k70i 210 17 levels level NNS cord-277535-u283k70i 210 18 and and CC cord-277535-u283k70i 210 19 is be VBZ cord-277535-u283k70i 210 20 an an DT cord-277535-u283k70i 210 21 extremely extremely RB cord-277535-u283k70i 210 22 rare rare JJ cord-277535-u283k70i 210 23 cause cause NN cord-277535-u283k70i 210 24 of of IN cord-277535-u283k70i 210 25 drug drug NN cord-277535-u283k70i 210 26 induced induce VBN cord-277535-u283k70i 210 27 liver liver NN cord-277535-u283k70i 210 28 injury injury NN cord-277535-u283k70i 210 29 . . . cord-277535-u283k70i 211 1 28e31 28e31 CD cord-277535-u283k70i 212 1 Changing change VBG cord-277535-u283k70i 212 2 patterns pattern NNS cord-277535-u283k70i 212 3 of of IN cord-277535-u283k70i 212 4 causation causation NN cord-277535-u283k70i 212 5 and and CC cord-277535-u283k70i 212 6 the the DT cord-277535-u283k70i 212 7 use use NN cord-277535-u283k70i 212 8 of of IN cord-277535-u283k70i 212 9 transplantation transplantation NN cord-277535-u283k70i 212 10 in in IN cord-277535-u283k70i 212 11 the the DT cord-277535-u283k70i 212 12 United United NNP cord-277535-u283k70i 212 13 Kingdom Kingdom NNP cord-277535-u283k70i 212 14 Drug Drug NNP cord-277535-u283k70i 212 15 dosing dosing NN cord-277535-u283k70i 212 16 considerations consideration NNS cord-277535-u283k70i 212 17 for for IN cord-277535-u283k70i 212 18 the the DT cord-277535-u283k70i 212 19 critically critically RB cord-277535-u283k70i 212 20 ill ill JJ cord-277535-u283k70i 212 21 patient patient NN cord-277535-u283k70i 212 22 with with IN cord-277535-u283k70i 212 23 liver liver NN cord-277535-u283k70i 212 24 disease disease NN cord-277535-u283k70i 212 25 SARS SARS NNP cord-277535-u283k70i 212 26 - - HYPH cord-277535-u283k70i 212 27 CoV-2 CoV-2 NNP cord-277535-u283k70i 212 28 cell cell NN cord-277535-u283k70i 212 29 entry entry NN cord-277535-u283k70i 212 30 depends depend VBZ cord-277535-u283k70i 212 31 on on IN cord-277535-u283k70i 212 32 ACE2 ACE2 NNP cord-277535-u283k70i 212 33 and and CC cord-277535-u283k70i 212 34 TMPRSS2 TMPRSS2 NNP cord-277535-u283k70i 212 35 and and CC cord-277535-u283k70i 212 36 is be VBZ cord-277535-u283k70i 212 37 blocked block VBN cord-277535-u283k70i 212 38 by by IN cord-277535-u283k70i 212 39 a a DT cord-277535-u283k70i 212 40 clinically clinically RB cord-277535-u283k70i 212 41 proven prove VBN cord-277535-u283k70i 212 42 protease protease NN cord-277535-u283k70i 212 43 inhibitor inhibitor NN cord-277535-u283k70i 212 44 Liver liver NN cord-277535-u283k70i 212 45 injury injury NN cord-277535-u283k70i 212 46 in in IN cord-277535-u283k70i 212 47 COVID-19 COVID-19 NNP cord-277535-u283k70i 212 48 : : : cord-277535-u283k70i 212 49 the the DT cord-277535-u283k70i 212 50 current current JJ cord-277535-u283k70i 212 51 evidence evidence NN cord-277535-u283k70i 212 52 Hypoalbuminemia Hypoalbuminemia NNP cord-277535-u283k70i 212 53 predicts predict VBZ cord-277535-u283k70i 212 54 the the DT cord-277535-u283k70i 212 55 outcome outcome NN cord-277535-u283k70i 212 56 of of IN cord-277535-u283k70i 212 57 COVID-19 COVID-19 NNP cord-277535-u283k70i 212 58 independent independent NN cord-277535-u283k70i 212 59 of of IN cord-277535-u283k70i 212 60 age age NN cord-277535-u283k70i 212 61 and and CC cord-277535-u283k70i 212 62 co co NN cord-277535-u283k70i 212 63 - - JJ cord-277535-u283k70i 212 64 morbidity morbidity JJ cord-277535-u283k70i 212 65 Liver liver NN cord-277535-u283k70i 