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BACKGROUND Surgery generates a neuroendocrine stress response, resulting in undesirable hemodynamic instability, alterations in metabolic response and malfunctioning of the immune system. OBJECTIVES The aim of this research was to determine the effectiveness of caudal blocks in intra- and postoperative pain management and in reducing the stress response in children during the same periods. METHODS This prospective, randomized clinical trial included 60 patients scheduled for elective herniorrhaphy. One group (n = 3 received general anes

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