Different injection speeds produce distinct temporal dynamics of optic nerve sheath diameter increase during caudal block in children: a prospective randomized trial - Takeaways - MDSpire
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Impact of Injection Velocity on the Temporal Changes of Optic Nerve Sheath Diameter During Caudal Block in Pediatric Patients: A Prospective Randomized Study

  • By

  • Wenshuang Yang

  • Ding Han

  • Siyuan Xie

  • Shiya Zou

  • Ya Ma

  • Guimin Huang

  • Shoudong Pan

  • June 9, 2026

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  • 1

    The study evaluated the effect of injection speed on optic nerve sheath diameter (ONSD) changes during caudal block in children aged 1–3 years.

  • 2

    Eighty children were analyzed, with ONSD measured at baseline and at 10, 20, and 40 minutes post-injection.

  • 3

    At 10 minutes, ONSD was significantly higher in the high-speed group compared to the low-speed group.

  • 4

    At 20 minutes, ONSD was significantly higher in the low-speed group compared to the high-speed group.

  • 5

    Both injection speeds were well tolerated, with no significant differences in vital signs or adverse events reported.

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