• Rani A Sunder, Dawit T Haile, Patrick T Farrell, and Anshuman Sharma.
• Division of Pediatric Anesthesiology, Washington University at St Louis, St Louis, MO 63105, USA.
• Paediatr Anaesth. 2012 Oct 1;22(10):1008-15.

AbstractManagement of a pediatric airway can be a challenge, especially for the non-pediatric anesthesiologists. Structured algorithms for an unexpected difficult pediatric airway have been missing so far. A recent step wise algorithm, based on the Difficult Airway society (DAS) adult protocol, is a step in the right direction. There have been some exciting advances in development of pediatric extra-glottic devices for maintaining ventilation, and introduction of pediatric versions of new 'non line of sight' laryngoscopes and optical stylets. The exact role of these devices in routine and emergent situations is still evolving. Recent advances in simulation technology has become a valuable tool in imparting psychomotor and procedural skills to trainees and allied healthcare workers. Moving toward the goal of eliminating serious adverse events during the management of routine and difficult pediatric airway, authors propose that institutions develop a dedicated Difficult Airway Service comprising of a team of experts in advanced airway management.© 2012 Blackwell Publishing Ltd.

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