Title: Dexmedetomidine in caudal anesthesia in children

Abstract:

Caudal anesthesia is one of the most popular, reliable and safe methods of pain relief in children and can provide pain relief for various surgical procedures below the navel. The main disadvantage of the caudal block is the short duration of action after a single injection. Increasing the duration of the caudal block with various adjuvants remains relevant to this day.

Purpose of the study: To evaluate the efficacy and safety of the caudal use of dexmedetomidine in caudal anesthesia in children.

Research material and methods: The subject of the study was 46 children with physical status I and II class of the American Society of Anesthesiologists (ASA), aged 0 to 12 years, who underwent elective surgeries below the navel, such as hernia repair, orchiopexy, hypospadias repair, epispadias, etc. Written informed consent for anesthesia was obtained from the parents prior to the operation. Standard monitors such as electrocardiogram, pulse oximeter and non-invasive blood pressure (BP) were used. All children over 6 months of age were premedicated with midazolam 0.4 mg / kg orally 20-30 minutes before the start of the operation. In the presence of parents, children over the age of 6 months were injected intravenously with propofol at a dose of 2 mg / kg in a preoperative service, and the child was brought to the operating unit in a half-asleep state