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Document Type

Original Article

Abstract

Background: Assessing children's postoperative pain is complicated by the presence of a powerful emotional component.The purpose of the study: To match the safety and duration of postoperative pain relief using caudal Magnesium Sulfate and Dexmedetomidine as adjuvants with Bupivacaine 0.25percent in pediatric patients undergoing infra-umbilical surgeries.

Patients and methods: Sixty children cases with (ASA) Classes I & II, weighing up to 20 kg, were enrolled in this randomized controlled prospective trial at ALAzhar University Hospitals (Assiut). Each of the three groups consisted of twenty patients: Group A (Dexmedetomidine), Group B (Magnesium), and Group C (Control).Results: Our study showed that onset of the caudal block was faster in (Group A) than (Group B) & (Group C), also was faster in (Group B) than (Group C), but the difference wasn't statistically significant. Also, duration of the caudal block was highly significant longer duration of the caudal block in (Group A) & (Group B) matched to (Group C). There was no significant difference in heart rate measurements on adding Dexmedetomidine or magnesium, but it was significantly lower in cases received Dexmedetomidine. Pain score was significantly lower in (Group A) & (Group B) than (Group C) till 12 hours postoperatively.

Conclusion: In comparison to Magnesium Sulphate, caudal block is enhanced when Dexmedetomidine is administered as an adjuvant with Bupivacaine.

Keywords

Dexmedetomidine, Magnesium sulphate, bupivacaine, and caudal analgesia.

Subject Area

General Medicine

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