patients will then be randomized in the two groups.
1. Group C: in this group children will receive US-guided caudal analgesia (CA) after GA. The caudal block will be performed 2. Group B: in this group children will receive lower limb peripheral nerve blocks in the form of US-guided fascia iliaca Block.
Age 1-12 years
scheduled for anterior and lateral thigh Surgeries
American Society of Anesthesiologists (ASA) physical status II or III
Refusal of parental consent
Allergy to any local anesthetics
Parallel
Fascia Iliaca Nerve Block
Other interventionWith the patient in the proper position, the skin is disinfected and the transducer positioned to identify the femoral artery and the iliopsoas muscle and fascia iliaca. The transducer is moved laterally until the sartorius muscle is identified. After a skin wheal is made, the needle is inserted in-plane
Caudal Block Anesthesia
Other interventionThe caudal block will be performed by visualizing the sacral hiatus at the level of the sacral cornu after placing the probe transversely obtaining a short axis view, two hyperechoic lines will appear between the sacral cornu the superficial line is the sacrococcygeal ligament
• Estimation of time of first rescue postoperative analgesia
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