Open AccessPharmacology related to paediatric anaesthesia
Author(s) -
Meghna Maheshwari,
Sadhana Sanwatsarkar,
Milind Katakwar
Publication year - 2019
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/ija.ija_487_19
Subject(s) - medicine , dosing , pharmacodynamics , pharmacokinetics , population , clinical pharmacology , drug , intensive care medicine , general anaesthesia , anesthesia , pharmacology , environmental health
A child is not a mini adult. They differ from adults in terms of weight, shape, anatomical size and major body systems such as cardiovascular and respiratory as well as psychologically. Each organ system is immature in paediatric age group and their growth and development can dramatically affect the pharmacokinetics of different drugs. Children differ in every way from an adult thus mandating to have a basic knowledge of the pharmacokinetic and pharmacodynamic principles in paediatric population to prevent under dosing or toxicity of drugs. This review article aims to simplify the basic principles of pharmacokinetics and pharmacodynamics in paediatric population. It also highlights physiological and pharmacological differences between adults and paediatric age. We performed a PUBMED search for English language articles using keywords including pharmacology, child, paediatric anaesthesia. We also hand searched references from relevant review articles and text book chapters. We have also discussed drug interaction in anaesthesia, pharmacology pertaining to neuromuscular junction and effects of anaesthesia over the developing brain.