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Abstract
The current study was carried out on fifty two pediatric patients aged 6 months - 6 years old suffering from Acyanotic congenital heart disease scheduled for diagnostic or interventional cardiac catheterization. All patients received premedication 30 minute before induction of anesthesia via intramuscular route. Twenty six patients in group (M) received intramuscular combination of 0.05mg/kg midazolam (Midathetic ,AmounPharmacetical CO), 2mg/kg ketamine (Ketamine ,Sigma Tec) and 0.02 mg/kg atropine while other twenty six patients in group (D) received intamuscular combination of 1ug/kg Dexmedetomidine (Precedex, Hospira, Lake Forest, Illinois) , 2mg/kg ketamine (Ketamine ,Sigma Tec), and 0.02 mg/kg atropine