Nothing strikes fear in the hearts of anesthesiologists more than the difficult airway... except for maybe... the pediatric difficult airway. This Patient Safety Tip of the Month provides updated suggestions for the safe approach to both normal and difficult pediatric airways based on recent findings from the literature. First, we will highlight findings from the largest international registry of pediatric difficult airways that shows our first attempt is our best attempt (Lancet Respir Med 2016;4:37-48). Second, we will share findings from recent research that may settle the DL (direct laryngoscopy) vs. VL (video laryngoscopy) debate once and for all (Lancet 2020;396:1905-13). Finally, we will offer tips for minimizing hypoxemia during intubation attempts when more than one attempt may be necessary.

The Pediatric Difficult Intubation Registry (PeDI-R) is an international registry for pediatric difficult airways maintained...

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