Title
Tiny airway, big challenges: A case series on paediatric difficult airway
Authors
Neetu Gupta*, Mohan Babu Nema, Aseem Sharma, Manish Banjare, Shalini Jain & Dipti Saxena
Affiliation
Department of Anaesthesia, M.G.M. Medical College, Indore, Madhya Pradesh, India; *Corresponding author
Neetu Gupta - E-mail: dr.neetu2022@gmail.com
Mohan Babu Nema - E-mail: mohannema718@gmail.com
Aseem Sharma - E-mail: aseem4224@gmail.com
Manish Banjare - E-mail: manish_banjare@yahoo.co.in
Shalini Jain - E-mail: drshalininjain@gmail.com
Dipti Saxena - E-mail: diptisaxena08@yahoo.co.in
Article Type
Views
Date
Received July 1, 2026; Revised July 31, 2026; Accepted July 31, 2026, Published July 31, 2026
Abstract
Paediatric difficult airway is a major problem because failed ventilation or intubation can rapidly cause hypoxaemia. We report six paediatric patients with anticipated difficult airway due to frontal dermoid cyst, macroglossia, occipital encephalocele, cleft lip and palate, post-burn neck contracture and temporomandibular joint ankylosis. Each case was managed with a separate airway plan using modified mask ventilation, conventional laryngoscopy, bimanual laryngoscopy with bougie, videolaryngoscopy, contracture release under ketamine sedation or fibreoptic nasotracheal intubation. All patients were managed successfully without major airway related complication, showing the value of careful assessment, preparation and individualised airway strategy.
Keywords
Difficult paediatric airway, difficult mask ventilation, difficult intubation, craniofacial anomaly, videolaryngoscopy, fibreoptic intubation
Citation
Gupta et al. Bioinformation 22(7): 3877-3881 (2026)
Edited by
P Kangueane
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
