iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2020.v01i01.011Two Holes in Endotracheal Tube-Unusual Defect, Undetected By Naked EyeSuvidhaSoodMeghaSoniA single hole or other small manufacturing defects in endotracheal tubes can go undetected by naked eye examination as reported in the past, but presence and failure to detect multiple holes in endotracheal tube is a very rare phenomenon. We report an unusual case of two undetected holes in the endotracheal tube leading to ventilation impairment in the ongoing surgery, managed successfully by the vigilant anaesthesia team. Only one such similar incidence of multiple holes in endotracheal tube is mentioned in the literature. Performing equipment check before initiating anaesthesia is a must, by every anaesthesiologist without which high chances of fatal accidents on table can occur due to its failure jeopardising patient’s safety.