An AEC is utilised for interchanging an “Endotracheal Tube” (ETT) in situations with difficult (see Fig. 1)

intubation and for extubation in patients with difficult airway. The strategies considered are: extubating in a deep plane of anaesthesia, in the conventional manner with the patient awake and extubating with a bridge to a fully extubated state [1]. It reduces complications of airway with compromised laryngeal view at the time of direct laryngoscopy [2]. It is essential to know the complications associated with use of AEC and this case report highlights one.