High School

Diana Jones is 5'4" and weighs 145 pounds. Would the anesthetic choices be the same for Diana as they would be for a 6'3", 210 lbs man or a 4'6", 65 lb, 10-year-old girl? Why or why not?

Answer :

"The anesthetic choices for Diana Jones, a 5'4"" and 145 pounds individual, would not necessarily be the same as those for a 6'3"" and 210 lbs man or a 4'6"", 65 lb 10-year-old girl. The primary reasons for this are differences in body composition, metabolism, and the pharmacokinetics and pharmacodynamics of anesthetic drugs.

Anesthetic dosing based on weight but influenced by age, height, body composition, cardiac output, liver/kidney function, and health.

Taller, heavier individuals may need higher doses due to larger blood volume and lean mass.

Smaller, lighter individuals require lower doses due to smaller blood volume and mass.

Children require different dosing due to distinct metabolism and sensitivity.

Anesthetic choice influenced by medical history, surgery type, and procedure duration.

Tailored anesthetic plans consider weight, height, age, and physiological factors.

Anesthetic choices for each patient, like Diana Jones, are unique based on these considerations.

Answer:

Propofol (another name Diprivan) can be used for Diana's surgery. It is a sedative or anesthesia commonly used for children and adults. Studies show that there were no significant differences in dose requirements based on sex or age, except for the too elderly. The difference in dosing considering different body weights were not statistically significant also. The same dose is safe

( 0.1-0.15 mg/kg/min IV for 3-5 min) for Diana, the 210 lb man or a 10-year-old girl. However, the dose was higher in patients with bradycardia and hypotension.