الفهرس | Only 14 pages are availabe for public view |
Abstract Post-hernioraphy pain in children is an unpleasant subjective sensation which can only be experienced by their parents or caregivers and cannot be expressed. Caudal epidural analgesia has become one of the most popular and commonly performed regional blocks in pediatric anesthesia. It can be used with general anesthesia for intra- and post-operative analgesia. Prolongation of caudal analgesia has been achieved by the addition of various additives to bupivacaine including morphine, tramadol, fentanyl, ketamine, neostigmine, clonidine, dexmedetomidine, and midazolam. They were used in varying concentrations in different studies to achieve maximum benefit. Though neostigmine as an adjuvant to bupivacaine has been reported to have many advantages, only few studies evaluated the analgesic effect of caudal neostigmine bupivacaine in children. The aim of the present study was to evaluate the effect of neostigmine as an additive for caudal analgesia in congenital inguinal hernia repair in pediatrics. The study included 70 pediatric patients, aged from 1 month to 6 years, ASA I-II of both sex presented for open inguinal hernia repair in Pediatric Surgery Department, Tanta University Hospital, Egypt. Patients were randomly classified into 2 groups, 35 patients each to receive either a caudal injection of 0.25% bupivacaine in a total volume of 1mL/ kg (group I) or a caudal injection of 0.25%. |