This group will undergo anesthesia via total intravenous anesthesia using Propofol in induction and maintenance

This group undergo anesthesia via total inhalational anesthesia using sevoflurane in induction and maintenance

All children will undergo anesthesia via Propofol bolus injection in induction then Propofol infusion in maintenance of anesthesia and will be given after total recovery, Cetal suppositories as postoperative analgesia

• Awake =2
• Arousal with minimal stimulation =1
• Responsive only to tactile stimulation =0
• No score 0 is required & High score mean more safe and better method of anesthesia .

• Able to move on command =2
• Some weakness in movement = 1
• Unable to voluntarily move = 0
• No score 0 is required & High score mean more safe and better method of anesthesia .

• Blood pressure < 15% of baseline MAP value =2
• Blood pressure 15%-30% of baseline MAP value =1
• Blood pressure < 30% below baseline MAP value =0
• No score 0 is required & High score mean more safe and better method of anesthesia .

• Able to breathe deeply = 2
• Tachypnea with good coughs =1
• Dyspneic with weak cough = 0
• No score 0 is required & High score mean more safe and better method of anesthesia .

• Maintain value > 90% on room air = 2
• Requires supplemental O2 to maintain value > 90% = 1
• So2 < 90% with supplemental O2 = 0
• No score 0 is required & High score mean more safe and better method of anesthesia .