Hi Francois,

For pain measurements it is not uncommon to analyze data with a upper limit of 
quantitation. You can follow the literature on BQL, only reversing from a lower 
limit to an upper limIt. In my experience just deleting censored data works 
fine, certainly as a first attempt, as long as censoring stays below ~1/3 of 
total data.

Best regards,
Jeroen


J. Elassaiss-Schaap
Scientist PK/PD
MSD
PO Box 20, 5340 BH Oss, Netherlands
Phone: + 31 412 66 9320
Fax: + 31 412 66 2506
e-mail: [email protected]

________________________________
From: [email protected] [mailto:[email protected]] On 
Behalf Of Francois Gaudreault
Sent: Monday, December 19, 2011 21:40
To: [email protected]
Subject: [NMusers] Truncated Emax

Dear NM users

I am currently developing a PK PD model for local anesthetics using a 
sequential approach with ADVAN6. The PD model is a sigmoid Emax with an effect 
compartment (Ce).

The intensity and duration of nerve blockade are monitored throughout the 
perioperative period in patients using a quantitative pharmacodynamic endpoint, 
i.e, the current perception threshold (CPT) REF: Can. J. Anesth, 57 (S1) 2010). 
Briefly, CPT is evaluated before and after the administration of the local 
anesthectic. Data are normalized by baseline using the following equation :
(observed-baseline) / (max-baseline) *100 (%)

Here is the problem. The device only goes to a maximum of 10 mA. In some 
patients, the real Emax is much higher. Any ideas on how handle a truncated 
Emax ?

Thanks in advance



--
François Gaudreault, Ph.D. Candidate
Pharmacométrie / Pharmacometrics
Charger de cours / Lecturer
Faculté de pharmacie / Faculty of Pharmacy
Université de Montréal

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