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Abstract One of the fundamental responsibilities of an anesthesiologist is to maintain adequate gas exchange. Failure to maintain a patent airway for more than few minutes results in brain damage or death. Significant differences between adult and pediatric airway anatomy and physiology are the main reason why instrumentation of the pediatric airway is quite different from that of the adult airway. Deep study of the pediatric airway anatomy and physiology as well as good airway assessment is the corner stone for easy and adequate pediatric airway instrumentation. Traditional airway devices are still the centre of the practice of anesthesia. Examples of these devices include face masks, oral and nasal airways, nasopharyngeal airways, endotracheal tubes, esophageal obturator airways, esophageal tracheal combitube, laryngeal mask airways. New airway devices are numerous and are starting to replace the traditional devices. Examples of these new devices include HI-LO Evac endotracheal tubes, easy tube (EzT), laryngeal tube, pharyngeal airway xpress, Cobra perilaryngeal airway, streamlined pharynx airway liner, intubating LMA, flexible intubating fiberscope, rigid intubation endoscope, indirect rigid fiberoptic laryngoscopes, video laryngoscopes, Trachlight stylets, Shikani optical stylet, Elisha airway device, LIKE Rusch Flexi-Set Endotracheal Tube. The difficult airway is usually related to problems with tracheal intubation and/or problems with mask ventilation. Several algorithms have been suggested for the management of difficult airway The ASA algorithm is the standard guide. |