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Caudal analgesia is the most frequently utilized regional anesthetic in pediatric surgery for lower abdominal, urological, and lower limb procedures. We did a narrative evaluation of the medical databases PubMed, Embase, and others for all relevant English-language publications published through the beginning of 2022. Clonidine 1 and 2 micro g/kg may be given safely to bupivacaine caudal blockade in small children undergoing ambulatory hernia surgery to increase the duration of analgesia compared to bupivacaine alone.
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