Makale detayı · 2025
Evaluating the effect of caudal epidural block on optic nerve sheath diameter in pediatric patients: randomized controlled study
- Yıl
- 2025
- Tür
- article
Veri kaynağı ayrımı
- YÖKSİS YÖKSİS makale kaydı
- YÖKSİS dergi adı BMC Anesthesiology
- Katalog eşleşmesi (ISSN) BMC Anesthesiology
- OpenAlex OpenAlex zenginleştirmesi (özet, atıf, konular)
Özet
İngilizce (OpenAlex)
Caudal epidural block is a widely performed procedure for postoperative pain control of pediatric patients. As the local anesthetic acts by spreading cranially after caudal block, it may lead to several effects on the cerebrospinal fluid and intracranial region. Children aged 1–7, ASA I-II were included in this study. The patient population was assigned into two groups as the Caudal Block Group (Group CB) and the Control Group (Group C) Caudal block with 0.25% bupivacaine 1 ml/kg was performed on patients in Group CB. Optic nerve sheath diameter was measured at the following timeline: T 0 : Following laryngeal mask placement, T 1 : Following caudal block. T 15 :15. min, T 30 :30. min. Heart rate, non-invasive blood pressure, SpO 2 and PCO 2 values were also recorded at every time point. There was no significant difference between two groups considering demographic data, intraoperative hemodynamic parameters, intraoperative SpO 2 and PCO 2 values. While optic nerve sheath diameter findings were not significantly different between the groups at T0 and T1 points( P > 0.05), the measurements at T15(4.18 ± 0.56 for Group C and 4.62 ± 0.47 for Group CB, P = 0.006) and T30(4.20 ± 0.53 for Group C and 4.76 ± 0.52 for Group CB) were statistically higher in the Caudal Group. Evaluation of optic nerve sheath diameter has high diagnostic precision for detecting increased intracranial pressure in children. The findings in this study display that local anesthetic applied for caudal block in pediatric surgeries spread cranially resulting in an increase in the intracranial pressure and optic nerve sheath diameter. However, this increase does not cause intraoperative hemodynamic changes.
Konular
- Anesthesia and Pain Management
- Intraoperative Neuromonitoring and Anesthetic Effects
- Traumatic Brain Injury and Neurovascular Disturbances
Birincil konu Anesthesia and Pain Management