الفهرس 
Introduction and rationalOnly 14 pages are availabe for public view
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Abstract
SUMMARY
The field of pediatric pain has changed greatly in the past decades. However, the number of children who experience moderate to severe postoperative pain, even with analgesic treatment, remains significant. Unrelieved, childhood pain can increase pain vulnerability in later life. Treatment of pain is complex and includes the preoperative, perioperative and postoperative periods.
The present study focused on the effect of perioperative anesthetics on postoperative pain in children. This study assessed the postoperative pain after anesthesia with sevoflurane or propofol in children undergoing adenotonsillectomy.
This study was performed on 60 patients who scheduled for adenotonsillectomy. The study included the patients of the age group between 3 to 10 years and of ASA physical status I and II classification. After patient assessment through history, examination and investigations, patients were randomly allocated on alternative basis to two equal groups, 30 patients for each group.
group (1):(30 patients) anesthesia was induced and maintained by sevoflurane varying its end-tidal concentration to keep the spectral entropy in the target range intra-operatively.
group (2): (30 patients) anesthesia was induced by propofol andmaintenance of anesthesia with TIVA by continuous IV infusion of propofol varying its rate to keep the spectral entropy in the target range intra-operatively.
Comparisons between the two groups were done regarding the demographic data, assessment of the post-operative pain at rest and on