Pharmacokinetics of lignocaine in children following caudal anaesthesia

Br J Anaesth. 1984 Dec;56(12):1399-402. doi: 10.1093/bja/56.12.1399.

Abstract

The time course of the plasma lignocaine concentration, following caudal anaesthesia, was studied in 11 healthy children (3.5-9 yr). Plasma lignocaine concentrations were measured for up to 6 h after administration (5 mg kg-1). Peak plasma concentration was 2.05 +/- 0.08 micrograms ml-1 and occurred at 28.2 +/- 2.9 min after administration. Pharmacokinetic parameters determined from a two-compartmental model were similar to those observed after the i.v. or extradural administration of lignocaine in adults, except for a longer half-life of elimination (155 +/- 32 min). Since the total body clearance of lignocaine was similar in children (15.4 +/- 1.2 ml min-1 kg-1) to that in adults, the longer half-life of elimination was attributed to a larger volume of distribution in the children (3.05 +/- 0.40 litre kg-1).

MeSH terms

  • Anesthesia, Caudal*
  • Anesthesia, Epidural*
  • Child
  • Child, Preschool
  • Female
  • Half-Life
  • Humans
  • Kinetics
  • Lidocaine / blood
  • Lidocaine / metabolism*
  • Male
  • Models, Biological
  • Surgical Procedures, Operative

Substances

  • Lidocaine