Abstract

Lidocaine jelly has been widely used as a lubricant to allow easy passage of the endotracheal tube and anaesthetise the nasal passage during nasal intubation. Rarely, the blob of jelly can dry out in the airway and cause obstruction. We report a case where in an eleven-year-old child weighing 25 kg with the diagnosis of Nager syndrome scheduled for periorbital reconstruction, unforeseen airway obstruction was encountered due to a dried-up plug of lidocaine jelly.

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