Elevated lidocaine serum concentration after subcutaneous lidocaine administration using a needle-free device in pediatric patients.

Journal Article (Journal Article)

We report several cases in which pediatric patients at our institution have elevated lidocaine levels in toxicology screens after subcutaneous injection of lidocaine using a needle-free device. The purpose of this article is to report 4 cases in which pediatric patients have elevated lidocaine levels in toxicology screens after J-Tip administration. In particular, the article highlights 2 cases in which children younger than 3 years had lidocaine levels in the toxic range. Although the literature has reported the device to be effective with no significant untoward effects in children as young as 3 years, it seems that no information is available for children younger than 3 years. From a quality assurance/safety perspective, a summary is provided as our institutional response to concerns raised over what is typically thought to be a benign and beneficial intervention in children.

Full Text

Duke Authors

Cited Authors

  • Gulur, P; Cohen, AR; Watt, L; Lau, ME; El Saleeby, C

Published Date

  • November 2014

Published In

Volume / Issue

  • 30 / 11

Start / End Page

  • 829 - 831

PubMed ID

  • 25198765

Electronic International Standard Serial Number (EISSN)

  • 1535-1815

Digital Object Identifier (DOI)

  • 10.1097/PEC.0000000000000178


  • eng

Conference Location

  • United States