Indian Journal of Anaesthesia  
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REVIEW ARTICLE
Year : 2019  |  Volume : 63  |  Issue : 9  |  Page : 698-706

Pharmacology related to paediatric anaesthesia


Department of Anaesthesiology and Critical Care, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India

Correspondence Address:
Dr. Sadhana Sanwatsarkar
480, Manavta Nagar, B/H Morya Hill, Kanadia Road, Indore, Madhya Pradesh - 452 016
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_487_19

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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.


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