PTTJV is indicated as a backup emergent airway in any patient who cannot be endotracheally intubated or ventilated with a bag-valve-mask device despite the use of a jaw-thrust maneuver, oropharyngeal airway, or nasopharyngeal airway or LMA.1,2,5 It serves as a simple, relatively safe, and effective alternative to cricothyroidotomy.1,6 This is especially true in pediatric patients below 5 years of age, in whom a cricothyroidotomy is contraindicated. PTTJV is the procedure of choice in the pediatric age group for establishing an emergent airway when endotracheal intubation fails.7 PTTJV can serve as a quick alternative to a difficult intubation. It is especially valuable in cases of maxillofacial trauma, suspected cervical spine injury, or when nasal intubation is contraindicated or unsuccessful.5,6,13 PTTJV is also used routinely by Anesthesiologists in the operating room. Electively, transtracheal catheters are placed in patients undergoing surgery of the upper airway, including the larynx and subglottic structures.7