iarjaccIARJACCIARJACC2709-1880https://doi.org/10.47310/iarjacc.2020.v01i01.006Role of preemptive measures in prevention of anesthesia mishapsR.RenukaB.R.MounashreeDepartment of Anesthesiology, Sapthagiri Institute of Medical Sciences and Research Centre, BangaloreBackground: In spite of thorough preoperative assessment, unanticipated difficult airway poses a great challenge to the anesthesiologist for airway management in the perioperative period. Many airway adjuncts have been introduced into practice till date and has undergone rapid evolution but still, intubating stylets remain to be the” Gold standard “in managing such situations in majority of the medical centers in developing countries. Case Report: 42 year old female patient posted for elective laparoscopic cholecystectomy under general anesthesia with airway examination finding of  3 finger breadth mouth opening, Mallampatti grade  2 on preoperative assessment landed up in unanticipated difficult airway on operation table with Cormack lehane grade 4 laryngeal view. Even though, endotracheal intubation was performed using intubating stylet the possibility of breakage of stylet fragment was suspected and managed efficiently. Conclusion: Precautionary measures taken during our day to day anesthesia practice goes a long way in preventing iatrogenic or equipment related mishaps, thus emphasizing the importance of eternal vigilance for patient safety.