الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
This study was designed to compare the analgesic efficacy, recovery profile, optimum discharge criteria and side effects of single-shot epidural block as a central regional technique, and rectus sheath block as a peripheral regional technique in pediatric patients submitted for elective lower abdominal surgery. The heart rate, mean blood pressure, O2 saturation and ETCO2 were monitored after induction of anesthesia and every 15 min during intraoperative period. While in the postoperative period, the patients were monitored as intraoperatively except ETCO2 plus the following monitoring; MOPS score, duration of analgesia, total analgesic consumption during the first 24 hrs, sedation score, Fast Track Score, Modified Aldrete Score, Home Discharge Score and postoperative nausea /vomiting and pruritis. The rectus sheath block was associated with intraoperative and postoperative hemodynamic stability, more prolonged analgesic effect, fast emerging and recovery from anesthesia that provides the eligibility of fast tracking process, short stay in PACU, early home discharge and less postoperative side effects. So it can be used as an alternative to epidural analgesia in providing adequate analgesia after abdominal surgery.