Inhouse product
Lubrication for endotracheal intubation: 100 mg
applied on the surface of the tube just prior to insertion. Care should
be taken to avoid introducing the product into the lumen of the tube.
Endoscopy: Instillation of 200-400 mg is recommended for
adequate analgesia and a small amount should be applied on the
instrument for lubrication. Debilitated, elderly patients and children
should be given doses commensurate with their age and physical
condition.
Note: The applicator is sterilized for 5 minutes in boiling water, cooled and attached to the tube. The jelly is instilled slowly as required. The applicator should be detached after each use and keep the tube tightly closed.
If the dose or site of administration is likely to result in high blood levels, Lidocaine, in common with other local anaesthetics, should be used cautiously in patients with epilepsy, impaired cardiac condition, bradycardia, impaired hepatic function and in severe shock.
The use of oropharyngeal topical anaesthetic agents may interfere with swallowing and thus enhance the danger of aspiration. This is particularly important in children because of their frequency of eating. Numbness of the tongue or buccal mucosa may increase the danger of biting trauma.
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