Canadian journal of anaesthesia = Journal canadien d'anesthésie
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To present a case of unintentional tracheal extubation in a prone positioned patient with a known difficult airway. ⋯ This case highlights some of the safety advantages of supraglottic airway devices for airway rescue and subsequent tracheal intubation even with the patient in the prone position. The use of an air-Q may have the advantages of not requiring an intubation introducer technique and allowing for direct tracheal intubation with an appropriately sized cuffed tracheal tube.