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An unanticipated difficult airway is a great challenge for an anaesthesiologist especially when general anesthesia and N-M blocking agent has already being administered at the time of induction. In this case of carcinoma larynx, on laryngoscopy vocal cord chink was found to be v small and it was impossible to intubate the trachea even with smaller ETT .We used a ventilating tube exchanger catheter in emergency situation to oxygenate and ventilate the lungs and with the help of zero degreeoral endoscope, which was available with ENT surgeons, we could manage to intubate trachea with ETT size 6.5 cuff tube and got biopsy done.

Role of Tube Exchanger Catheter and Oral Endoscope for Intubation in an Unanticipated Difficult Airway in Patient with Carcinoma Larynx