الفهرس 
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Abstract
In recent years the number of day case surgery in pediatric patients has been increasing around the world. The main impetus for this change has been economic, as healthcare systems have been subjected to ever-increasing financial constraints. However, day case surgery also offers advantages for the child and the family. By avoiding the stress of hospital admission, children are less prone to develop postoperative behavioral problems such as phobias and regressive traits. Disruption to family life is minimized as is the risk of hospital-acquired infection.
The properties of the ideal neuromuscular blocking agent for day surgery is a short, predictable duration of action, as this provides the anesthetist with maximum control over the degree of relaxation.
Neuromuscular blocking agents can also be used to provide optimal conditions for surgery with lower doses of intravenous and inhalation anaesthetic agents, resulting in fewer drug-induced side-effects and a more rapid recovery.
Several studies have demonstrated that low doses of neuromuscular blocking drugs can be used for routine tracheal intubation. A low-dose neuromuscular blacker has several advantages: