Drug Class Description
Local anaesthetics.
Drug Description
Lidocaine Ph. Eur. 10 mg/dose.
Presentation
Topical anaesthetic pump spray
Indications
For the prevention of pain associated with the following procedures:
Otorhinolaryngology – Puncture of the maxillary sinus and minor surgical procedures in the nasal cavity, pharynx and epipharynx. Paracentesis.
Obstetrics During the final stages of delivery and before episiotomy and perineal suturing as supplementary pain control. Introduction of instruments and catheters into the respiratory and digestive tract Provides surface anaesthesia for the oropharyngeal and tracheal areas to reduce reflex activity, attenuate haemodynamic response and to facilitate insertion of the tube or the passage of instruments during endotracheal intubation, laryngoscopy, bronchoscopy and oesophagoscopy. Dental practice Before injections, dental impressions, X-ray photography, removal of calculus.
Adult Dosage
As with any local anaesthetic, reactions and complications are best averted by employing the minimal effective dosage. Debilitated or elderly patients and children should be given doses commensurate with their age and physical condition.
Xylocaine Spray should not be used on cuffs of endotracheal tubes (ETT) made of plastic .
Each activation of the metered dose valve delivers 10 mg lidocaine base. It is unnecessary to dry the site prior to application. No more than 20 spray applications should be used in any adult to produce the desired anaesthetic effect.
The number of sprays depend on the extent of the area to be anaesthetised.
–Dental practice
