Ultrasound can provide a clear visual representation of the anatomical structures of the airway. However, imaging of the suspended epiglottis can be challenging. A difficult airway is associated with high complication and mortality rates, underscoring the imperative to explore the use of ultrasound in airway assessment. Ultrasound is crucial in airway management and is gaining popularity in anesthesiology. Point-of-care ultrasound (POCUS) is portable, fast, and noninvasive, replacing traditional imaging techniques. Ultrasound imaging of the upper airway has various clinical applications. Ultrasound should be promptly and effectively used with specific goals to achieve better patient outcomes. Cardiac surgery represents a scenario in which critical oxygen levels can exacerbate ischemia or cardiac disease in patients. Intubation strategies for these patients can be quite challenging. Occasionally, conditions such as Eagle syndrome may pose a risk to intubation, which is one of the reasons why improvements of the intubation process are necessary. This is particularly true when considering the hemodynamic situation, as intubation represents a critical step. The focus of our case was to demonstrate the necessity for continuous training of the anesthesia team and the need for use of airway ultrasound in difficult airway situations. The informed consent statement was signed, and the patient accepted be part of the study.