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Mark S. Puczynski, MD; Earl Phillip Ow, MD; Cynthia Rust, MD

Arch Otolaryngol. 1985;111(11):768-769.

Abstract
• A 30-month-old female infant had a cardiopulmonary arrest due to viscous lidocaine. The protective airway mechanisms were blunted by this drug, resulting in aspiration, hypoxia, seizures, and death. Lidocaine has also been associated with respiratory depression, psychosis, methemoglobinemia, and toxic cardiovascular reactions. We do not recommend the use of viscous lidocaine for minor oral irritation in infants and young children.

(Arch Otolaryngol 1985;111:768-769)

Author Affiliations
From the Department of Pediatrics, Loyola University Medical Center, Maywood, Ill.

Footnotes
Accepted for publication May 13, 1985.

Reprint requests to Loyola University Medical Center, Room 4671, 2160 S First Ave, Maywood, IL 60153 (Dr Puczynski).

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