Lignocaine 4%, 4 mg/kg, was sprayed onto the larynx and subglottic area of 96 children aged from 2 weeks to 12 years and plasma lignocaine concentrations were measured. While the majority were well within the accepted safe range (4-5 μg/ml) occasional concentrations over 8 μg/ml appeared in all groups. Simultaneous arterial and venous sampling showed a small but significant difference in the first 10 minutes.
BishopW.Local anaesthetic blood levels in children. Thesis for Master of Pharmacy, Victorian Institute of Colleges, 1980.
3.
ChuS.S., RahK.H., BrannanM.D., CohenJ.L.Plasma concentrations of lidocaine after endotracheal spray. Anesth Analg Curr Res1975; 54: 438.
4.
PeltonD.A., DalyM., CooperP.D., ConnA.W.Plasma lidocaine concentrations following topical aerosol application to the trachea and bronchi. Canad Anaesth Soc J1970; 17: 350.
5.
RosenbergP.H., HeinonenJ., TakasakiM.Lidocaine concentration in blood after topical anaesthesia of the upper respiratory tract. Acta Anaesth Scand1980; 24: 125.
6.
AsadaA., NishimuraK., FukimoriM.Lidocaine concentrations to arterial blood after transtracheal injection and laryngo-tracheal spraying. Jpn J Anaesthesia1978; 7: 719.
7.
ScottD.B.Evaluation of clinical tolerance of local anaesthetic agents. Br J Anaesth1978; 47: 328.