An Unprecedented Complication, never seen ,never heard in My 17-Year Career in Anesthesia

Recently, a routine adenotonsillectomy turned into a life-threatening challenge for a 10-year-old girl, highlighting the unpredictable nature of medical procedures. The patient, an ASA I with no underlying health conditions, underwent a smooth nasotracheal intubation using a 5.5 ID PVC endotracheal tube (ETT), with a Cormack-Lehane score of 1. However, during the procedure, the ENT surgeon discovered that the ETT had broken into two pieces, leaving the distal part likely lodged in the trachea.