Analgesia for Perineal Surgeries in High-risk Pediatric Patients

Perioperative pain management in pediatric patients, especially for anorectal and penile surgeries, presents significant challenges for anesthetists. Complications associated with systemic analgesia, such as respiratory issues, cardiovascular problems, and neurological effects, can be avoided by using regional anesthesia. This study aims to evaluate the effectiveness of Ultrasound-Guided Sacral Multifidus Plane Block as a method for perioperative analgesia in high-risk pediatric patients undergoing anorectal and penile surgeries, to reduce the risks associated with systemic analgesia.

Inclusion Criteria: * Parents or caregivers' acceptance. * High-risk pediatric patients (the American Society of Anesthesiologists physical status class III-IV) * Body mass index equal to 5%: 85% of the same age and sex. Exclusion Criteria: * Child with a contraindication to the regional block, such as infection at the site of injection, or coagulopathy. * Pre-existing neurological disorders.