212 66 injury injury NN cord-277535-u283k70i 212 67 during during IN cord-277535-u283k70i 212 68 highly highly RB cord-277535-u283k70i 212 69 pathogenic pathogenic JJ cord-277535-u283k70i 212 70 human human JJ cord-277535-u283k70i 212 71 coronavirus coronavirus NN cord-277535-u283k70i 212 72 infections infection NNS cord-277535-u283k70i 212 73 High high JJ cord-277535-u283k70i 212 74 mortality mortality NN cord-277535-u283k70i 212 75 rates rate NNS cord-277535-u283k70i 212 76 for for IN cord-277535-u283k70i 212 77 SARS SARS NNP cord-277535-u283k70i 212 78 - - HYPH cord-277535-u283k70i 212 79 CoV-2 CoV-2 NNP cord-277535-u283k70i 212 80 infection infection NN cord-277535-u283k70i 212 81 in in IN cord-277535-u283k70i 212 82 patients patient NNS cord-277535-u283k70i 212 83 with with IN cord-277535-u283k70i 212 84 pre pre JJ cord-277535-u283k70i 212 85 - - JJ cord-277535-u283k70i 212 86 existing existing JJ cord-277535-u283k70i 212 87 chronic chronic JJ cord-277535-u283k70i 212 88 liver liver NN cord-277535-u283k70i 212 89 disease disease NN cord-277535-u283k70i 212 90 and and CC cord-277535-u283k70i 212 91 cirrhosis cirrhosis NN cord-277535-u283k70i 212 92 : : : cord-277535-u283k70i 212 93 preliminary preliminary JJ cord-277535-u283k70i 212 94 results result NNS cord-277535-u283k70i 212 95 from from IN cord-277535-u283k70i 212 96 an an DT cord-277535-u283k70i 212 97 international international JJ cord-277535-u283k70i 212 98 registry registry NN cord-277535-u283k70i 212 99 Differentiated differentiate VBN cord-277535-u283k70i 212 100 effects effect NNS cord-277535-u283k70i 212 101 of of IN cord-277535-u283k70i 212 102 liver liver NN cord-277535-u283k70i 212 103 cirrohosis cirrohosis NN cord-277535-u283k70i 212 104 on on IN cord-277535-u283k70i 212 105 albumin albumin NN cord-277535-u283k70i 212 106 binding bind VBG cord-277535-u283k70i 212 107 sites site NNS cord-277535-u283k70i 212 108 for for IN cord-277535-u283k70i 212 109 diazepam diazepam NN cord-277535-u283k70i 212 110 , , , cord-277535-u283k70i 212 111 salicylic salicylic JJ cord-277535-u283k70i 212 112 acid acid NN cord-277535-u283k70i 212 113 and and CC cord-277535-u283k70i 212 114 warfarin warfarin NN cord-277535-u283k70i 212 115 Anaesthesia Anaesthesia NNP cord-277535-u283k70i 212 116 for for IN cord-277535-u283k70i 212 117 the the DT cord-277535-u283k70i 212 118 patient patient NN cord-277535-u283k70i 212 119 with with IN cord-277535-u283k70i 212 120 liver liver NN cord-277535-u283k70i 212 121 disease disease NN cord-277535-u283k70i 213 1 A a DT cord-277535-u283k70i 213 2 model model NN cord-277535-u283k70i 213 3 to to TO cord-277535-u283k70i 213 4 predict predict VB cord-277535-u283k70i 213 5 poor poor JJ cord-277535-u283k70i 213 6 survival survival NN cord-277535-u283k70i 213 7 in in IN cord-277535-u283k70i 213 8 patients patient NNS cord-277535-u283k70i 213 9 undergoing undergo VBG cord-277535-u283k70i 213 10 transjugular transjugular NNP cord-277535-u283k70i 213 11 intrahepatic intrahepatic JJ cord-277535-u283k70i 213 12 portosystemic portosystemic JJ cord-277535-u283k70i 213 13 shunts shunt NNS cord-277535-u283k70i 213 14 MELD meld VB cord-277535-u283k70i 213 15 - - HYPH cord-277535-u283k70i 213 16 Na Na NNP cord-277535-u283k70i 213 17 ( ( -LRB- cord-277535-u283k70i 213 18 the the DT cord-277535-u283k70i 213 19 new new JJ cord-277535-u283k70i 213 20 MELD MELD NNP cord-277535-u283k70i 213 21 ) ) -RRB- cord-277535-u283k70i 213 22 and and CC cord-277535-u283k70i 213 23 peri peri JJ cord-277535-u283k70i 213 24 - - HYPH cord-277535-u283k70i 213 25 operative operative JJ cord-277535-u283k70i 213 26 outcomes outcome NNS cord-277535-u283k70i 213 27 in in IN cord-277535-u283k70i 213 28 emergency emergency NN cord-277535-u283k70i 213 29 surgery surgery NN cord-277535-u283k70i 213 30 Buggy Buggy NNP cord-277535-u283k70i 213 31 Donal Donal NNP cord-277535-u283k70i 213 32 J. J. NNP cord-277535-u283k70i 213 33 Pharmacology Pharmacology NNP cord-277535-u283k70i 213 34 of of IN cord-277535-u283k70i 213 35 anaesthetic anaesthetic JJ cord-277535-u283k70i 213 36 agents agent NNS cord-277535-u283k70i 213 37 II II NNP cord-277535-u283k70i 213 38 : : : cord-277535-u283k70i 213 39 inhalation inhalation NN cord-277535-u283k70i 213 40 anaesthetic anaesthetic JJ cord-277535-u283k70i 213 41 agents agent NNS cord-277535-u283k70i 213 42 Anaesthesia Anaesthesia NNP cord-277535-u283k70i 213 43 for for IN cord-277535-u283k70i 213 44 patients patient NNS cord-277535-u283k70i 213 45 with with IN cord-277535-u283k70i 213 46 liver liver NN cord-277535-u283k70i 213 47 disease disease NN cord-277535-u283k70i 214 1 The the DT cord-277535-u283k70i 214 2 effects effect NNS cord-277535-u283k70i 214 3 of of IN cord-277535-u283k70i 214 4 prolonged prolong VBN cord-277535-u283k70i 214 5 lowflow lowflow NN cord-277535-u283k70i 214 6 sevoflurane sevoflurane NNP cord-277535-u283k70i 214 7 anesthesia anesthesia NNP cord-277535-u283k70i 214 8 on on IN cord-277535-u283k70i 214 9 renal renal JJ cord-277535-u283k70i 214 10 and and CC cord-277535-u283k70i 214 11 hepatic hepatic JJ cord-277535-u283k70i 214 12 function function NN cord-277535-u283k70i 214 13 Blood blood NN cord-277535-u283k70i 214 14 supply supply NN cord-277535-u283k70i 214 15 to to IN cord-277535-u283k70i 214 16 the the DT cord-277535-u283k70i 214 17 liver liver NN cord-277535-u283k70i 214 18 in in IN cord-277535-u283k70i 214 19 the the DT cord-277535-u283k70i 214 20 human human NN cord-277535-u283k70i 214 21 after after IN cord-277535-u283k70i 214 22 1 1 CD cord-277535-u283k70i 214 23 MAC MAC NNP cord-277535-u283k70i 214 24 desflurane desflurane NNP cord-277535-u283k70i 214 25 in in IN cord-277535-u283k70i 214 26 comparison comparison NN cord-277535-u283k70i 214 27 with with IN cord-277535-u283k70i 214 28 isoflurane isoflurane NNP cord-277535-u283k70i 214 29 and and CC cord-277535-u283k70i 214 30 halothane halothane NNP cord-277535-u283k70i 215 1 The the DT cord-277535-u283k70i 215 2 effect effect NN cord-277535-u283k70i 215 3 of of IN cord-277535-u283k70i 215 4 isoflurane isoflurane NN cord-277535-u283k70i 215 5 or or CC cord-277535-u283k70i 215 6 propofol propofol NN cord-277535-u283k70i 215 7 anaesthesia anaesthesia NN cord-277535-u283k70i 215 8 on on IN cord-277535-u283k70i 215 9 liver liver NN cord-277535-u283k70i 215 10 injury injury NN cord-277535-u283k70i 215 11 after after IN cord-277535-u283k70i 215 12 partial partial JJ cord-277535-u283k70i 215 13 hepatectomy hepatectomy NN cord-277535-u283k70i 215 14 in in IN cord-277535-u283k70i 215 15 cirrhotic cirrhotic JJ cord-277535-u283k70i 215 16 patients patient NNS cord-277535-u283k70i 216 1 Comparison comparison NN cord-277535-u283k70i 216 2 of of IN cord-277535-u283k70i 216 3 the the DT cord-277535-u283k70i 216 4 postoperative postoperative JJ cord-277535-u283k70i 