Evidence map›Paper›PMID 40119299›Full record

Trial reportBMC anesthesiology2025

Evaluating the effect of caudal epidural block on optic nerve sheath diameter in pediatric patients: randomized controlled study.

Ahmet Murat Yayik, Elif Oral Ahiskalioglu, Erkan Cem Celik, Mirac Selcen Ozkal Yalin, Binali Firinci, Irem Ates, Muhammed Enes Aydin, Ali Ahiskalioglu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ahmet Murat YayikDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, 25070, Turkey. m_yayik@hotmail.com.
Elif Oral AhiskaliogluDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, 25070, Turkey.
Erkan Cem CelikDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, 25070, Turkey.
Mirac Selcen Ozkal YalinDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, 25070, Turkey.
Binali FirinciDepartment of Pediatric Surgery, Ataturk University School of Medicine, Erzurum, Turkey.
Irem AtesDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, 25070, Turkey.
Muhammed Enes AydinDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, 25070, Turkey.
Ali AhiskaliogluDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, 25070, Turkey.

Funding

Ataturk University Project Number: TAB-2021-9335, ID: 9335
6 · The paper itself

Abstract

introductionCaudal 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.

methodChildren 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

resultsThere was no significant difference between two groups considering demographic data, intraoperative hemodynamic parameters, intraoperative SpO

conclusionEvaluation 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.

Indexed as

Anesthesia, CaudalAnesthetics, LocalBupivacaineOptic NerveChildChild, PreschoolFemaleHumansInfantMaleAnesthetics, LocalBupivacaineCaudal epidural blockNon-invasive intracranial pressure monitoringOptic nerve sheath diameter

Identifiers

PMID40119299
PMCPMC11929278

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.