Hi I know that in adult unventilated patients the trauma unit used to lavage the pleural space with lignocaine to achieve better analgesia for patients that required an intercostal drain. Yesterday one of our 880grammers on NCPAP developed a pneumothorax large enough to qualify for a ICD. We were wondering if anybody tried the lignocaine lavage in unventilated prems? Apart from the theoretical danger of being absorbed systemically, it seemed like a good idea to save this unventilated baby some pain with breathing and the consequences eg collapse, apnoea, blood pressure fluctuations??? Comments would be appreciated.