الفهرس 
ANATOMYOnly 14 pages are availabe for public view
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Abstract
Open inguinal hernial repair surgeries are one of the most frequently performed surgical procedures in the pediatric population. Using optimal analgesic regimen provide safe and effective analgesia, reduce postoperative stress response and accelerate recovery from surgery.
Regional anesthetic techniques are commonly used to facilitate pain control in pediatric surgical procedures. The most commonly used techniques in pediatrics is caudal block.
This study is conducted to evaluate the analgesic effect of dexamethasone when given caudally as an adjuvant to caudal block vs bupivacaine alone in caudal block for children undergoing Open inguinal hernial repair surgeries.
The study was conducted on 50 randomly chosen patients in Ain Shams University Hospitals after approval of the medical ethical committee. Patients were divided randomly into two groups; each group consisted of 25 patients.
After preoperative assessment and obtaining baseline vital data, all patients received general anesthesia.
group BD who would receive caudal dexamethasone:
o Caudal block with local anesthetic solution of Bupivacaine 0.25% mixed with 0.1mg/kg of dexamethasone (total volume=1ml/kg)
group B who would receive caudal block with Bupivacaine:
o Caudal block with local anesthetic solution of Bupivacaine 0.25% (total volume = 1ml/kg).
The two groups were adequately monitored and assessed intra- and post-operatively and they were compared regarding demographic data, intra and postoperative hemodynamics, postoperative pain control using FLACC scale in the 1st 24h postoperatively, complications of both anesthetic techniques.
The results of the study revealed that dexamethasone 0.1 mg/kg, when used as an adjuvant to caudal anesthesia, can significantly prolong the duration of postoperative analgesia, decrease the number of paracetamol doses and significantly decrease postoperative vomiting, yet no significant difference between the two groups as regard heart rate, oxygen saturation, blood pressure, nausea and demographic data.