216 5 liver liver NN cord-277535-u283k70i 216 6 function function NN cord-277535-u283k70i 216 7 between between IN cord-277535-u283k70i 216 8 total total JJ cord-277535-u283k70i 216 9 intravenous intravenous JJ cord-277535-u283k70i 216 10 anesthesia anesthesia NN cord-277535-u283k70i 216 11 and and CC cord-277535-u283k70i 216 12 inhalation inhalation NN cord-277535-u283k70i 216 13 anesthesia anesthesia NN cord-277535-u283k70i 216 14 in in IN cord-277535-u283k70i 216 15 patients patient NNS cord-277535-u283k70i 216 16 with with IN cord-277535-u283k70i 216 17 preoperatively preoperatively RB cord-277535-u283k70i 216 18 elevated elevated JJ cord-277535-u283k70i 216 19 liver liver NN cord-277535-u283k70i 216 20 transaminase transaminase NN cord-277535-u283k70i 216 21 levels level NNS cord-277535-u283k70i 216 22 : : : cord-277535-u283k70i 217 1 a a DT cord-277535-u283k70i 217 2 retrospective retrospective JJ cord-277535-u283k70i 217 3 cohort cohort NN cord-277535-u283k70i 217 4 study study NN cord-277535-u283k70i 217 5 Pain Pain NNP cord-277535-u283k70i 217 6 management management NN cord-277535-u283k70i 217 7 in in IN cord-277535-u283k70i 217 8 patients patient NNS cord-277535-u283k70i 217 9 with with IN cord-277535-u283k70i 217 10 cirrhosis cirrhosis NN cord-277535-u283k70i 217 11 Analgesics analgesic NNS cord-277535-u283k70i 217 12 in in IN cord-277535-u283k70i 217 13 patients patient NNS cord-277535-u283k70i 217 14 with with IN cord-277535-u283k70i 217 15 hepatic hepatic JJ cord-277535-u283k70i 217 16 impairment impairment NN cord-277535-u283k70i 217 17 : : : cord-277535-u283k70i 217 18 pharmacology pharmacology NN cord-277535-u283k70i 217 19 and and CC cord-277535-u283k70i 217 20 clinical clinical JJ cord-277535-u283k70i 217 21 implications implication NNS cord-277535-u283k70i 217 22 SUGAMMADEX SUGAMMADEX NNP cord-277535-u283k70i 217 23 versus versus IN cord-277535-u283k70i 217 24 neostigmine neostigmine NN cord-277535-u283k70i 217 25 after after IN cord-277535-u283k70i 217 26 ROCURONIUM ROCURONIUM NNP cord-277535-u283k70i 217 27 continuous continuous JJ cord-277535-u283k70i 217 28 infusion infusion NN cord-277535-u283k70i 217 29 in in IN cord-277535-u283k70i 217 30 patients patient NNS cord-277535-u283k70i 217 31 undergoing undergo VBG cord-277535-u283k70i 217 32 liver liver NN cord-277535-u283k70i 217 33 transplantation transplantation NN cord-277535-u283k70i 217 34 Dexmedetomidine Dexmedetomidine NNP cord-277535-u283k70i 217 35 reduces reduce VBZ cord-277535-u283k70i 217 36 intestinal intestinal JJ cord-277535-u283k70i 217 37 and and CC cord-277535-u283k70i 217 38 hepatic hepatic JJ cord-277535-u283k70i 217 39 injury injury NN cord-277535-u283k70i 217 40 after after IN cord-277535-u283k70i 217 41 hepatectomy hepatectomy NN cord-277535-u283k70i 217 42 with with IN cord-277535-u283k70i 217 43 inflow inflow JJ cord-277535-u283k70i 217 44 occlusion occlusion NN cord-277535-u283k70i 217 45 under under IN cord-277535-u283k70i 217 46 general general JJ cord-277535-u283k70i 217 47 anaesthesia anaesthesia NN cord-277535-u283k70i 217 48 : : : cord-277535-u283k70i 217 49 a a DT cord-277535-u283k70i 217 50 randomized randomized JJ cord-277535-u283k70i 217 51 controlled control VBN cord-277535-u283k70i 217 52 trial trial NN cord-277535-u283k70i 217 53 Bile bile NN cord-277535-u283k70i 217 54 acids acid NNS cord-277535-u283k70i 217 55 induce induce VBP cord-277535-u283k70i 