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Comparative Study Between Dexmedetomidine And Magnesium Sulphate As Adjuvants To Bupivacaine For Caudal Analgesia In Pediatrics, Mohammed Al-Saeed Abdo Abu Hatab, Salah Ramadan El-Sayed, Medhat Helaly Allam, Osama Helal Ahmed, Mohamed M. Abo Elenain

Al-Azhar International Medical Journal

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 …

Comparative Study Of Dexmedetomidine Versus Fentanyl As Adjuvant To Bupivacaine Spinal Anesthesia In Cesarean Section, Ahmed Fathi Mohammed, Mohsen Badawi Sayed Mehrez, Essam Shafiq Muhammad Abd El-Wahab

Al-Azhar International Medical Journal

Background: Spinal anesthesia is considered the first choice for cesarean section owing to its deep sensory block as well as fewer side effects on mother and fetus. Despite many benefits of this method, it has a short duration and cannot provide sufficient postoperative analgesia.

Objective: to compare the efficacy of dexmedetomidine versus fentanyl as adjuvant to pubivacaine spinal anesthesia in cesarean section.

Patients and Methods: The current study was conducted on a total of 90 females who were undergone cesarean section . They were further subdivided into three groups (n=30). Group B comprised 30 patients where bupivacaine alone was injected; …

Prevention Of Pre-Operative Anxiety In Pediatric Tonsillectomy Using Intranasal Dexmedetomidine Versus Intranasal Midazolam, Ahmed Mahmoud Mohammed Abdelnaby, Hamed Ahmed Sanad Al Ezza, Ali Abdallah Al Kumity

Al-Azhar International Medical Journal

Background; The pre-operative stage is an important frustrating process for almost all patients who need operations, especially children. As a consequence, an anesthesiologist's first concern involves reducing patient stress prior to surgery, Aim and objectives; the aim of this study was to make a comparison between the impact of intranasal dexmedetomidine versus intranasal midazolam in prevention of pre-operative anxiety in children group undergoing tonsillectomy. Subjects and methods: The current study is a randomized clinical trial carried out at department of Anesthesia and Intensive Care and pain management, Al-Azhar faculty of medicine. Seventy-five children aged 5-10 years, of either sex, BMI …