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Topical aqueous 2% lignocaine eardrops reduced ear pain in children with acute otitis media

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F E Babl

Dr F E Babl, Royal Children’s Hospital, Parkville, Victoria, Australia;


Are topical aqueous 2% lignocaine (lidocaine) eardrops effective for relieving ear pain in children with acute otitis media (AOM)?



randomised placebo controlled trial.




blinded (children, parents, clinicians administering treatment, and outcome assessors).

Follow-up period:

primary outcome was assessed at 10, 20, and 30 minutes.


emergency department (ED) of a children’s hospital in Australia.


63 children 3–17 years of age (mean age 6 y, 51% girls) who had ear pain lasting <3 days and signs of AOM (tympanic membrane with erythema, dullness, and bulging appearance). Children with evidence of tympanic membrane perforation, ventilation tubes in situ, allergy to local anaesthetic or …

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  • Source of funding: in part, Victor Smorgon Charitable Fund.