Game On! Debating Complexities in Pediatric Emergent Advanced Airway Management

Friday, April 25, 2025

4:00pm – 5:30pm HST

Location: Convention Center: 313 C

CE: 1.5

Selected By: Emergency Medicine

Chair(s)

Joshua Nagler, MD MHPEd

Associate Professor of Pediatrics and Emergency Medicine
Boston Children's Hospital & Harvard Medical School
Brookline, Massachusetts, United States
Monica Prieto, MD, MSHS (she/her/hers)

Assistant Professor of Clinical Pediatrics, Pediatric Emergency Medicine
Childrens Hospital of Philadelphia
Philadelphia, Pennsylvania, United States

Disclosure(s):

Joshua Nagler, MD MHPED: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Monica Prieto, MD, MSHS: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Pediatric advanced airway management is a critical, life-saving procedure. Increased research, fueled by multi-center collaborations, has provided evidence and informed expert consensus around best practices for pediatric airway management. However, recent data from the NEAR4PEM Collaborative demonstrated considerable variability in emergent airway management practices across Pediatric Emergency Departments. This interactive session by leaders from the NEAR4PEM Collaborative will explore available evidence and expert consensus around four key areas in pediatric advanced airway management: (1) the utilization of traditional versus video laryngoscopy, (2) the use of vagolytic agents, (3) the role of apneic oxygenation during laryngoscopy, and (4) the use and choice of paralytics in pediatric emergency intubations. Panelists will lead a high-energy gamification of the pro-con debate and utilize an audience response system and case-based content to encourage participant engagement throughout the session. After the session, attendees will receive an infographic handout summarizing the presented evidence and expert consensus to support the implementation of best practices in pediatric advanced airway management at their home institutions.

Learning Objectives:

Appraise the evidence in favor or against the use of video laryngoscopy, vagolytic medications, apneic oxygenation, and neuromuscular blocking agents in pediatric advanced airway management
Compare best practices in emergent pediatric advanced airway management based on evidence and expert consensus with the practices at their home institution
Formulate evidence-based advanced airway management plans based on a patient’s unique presentation

Presentations:

4:00pm – 4:10pm HST

Introduction
Speaker: Joshua Nagler, MD MHPEd – Boston Children's Hospital & Harvard Medical School
Speaker: Monica Prieto, MD, MSHS (she/her/hers) – Childrens Hospital of Philadelphia
4:10pm – 4:25pm HST

Pixel-perfect Game-changer, or Overhype? Use of Videolaryngoscopy in Pediatric Emergent Advanced Airway Management
Speaker: Joshua Nagler, MD MHPEd – Boston Children's Hospital & Harvard Medical School
4:25pm – 4:40pm HST

Pulse Power Play, or Cardiac Flop? Vagolytic Medications in Pediatric Emergent Advanced Airway Management
Speaker: Robyn Wing, MD, MPH (she/her/hers) – The Warren Alpert Medical School of Brown University
4:40pm – 4:55pm HST

A Breath(less) of Fresh Air - Gimmick or Winning Strategy? Role of Apneic Oxygenation in Pediatric Advanced Airway Management
Speaker: Monica Prieto, MD, MSHS (she/her/hers) – Childrens Hospital of Philadelphia
4:55pm – 5:10pm HST

Twitch-free Tubing: High-risk or Safe Play? Use of Paralytics in Pediatric Emergent Advanced Airway Management
Speaker: Emily Greenwald, Md (she/her/hers) – Duke University/Children’s
5:10pm – 5:30pm HST

Q & A