The Effect of Caudal Block on Optic Nerve Sheath Diameter in Pediatric Patients

Ataturk University

Status: Completed

Conditions: Postoperative Pain; Intracranial Hypertension

Treatments: Drug: Bupivacaine Hydrochloride

Study type: Interventional

Funder types: Other

Identifiers

NCT05216211

Optic nerve Caudal

Details and patient eligibility

About

Caudal epidural block has been a widely used regional anesthesia method, especially in pediatric surgery, to provide intraoperative and postoperative analgesia. Studies on non-invasive methods used for intracranial pressure measurement have shown that optic nerve sheath diameter is related to intracranial pressure. Optic nerve sheath diameter measurement has high diagnostic accuracy for detecting increased intracranial pressure in children. The aim of the study is to investigate the effect of the caudal block on optic nerve sheath diameter in pediatric patients.

Enrollment: 60 patients

Sex: All

Ages: 1 to 7 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• circumcision,
• inguinal hernia,
• undescended testis,
• hydrocele operation

Exclusion criteria

• neurological or spinal anomaly,
• coagulopathy
• allergy to local anesthetics,
• local infection in the area to be intervention,
• with increased intracranial pressure
• children with any ophthalmic pathology

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Group Caudal

Active Comparator group

Description:

Caudal block with 1 ml / kg, % 0.25 bupivacaine

Treatment:

Drug: Bupivacaine Hydrochloride

Group Control

No Intervention group

Description:

No intervention