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Updated: May 25, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
[Optical and video-assisted laryngoscopy in difficult paediatric airways]
Anders Bastholm Bille1, Rolf Holm-Knudsen, Michelle Lefort
1Anæstesi- og Operationsklinikken, Juliane Marie Centret Rigshospitalet, Denmark. andersbbille@dadlnet.dk
Insights
Direct laryngoscopy is standard for infant intubation, but challenging in some cases. Recent optical and video-assisted devices offer improved visualization for difficult pediatric airways.
Area of Science:
- Anesthesiology and critical care medicine
- Pediatric emergency medicine
- Airway management technologies
Context:
- Direct laryngoscopy is the established method for endotracheal intubation in pediatric patients.
- Visualization of the glottis and vocal cords can be extremely difficult in some infants.
- Existing techniques may be insufficient for managing challenging pediatric airways.
Purpose:
- To review recent technological advancements in laryngoscopy for pediatric airway management.
- To highlight optical and video-assisted laryngoscopy devices.
- To address the challenges of difficult pediatric airways.
Summary:
- This paper provides an overview of novel optical and video-assisted laryngoscopy techniques.
- These advanced tools aim to improve glottic visualization during endotracheal intubation in infants.
- The focus is on managing difficult pediatric airways where direct laryngoscopy is often challenging.
Impact:
- Improved intubation success rates in infants with difficult airways.
- Enhanced patient safety through better airway visualization.
- Potential to reduce complications associated with pediatric intubation.
Abstract:
Despite ongoing technological advances, direct laryngoscopy still remains the golden standard for endotracheal intubation in children and infants. However, in some infants it is almost impossible to obtain a view of glottis and the vocal cords. In this paper we present an overview of the recent advances in optical and video-assisted laryngoscopy in difficult paediatric airways.
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