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What is the approximate Minimum Alveolar Concentration (MAC) for sevoflurane in neonates, infants aged 1-6 months, and infants aged 6-12 months?

A) Neonates: Higher than adults; 1-6 months: Lower than adults; 6-12 months: Similar to adults
B) Neonates: Lower than adults; 1-6 months: Similar to adults; 6-12 months: Higher than adults
C) Neonates: Similar to adults; 1-6 months: Higher than adults; 6-12 months: Lower than adults
D) Neonates: Lower than adults; 1-6 months: Lower than adults; 6-12 months: Lower than adults

1 Answer

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Final answer:

The approximate Minimum Alveolar Concentration (MAC) for sevoflurane in neonates is higher than adults, in infants aged 1-6 months, it is lower than adults, and in infants aged 6-12 months, it is similar to adults.

Step-by-step explanation:

The Minimum Alveolar Concentration (MAC) of sevoflurane varies across different age groups in pediatric anesthesia. For neonates, infants aged 1-6 months, and infants aged 6-12 months, the general trend in MAC values changes as they develop. In neonates, the MAC is higher than adults, due to increased neuronal excitability and a higher relative surface area for the given volume of anesthetic gas. As infants age from 1 to 6 months, the MAC tends to be lower than adults, partially because their respiratory rate is still high, but they have a developing metabolic capacity to process anesthetics.

In infants aged 6-12 months, their MAC is similar to adults, as their system's maturation mirrors adult physiology more closely, reflecting a balanced functional maturation of both the respiratory system and anesthetic metabolism. It is crucial to consider these variations in MAC when determining the anesthetic dosage to ensure both efficacy and safety of anesthesia in pediatric patients.

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