How is the correct dosage of anesthesia determined in children?
October 30, 2022 | 30,00 EUR | answered by Felix Herrmann
Dear Doctor,
My name is Laura Bergmann and I have a question regarding anesthesia in children. My seven-year-old son Max is soon to undergo a surgery under general anesthesia and I am concerned about the correct dosage of anesthesia. I am wondering how the right dosage is determined in children, as it can vary greatly from adults.
I am currently feeling unsure as I do not know exactly how anesthesia is calculated in children and if there are specific factors that need to be considered. I want to ensure that Max is adequately anesthetized during the surgery, but also does not receive an unnecessarily high dose.
Could you please explain to me how the dosage of anesthesia is determined in children and if there are any differences in calculation compared to adults? Are there specific weight or age limits that need to be taken into account? What risks can arise if the dosage is incorrect and how can this be avoided?
I would greatly appreciate it if you could provide me with more information on this topic to alleviate my concerns and ensure the best possible care for my son.
Thank you in advance for your help.
Sincerely,
Laura Bergmann
Dear Mrs. Bergmann,
Thank you for your question regarding anesthesia in children. It is understandable that you are concerned about the correct dosage, especially when it comes to your own child. I would like to provide you with more information on this topic to alleviate your concerns and give you a better understanding.
The dosage of anesthesia in children is actually calculated differently than in adults, as children have different needs based on their age and weight. Unlike in adults, where dosage is often based on body weight, in children, age and overall health condition are also taken into account. There are specific formulas and guidelines for dosing anesthetics in children that anesthesiologists use to determine the optimal dose.
One of the most common formulas for calculating dosage in children is the so-called "Clark's Rule," which takes into consideration the child's body weight and age. This formula allows for adjusting the dosage so that the child is appropriately anesthetized without receiving an unnecessarily high dose. There are also other formulas such as "Young's Rule" or "Fried's Rule" that can be applied depending on the situation.
It is important to note that incorrect dosing of anesthesia in children can pose risks. Overdosing can lead to deeper anesthesia and potential complications, while underdosing can result in inadequate anesthesia and pain during the surgery. Therefore, it is crucial that the dosage is carefully calculated by an experienced anesthesiologist.
To ensure that the dosage of anesthesia for your son Max is correct, I recommend discussing all relevant information about his weight, age, and health condition with the anesthesiologist. The anesthesiologist will then determine the appropriate dosage taking all factors into consideration to ensure a safe and effective anesthesia during the surgery.
I hope this information has alleviated some of your concerns and provided you with a better understanding of dosing anesthesia in children. If you have any further questions, please do not hesitate to ask.
Best regards,
Felix Herrmann

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