TYK177

When administering local anesthetic to the trachea and vocal cords prior to endoscopy, an appropriate choice and would be:

a) Bupivacaine 0.25% with epinephrine, 4 mg/kg

b) Lidocaine 4%, 3 mg/kg

c) Lidocaine 1% with epinephrine, 5 mg/kg

d) 2-Chloroprocaine 1.5%, 1 mg/kg

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Answer

Answer b.

Lidocaine, 2-4% is the most appropriate local anesthetic to administer for airway topicalization. A maximum dose of 3-4 mg/kg is recommended due to rapid absorption from mucosal surfaces.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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