Consensus recommendations for paediatric airway topicalisation using lidocaine.

ABSTRACT:

Introduction

Lidocaine is commonly used to provide airway topicalisation in children. However, there is a paucity of evidence and no guidance available on safe dosing practices.

Methods

An international expert multidisciplinary, multi-society working group conducted a systematic review of the literature, followed by a three-round Delphi process to produce consensus recommendations. These recommendations aim to improve the safety of children having their airways topicalised with lidocaine.

Results

The systematic review identified 26 articles, with 21 recommendations agreed across five domains of practice: dosing; recovery; adverse reactions; institutional responsibilities; and learning from events. Evidence was limited and mainly grades C and D but the strength of the

SUBMITTER: Iliff HA 

PROVIDER: S-EPMC12434445 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature