Addition of Magnesium Sulfate to Caudal to Prevent Postoperative Emergence Agitation.

Addition of Magnesium Sulfate to Caudal for Prevention of Emergence Agitation in Children

Emergence agitation after sevoflurane anesthesia is still a problem needed to be solved.The aim of the study is to delineate the effect of caudal magnesium sulfate in children undergoing lower abdominal surgery to prevent postoperative emergence agitation.

Emergency agitation is considered one of the postoperative complication after sevoflurane anesthesia.In the enrollment of this study,children undergoing lower abdominal surgery will be enrolled in one of two groups.BM group, receive caudal magnesium sulfate 50 mg beside the conventional bupivacaine in the caudal space in ,B group, addition of 1 ml of normal saline0.9% to bupivacine .Monitoring of the postoperative emergence agitation by different emergence agitation scores with monitoring of sedation score.Detection of expected postoperative complications as nausea and vomiting.

Inclusion Criteria:

• children undergoing lower abdominal surgery for hernia repair/orchiopexy in Ain Shams University ASA physical status I under sevoflurane anesthesia.
• age from 1-6 years.

Exclusion Criteria:

• children with developmental delay
• neurological disorder.
• psychological disorder
• difficult airway
• hyperactive airway disease
• contraindication to caudal block(sacral abnormality,bleeding disorder).