Download PDFPDF

Topical anaesthesia use in the management of children's lacerations, a postal survey
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • Responses are moderated before posting and publication is at the absolute discretion of BMJ, however they are not peer-reviewed
  • Once published, you will not have the right to remove or edit your response. Removal or editing of responses is at BMJ's absolute discretion
  • If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patient's written consent to publication and send them to the editorial office before submitting your response [Patient consent forms]
  • By submitting this response you are agreeing to our full [Response terms and requirements]

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    The author replies


    I thank Drs McIlwee and Jenkins both for their interest in this topic and for their detailed LAT recipe. The sharing of such information and experience is the key to enhancing UK knowledge of this technique's effectiveness. I note that their practical experience with LAT was first gained in North America.

    I agree that there are several non-cocaine containing agents which have been reported wit...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    A formulation for topical anaesthetic

    We note with interest the letter by Bush and his final sentence " If an agent without cocaine was shown to have similar efficacy to TAC (Tetracaine, Adrenaline, and Cocaine), it may allow more widespread use of topical anaesthesia (TA) in the UK." [1]

    There are several agents which are at least as efficacious as TAC. The following agents do not contain cocaine: LAT (Lidocaine, Adrenaline and Tetracaine) [2,3], E...

    Show More
    Conflict of Interest:
    None declared.