After induction of general anesthesia, orotracheal intubation was performed. The signs of ruptured trachea occured soon afterwards. This is a rare complication of intubation if a stylet is not used or if prolonged intubation is not the case. The complication was immediately successfully managed.

        Key words: orotracheal intubation – general anesthesia – low pressure cuff – trachea – emphysema