Related Experiment Video
Updated: Jun 22, 2025

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
Published on: July 14, 2023
[Airway management in neonates and infants : Recommendations according to the ESAIC/BJA guidelines]
Jost Kaufmann1,2, Dennis Huber3, Thomas Engelhardt4
1Kinderkrankenhaus der Kliniken der Stadt Köln gGmbH, Amsterdamer Str. 59, 50735, Köln, Deutschland. jost.kaufmann@uni-wh.de.
Insights
Managing airways in neonates and infants is critical but complex, with frequent adverse events. This summary focuses on the practical application of new international guidelines for safer infant airway management.
Area of Science:
- Medical Procedures
- Pediatric Anesthesiology
- Neonatal Care
Background:
- Airway management is vital for oxygenation and ventilation, especially in neonates and infants.
- Adverse events are common in pediatric airway management due to patient, user, and external factors.
- New international guidelines address airway management in neonates and infants.
Purpose of the Study:
- To summarize the joint ESAIC/BJA international guidelines on airway management in neonates and infants.
- To focus on the clinical application and practicability of implementing these guidelines.
- To provide a practical resource for healthcare professionals managing infant airways.
Main Methods:
- Systematic review and evidence-based recommendation formulation by ESAIC/BJA.
- Focus on summarizing guideline recommendations for clinical use.
- Emphasis on the practical implementation of airway management strategies.
Main Results:
- Identification of key recommendations for neonatal and infant airway management.
- Highlighting multifactorial reasons for adverse events during airway procedures.
- Providing a practical overview of guideline implementation for clinicians.
Conclusions:
- Effective airway management is crucial for neonatal and infant survival.
- Understanding and addressing multifactorial risks improves patient safety.
- Practical implementation of new guidelines can enhance clinical outcomes in pediatric airway management.
Abstract:
Securing an airway enables the oxygenation and ventilation of the lungs and is a potentially life-saving medical procedure. Adverse and critical events are common during airway management, particularly in neonates and infants. The multifactorial reasons for this include patient-dependent, user-dependent and also external factors. The recently published joint ESAIC/BJA international guidelines on airway management in neonates and infants are summarized with a focus on the clinical application. The original publication of the guidelines focussed on naming formal recommendations based on systematically documented evidence, whereas this summary focusses particularly on the practicability of their implementation.
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