217 56 arrhythmias arrhythmias RB cord-277535-u283k70i 217 57 : : : cord-277535-u283k70i 217 58 old old JJ cord-277535-u283k70i 217 59 metabolite metabolite NNP cord-277535-u283k70i 217 60 Office Office NNP cord-277535-u283k70i 217 61 for for IN cord-277535-u283k70i 217 62 National National NNP cord-277535-u283k70i 217 63 Statistics Statistics NNPS cord-277535-u283k70i 217 64 ) ) -RRB- cord-277535-u283k70i 218 1 Paracetamol paracetamol JJ cord-277535-u283k70i 218 2 overdose overdose NN cord-277535-u283k70i 218 3 : : : cord-277535-u283k70i 218 4 an an DT cord-277535-u283k70i 218 5 evidence evidence NN cord-277535-u283k70i 218 6 based base VBN cord-277535-u283k70i 218 7 flowchart flowchart NN cord-277535-u283k70i 218 8 to to TO cord-277535-u283k70i 218 9 guide guide VB cord-277535-u283k70i 218 10 management management NN cord-277535-u283k70i 218 11 The the DT cord-277535-u283k70i 218 12 therapeutic therapeutic JJ cord-277535-u283k70i 218 13 use use NN cord-277535-u283k70i 218 14 of of IN cord-277535-u283k70i 218 15 analgesics analgesic NNS cord-277535-u283k70i 218 16 in in IN cord-277535-u283k70i 218 17 patients patient NNS cord-277535-u283k70i 218 18 with with IN cord-277535-u283k70i 218 19 liver liver NN cord-277535-u283k70i 218 20 cirrhosis cirrhosis NN cord-277535-u283k70i 218 21 : : : cord-277535-u283k70i 219 1 a a DT cord-277535-u283k70i 219 2 literature literature NN cord-277535-u283k70i 219 3 review review NN cord-277535-u283k70i 219 4 and and CC cord-277535-u283k70i 219 5 evidence evidence NN cord-277535-u283k70i 219 6 - - HYPH cord-277535-u283k70i 219 7 based base VBN cord-277535-u283k70i 219 8 recommendations recommendation NNS cord-277535-u283k70i 219 9 Care Care NNP cord-277535-u283k70i 219 10 of of IN cord-277535-u283k70i 219 11 patients patient NNS cord-277535-u283k70i 219 12 with with IN cord-277535-u283k70i 219 13 liver liver NN cord-277535-u283k70i 219 14 disease disease NN cord-277535-u283k70i 219 15 during during IN cord-277535-u283k70i 219 16 the the DT cord-277535-u283k70i 219 17 COVID-19 COVID-19 NNP cord-277535-u283k70i 219 18 pandemic pandemic NN cord-277535-u283k70i 219 19 : : : cord-277535-u283k70i 219 20 EASL EASL NNP cord-277535-u283k70i 219 21 - - HYPH cord-277535-u283k70i 219 22 ESCMID ESCMID NNP cord-277535-u283k70i 219 23 position position NN cord-277535-u283k70i 219 24 paper paper NN cord-277535-u283k70i 219 25 Liver liver NN cord-277535-u283k70i 219 26 injury injury NN cord-277535-u283k70i 219 27 in in IN cord-277535-u283k70i 219 28 COVID-19 COVID-19 NNP cord-277535-u283k70i 219 29 : : : cord-277535-u283k70i 219 30 management management NN cord-277535-u283k70i 219 31 and and CC cord-277535-u283k70i 219 32 challenges challenge VBZ cord-277535-u283k70i 219 33 COVID-19 covid-19 VBP cord-277535-u283k70i 219 34 : : : cord-277535-u283k70i 219 35 abnormal abnormal JJ cord-277535-u283k70i 219 36 liver liver NN cord-277535-u283k70i 219 37 function function NN cord-277535-u283k70i 219 38 tests test VBZ cord-277535-u283k70i 219 39 Pharmacokinetics Pharmacokinetics NNP cord-277535-u283k70i 219 40 in in IN cord-277535-u283k70i 219 41 disease disease NN cord-277535-u283k70i 219 42 states state NNS cord-277535-u283k70i 219 43 modifying modify VBG cord-277535-u283k70i 219 44 hepatic hepatic JJ cord-277535-u283k70i 219 45 and and CC cord-277535-u283k70i 219 46 metabolic metabolic JJ cord-277535-u283k70i 219 47 function function NN