EAJAIC

The Eurasian Journal of Anesthesiology and Intensive Care (EAJAIC) is an independent-unbiased, peer-reviewed, "double-blind", and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, differential diagnoses, editorial opinions, letters to the editor, and educational papers in anesthesiology, algology, and intensive care medicine.

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Innovations in pediatric airway management
Airway management in pediatric patients poses significant challenges due to anatomical and physiological differences from adults. Airway-related complications remain one of the leading causes of morbidity and mortality. In recent years, substantial innovations have emerged in airway management, including advancements in equipment, education, and algorithm-based approaches. Videolaryngoscopes, next generation supraglottic airway devices, airway ultrasonography, and high-fidelity simulations have improved both safety and success in clinical practice. Additionally, updates in international guidelines such as those from the American Society of Anesthesiologists (ASA) and the Difficult Airway Society (DAS) emphasize the importance of algorithmic strategies in practical settings. This review provides a detailed examination of the unique features of pediatric airway anatomy, novel devices and techniques, comparative algorithmic approaches of current guidelines, and future technological developments, supported by the literature.


1. Zimmermann L, Maiellare F, Veyckemans F, et al. Airway management in pediatrics: improving safety.J Anesth. 2025;39(1):123-133. doi:10.1007 /s00540-024-03428-z
2. Khan SA, Matuszczak M. Management of the pediatric difficult airway: new strategies unveiled. Curr Anesthesiol Rep. 2024;14(3):417-425. doi: 10.1007/s40140-024-00639-8
3. de Carvalho CC, Regueira SLPA, Souza ABS, et al. Videolaryngoscopes versus direct laryngoscopes in children: Ranking systematic review with network meta-analyses of randomized clinical trials. Paediatr Anaesth. 2022;32(9):1000-1014. doi:10.1111/pan.1452
4. Ulmer F, Lennertz J, Greif R, Bütikofer L, Theiler L, Riva T. Emergency front of neck access in children: a new learning approach in a rabbit model. Br J Anaesth. 2020;125(1):e61-e68. doi:10.1016/j.bja.2019.11.002
5. Alsabri M, Abdelwahab OA, Elsnhory AB, et al. Video laryngoscopy versus direct laryngoscopy in achieving successful emergency endotracheal intubations: a systematic review and meta-analysis of randomized controlled trials. Syst Rev. 2024;13(1):85. doi:10.1186/s 13643-024-02500-9
6. Disma N, Marchesini V, Afshari A, Riva T, Matava C. Videolaryngoscopy in paediatrics: in search of the clinical evidence. Br J Anaesth. 2025;134(3):637-640. doi:10.1016/j.bja.2024.12.003
7. Vuolato C, Caldiroli D, Orena EF. Effects of direct laryngoscopy versus Glidescope videolaryngoscopy on subjective and objective measures of cognitive workload: an in-vivo randomized trial.Minerva Anestesiol. 2021;87(9):971-978. doi:10.23736/S0375-9393.21.15275-7
8. Apfelbaum JL, Hagberg CA, Connis RT, et al. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2022;136(1):31-81. doi:10.1097/ALN. 0000000000004002
9. Calderon AL, Zetlaoui P, Benatir F, et al. Ultrasound-guided intermediate cervical plexus block for carotid endarterectomy using a new anterior approach: a two-centre prospective observational study. Anaesthesia. 2015;70(4):445-451. doi:10.1111/anae.12960
10. Walker RW, Ellwood J. The management of difficult intubation in children. Paediatr Anaesth. 2009;19(1):77-87. doi:10.1111/j.1460-9592. 2009.03014.x
11. Choi GJ, Kang H, Baek CW, Jung YH, Woo YC, Cha YJ. A systematic review and meta-analysis of the i-gel® vs laryngeal mask airway in children. Anaesthesia. 2014;69(11):1258-1265. doi:10.1111/anae.12746
12. Lakshmi TC, Tiwari T, Agrawal J, et al. Comparison of the clinical performance of the i-gel™, LMA Supreme™, and Ambu AuraGain™ in adult patients during general anesthesia: a prospective and randomized study. Korean J Anesthesiol. 2022;75(4):316-322. doi:10.4097/kja.21212
13. Huang AS, Hajduk J, Jagannathan N. Advances in supraglottic airway devices for the management of difficult airways in children.Expert Rev Med Devices. 2016;13(2):157-169. doi:10.1586/17434440.2016.1136210
14. Liu Y, Ma W, Liu J. Applications of airway ultrasound for endotracheal intubation in pediatric patients: a systematic review. J Clin Med. 2023;12 (4):1477. doi:10.3390/jcm12041477
15. Altun D, Orhan-Sungur M, Ali A, Özkan-Seyhan T, Sivrikoz N, Çamcı E. The role of ultrasound in appropriate endotracheal tube size selection in pediatric patients. Paediatr Anaesth. 2017;27(10):1015-1020. doi:10.1111/pan.13220
16. Kim H, Yoon HK, Lee H, Jung CW, Lee HC. Predicting optimal endotracheal tube size and depth in pediatric patients using demographic data and machine learning techniques.Korean J Anesthesiol. 2023;76(6):540-549. doi:10.4097/kja.23501
17. Kılıç AO, Türe E, Yazar A, Akın F, Reisli İ. Simulation based endotracheal intubation education for residents of pediatrics. Eurasian J Emerg Med. 2021;20(2):91-94. doi:10.4274/eajem.galenos.2020.35693
18. Sunder RA, Haile DT, Farrell PT, Sharma A. Pediatric airway management: current practices and future directions. Paediatr Anaesth. 2012;22(10):1008-1015. doi:10.1111/pan.12013
19. Disma N, Asai T, Cools E, et al. Airway management in neonates and infants: European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines.Eur J Anaesthesiol. 2024;41(1):3-23. doi:10.1097/EJA.000000000000192
Volume 2, Issue 4, 2025
Page : 122-128
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