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Dergiler / Journal of Experimental and Clinical Medicine / 2026 / Volume: 42 Issue: 2

Pediatric difficult airway management: Key strategies and case insights

Elif Sarikaya Ozel(Ondokuz Mayıs Üniversitesi Tıp Fakültesi)0009-0003-0835-513X
Cengiz Kaya(ONDOKUZ MAYIS UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-8350-6194
Burhan Dost(ONDOKUZ MAYIS UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-4562-1172
Sayfa
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Yayın Tarihi
2025-06-30
DOI
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Yapay Zeka Hızlı Bakış & Çıkarımlar

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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

This case underscores the importance of individualized strategies and proficiency with video laryngoscopy for the safe and effective management of pediatric difficult airways.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Pediatric difficult airway management poses significant challenges due to unique anatomical and physiological features, particularly in neonates and infants.
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Temel Bulgular & Veri: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.
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Sonuç & Katkı:This case underscores the importance of individualized strategies and proficiency with video laryngoscopy for the safe and effective management of pediatric difficult airways.
🔬Tür:Case Report
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:pediatric difficult airway · airway management · video laryngoscopy

Abstract

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.

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Bu Makaleye Atıf Yap

Ozel, E. S., Kaya, C., Dost, B. (2025). Pediatric difficult airway management: Key strategies and case insights. Journal of Experimental and Clinical Medicine, Volume: 42 Issue: 2. https://ajindex.com/articles/1422601

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Kaynakça (9)

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  2. Jagannathan N, Burjek N, Rowland M, Sun LS. Management of the difficult airway for pediatric anesthesia. UpToDate; 2020.
  3. Whitten CE. 10 Common Pediatric Airway Problems—And Their Solutions. August; 2019.
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  6. Lingappan, Krithika, et al. "Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates." Cochrane Database of Systematic Reviews 5, 2023.
  7. 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.
  8. 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.
  9. 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.