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Comment on the Article “Simple Maneuver to Tide Over the Crisis Due to Intraoperative Malfunctioning of a Pilot Balloon”

DOI https://doi.org/ 10.1055/s-0038-1677640 ISSN 2348-0548. Copyright ©2019 Indian Society of Neuroanaesthesiology and Critical Care We read the article by Dhanda et al1 and would like to congratulate the authors for management of an unforeseen complication intraoperatively. However, we would like to submit that the authors’ contention of this being a modified/ novel technique is misplaced. Inserting an intravenous cannula sheath into a severed inflation line of an endotracheal tube/tracheostomy tube and then attaching a three-way distal to it has been described previously on many occasions. Watson et al had described the same technique back in 1989.2 Gupta et al make a mention of this precise method in their article in 2010.3 Also, Rao et al in an article in 2014 have described precisely the same technique.4 We believe that authors demonstrated a novel application (in a prone patient) of an already described technique rather than demonstrating a novel technique. That being said, they must be commended for their presence of mind and for reminding the readers of a simple method to “tide over” a potentially dangerous intraoperative situation.