TY - JOUR T1 - Pediatric difficult airway management: Key strategies and case insights AU - Sarikaya Ozel, Elif AU - Kaya, Cengiz AU - Dost, Burhan PY - 2025 DA - June Y2 - 2025 JF - Deneysel ve Klinik Tıp Dergisi JO - J. Exp. Clin. Med. PB - Ondokuz Mayıs University WT - DergiPark SN - 1309-4483 SP - 231 EP - 233 VL - 42 IS - 2 LA - en AB - Pediatric difficult airway management poses significant challenges due to unique anatomical and physiological features, particularly in neonates and infants. We reported the case of a 3-month-old, 5200-gram male infant with dysmorphic features, including anencephaly, macrocephaly, microphthalmia, micrognathia, and nasal anomaly, who underwent ventriculoperitoneal shunt surgery. Following preoxygenation and induction with inhalation anesthesia and 4 mg/kg IV propofol, successful intubation was achieved using video laryngoscopy with a size 3.0 endotracheal tube. The surgery was completed without complications, and the patient was safely extubated in the intensive care unit. This case underscores the importance of individualized strategies and proficiency with video laryngoscopy for the safe and effective management of pediatric difficult airways. KW - pediatric difficult airway KW - airway management KW - video laryngoscopy CR - Pawar DK, Doctor JR, Raveendra US, Ramesh S, Shetty SR, Divatia JV, et al. All India Difficult Airway Association 2016 guidelines for the management of unanticipated difficult tracheal intubation in Paediatrics. Indian J Anaesth. 2016 Dec;60(12):906-14. CR - Jagannathan N, Burjek N, Rowland M, Sun LS. Management of the difficult airway for pediatric anesthesia. UpToDate; 2020. CR - Whitten CE. 10 Common Pediatric Airway Problems—And Their Solutions. August; 2019. CR - Heninger J, Phillips M, Huang A, Jagannathan N. Management of the Difficult Pediatric Airway. Current Anesthesiology Reports. 2020;10:361-9. CR - Klučka J, Štourač P, Štoudek R, Ťoukálková M, Harazim H, Kosinová M. Controversies in pediatric perioperative airways. BioMed research international. 2015;2015(1):368761. CR - Lingappan, Krithika, et al. "Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates." Cochrane Database of Systematic Reviews 5, 2023. CR - Park, R., et al. "The efficacy of GlideScope® videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry." BJA: British Journal of Anaesthesia 119.5 (2017): 984-992. CR - Burjek, Nicholas E., et al. "Videolaryngoscopy versus fiber-optic intubation through a supraglottic airway in children with a difficult airway: an analysis from the Multicenter Pediatric Difficult Intubation Registry." Anesthesiology 127.3 (2017): 432-440. CR - Weatherall AD, Burton RD, Cooper MG, Humphreys SR. Developing an Extubation strategy for the difficult pediatric airway—Who, when, why, where, and how? Pediatric Anesthesia. 2022;32(5):592-9. UR - https://dergipark.org.tr/en/pub/omujecm/issue//1612563 L1 - https://dergipark.org.tr/en/download/article-file/4489364 ER -