Consensus recommendations for paediatric airway topicalisation using lidocaine

Iliff, Helen A., Parnell, Julia, Baker, Paul A., Baxter, Alistair, Chapman, Rachel, Coulson, James, Dotherty, Catherine, Endlich, Yasmin, Frykholm, Peter, Harkin, Jane, Jagannathan, Narasimhan, Kubba, Haytham, Kwizera Ndekezi, Jackson, McGuire, Barry, Mesbah, Ahmed, Mehanna, Rania, Miskovic, Alice, Newton, Richard, Orban, Nara, Perry, Sarah, Peyton, James, Rivett, Kate, Roberts, Mari and Temo, Keno 2025. Consensus recommendations for paediatric airway topicalisation using lidocaine. Anaesthesia: Peri-operative medicine, critical care and pain 10.1111/anae.16705

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Abstract

Plain Language Summary: Lidocaine is a medicine often used to make the throat and airways numb in children. But there isn't much information on how to use it safely, and no clear rules to follow. A group of experts from different countries and medical groups looked at all the studies they could find. Then, they worked together in three rounds to agree on safety advice. Their goal was to help keep children safe when using lidocaine. They found 26 studies. From these, they made 21 safety tips in five areas: how much to give; how to help children recover; what side effects to look for; what hospitals should do; and how to learn from past problems. Most of the studies were not very strong, but the expert group still agreed on the tips; some with strong agreement and some with moderate agreement. These safety tips should help doctors use lidocaine more safely in children.

Item Type:	Article
Date Type:	Published Online
Status:	In Press
Schools:	Schools > Medicine
Additional Information:	License information from Publisher: LICENSE 1: URL: http://creativecommons.org/licenses/by-nc-nd/4.0/
Publisher:	Wiley
ISSN:	0003-2409
Date of First Compliant Deposit:	4 August 2025
Date of Acceptance:	9 June 2025
Last Modified:	04 Aug 2025 12:45
URI:	https://orca.cardiff.ac.uk/id/eprint/180246

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