الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
the leading causes of parental dissatisfaction after surgery and is the leading cause of unanticipated hospital admission following ambulatory surgery with resulting increased health care costs. Identifying children at high risk of POV is beneficial as prophylactic antiemetic therapy can then be targeted at this group.
POV is approximately twice as frequent amongst children as adults with an incidence of 13‐42% in all paediatric patients.
Perioperative fluid therapy is aiming at providing maintenance fluid requirements, correcting fluid deficit and providing the volume of fluid needed to maintain adequate tissues perfusion.
Most of the fluids required during surgery are needed for replacing either fasting deficit or third space losses. Both losses consist mainly of extracellular fluids,thus hydrating solutions should contain high sodium and chloride and a low concentration of bicarbonate, calcium and potassium.
Intraoperative administration of glucose-free isotonic hydrating solutions should be the routine practice for most procedures in children over 4-5 years of age. In infants and young children, 5% dextrose solutions should be avoided, but 1% or 2% dextrose in lactated Ringer is appropriate.
Groin surgery (herniotomy and orchidopexy) and penile surgery have an increased incidence of POV.
The aim of this work was to evaluate the antiemetic effect of intraoperative hyper-hydration with Ringer’s lactate in children undergoing hernial surgery.Sixty patients selected from Alexandria Main University Hospital after obtaining approval of the ethical committee and written informed consent from their parents. The patients who were American Society of Anesthesiologists (ASA) physical status I or II aged 1 to 6 years scheduled for inguinal surgery were included in this randomized controlled study.
Patients were grouped into two groups, according to the dose of intraoperative fluid used, group І: (n=30) received 4 ml/kg/hr. Ringer’s lactate while group IІ: (n=30) received 30 ml/kg/hr. Ringer’s lactate. Induction and maintenance of anaesthesia