Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 7 3 2021 07 31 187 188 Milon Mitragotri Department of Anesthesiology, Karnataka Institute of Medical Sciences, Vidyanagar, Hubballi, India. Vikas Joshi Department of Anesthesiology, Karnataka Institute of Medical Sciences, Vidyanagar, Hubballi, India. Faraz Ahmed Department of Anesthesiology, Karnataka Institute of Medical Sciences, Vidyanagar, Hubballi, India. Vikram Kemmannu Department of Otorhinolaryngology, Karnataka Institute of Medical Sciences, Vidyanagar Hubballi, India. 2021 02 23 2021 04 24 Montgomery T-tube used to maintain a patent airway in post tracheostomised patients can act like a double edged sword.  We report a case where a T-tube migrated into distal airway leading a precarious situation.   https://aacc.tums.ac.ir/index.php/aacc/article/view/333