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The Shikani Optical StyletTM or SOS (Clarus Medical, USA) was developed as an aid to intubation for difficult airways.1 The SOS is composed of a J-shaped malleable body and a lens and light source at the tip and an eyepiece at the proximal end. It combines the features of a fiberoptic bronchoscope and a lightwand. It can be used alone or combined with a camera or monitor and both adult and pediatric versions are available.2,3