Open research questions in Airway Management and Intubation Techniques
216 gap statements mined from Airway Management and Intubation Techniques papers in our 7.9M-paper local library, which holds 1,886 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Owing to the short duration of the follow-up in the present study, the potential for late tissue regrowth after IRE could not be assessed and warrants further investigation.
Further multi-center studies are warranted to validate its efficacy and safety in diverse clinical settings and among high-risk (ASA physical status III or IV) pediatric populations.
A novel nasal cannula versus conventional face mask for preventing hypoxemia during flexible bronchoscopy in children: a randomized controlled trial · 2026 · DOISecond, because spontaneous recovery was not monitored until a TOF ratio ≥ 90% was achieved, differences in recovery between the hand and foot beyond the minimal block remain unknown.
Comparison of electromyographic recovery from rocuronium-induced neuromuscular block between the adductor pollicis and the flexor hallucis brevis muscles in pediatric patients younger than two years · 2026 · DOIThe MASCAN classification shows what this looks like for a single domain; the equivalent work for difficult laryngoscopy and difficult intubation remains to be done. Second, prospective multicentre registries capturing patient, operator, device and environmental variables in parallel, since the latter are systematically absent from current datasets.
Beyond Mallampati: From Universal Bedside Tests to Precision Airway Risk Stratification · 2026 · DOIMoving forward, there is a clear need for targeted research aimed at refining current strategies and exploring new interventions that may improve both success rates and patient safety. One promising area is the development and implementation of robust, standardized protocols for managing difficult neonatal airways, which could help mitigate the variability in first-pass success rates and reduce TIAEs.
Finally, this review is narrative in nature and we did not conduct a systematic review of the literature on airway management in resource-limited settings; and a few recommendations may lack evidence or generalizability.
Although our institutional experience suggests that the technique is relatively easy to learn, these observations are anecdotal and have not been systematically studied.
A novel endoscopy-guided airway management strategy for lateral decubitus endoscopic procedures · 2026 · DOIHowever, the specific values of airway positive pressure that can be generated by different oxygen flow rates remain to be further studied.
A novel nasal cannula versus conventional face mask for preventing hypoxemia during flexible bronchoscopy in children: a randomized controlled trial · 2026 · DOIRecommendations on nasal intubation depths in term or preterm newborns are scarce, although this is the preferred route in some countries.
Prospective evaluation of recommendations for nasal insertion depths in neonatal intubation: a prospective quality assurance study · 2025 · DOIConsequently, the persistence or progression of atelectasis beyond the early postoperative phase could not be evaluated, and longitudinal postoperative imaging was not assessed. Third, lung ultrasound assessments were limited to the immediate postoperative period, with measurements performed preoperatively and 10 min after airway device removal.
Laryngeal mask airway versus endotracheal tube for preventing postoperative atelectasis after laparoscopic surgery: a randomized controlled trial · 2026 · DOIPatients with obesity (BMI>30), head and neck pathology, and higher ASA grades were excluded; therefore, applicability of results to these populations remains uncertain.
Use of ultrasonography as a novel tool of airway assessment in patients undergoing general anesthesia and surgery and its comparison with Cormack-Lehane classification: a prospective observational study · 2026 · DOIOverinflation of the cuff can compress the pharyngolaryngeal mucosa, causing local tissue ischemia, edema, and even nerve injury. The lack of routine monitoring and standardized safe thresholds for ILMA cuff pressure.
Individualized regulation of inflatable laryngeal mask airway cuff pressure reduces postoperative pharyngolaryngeal pain in elderly patients: a randomized controlled trial · 2026 · DOIThe lack of routine monitoring and standardized safe thresholds for ILMA cuff pressure. The need for an individualized ILMA cuff pressure regulation strategy based on physiological characteristics and sealing principles.
Individualized regulation of inflatable laryngeal mask airway cuff pressure reduces postoperative pharyngolaryngeal pain in elderly patients: a randomized controlled trial · 2026 · DOIOne challenge is the limited availability of human cadavers for research purposes. Another challenge is the need for a controlled laboratory setting to evaluate ventilatory performance.
Comparison of ventilation with second-generation supraglottic airway devices in a prospective randomized cadaver study · 2026 · DOIThe limited exposure of residents and young physicians to real pediatric intubations is a significant gap. The paper identifies the need for high-fidelity simulations to replicate complex clinical scenarios, including emergency situations.
Systematic research on the effects of HFNC therapy on clinical outcomes is necessary. The evaluation of educational programs focusing on the integration of technical and communication skills is essential. Assessments of nurses' emotional intelligence in relation to patient safety should be conducted.
There is a need to compare the clinical performance of different SGAs in infant populations. The ideal pediatric SGA should ensure a rapid seal, minimal trauma, and reliable ventilation.
Comparative efficacy of size 1 I-gel and Air-Q supraglottic airway devices in infants: A randomized controlled trial · 2026 · DOIFuture prospective trials are warranted to explore the potential complex relationships between supine CP, position-induced CP changes, and anesthesia duration and to assess the clinical need for continuously regulating LMA cuff pressure after head rotation during prolonged otologic surgeries to optimize postoperative recovery.
Intraoperative supraglottic airway device, anesthetic, and mechanical factors associated with acute postoperative sore throat in elective tympanoplasty: a retrospective cohort study · 2026 · DOILateral head rotation during surgery alters LMA intracuff pressure (CP), but the relationship between these pressure changes and POST remains unclear.
Intraoperative supraglottic airway device, anesthetic, and mechanical factors associated with acute postoperative sore throat in elective tympanoplasty: a retrospective cohort study · 2026 · DOIAssessment of the posterior laryngeal structuresparticularly the aryepiglottic folds and interarytenoid areais limited by air shadowing on ultrasound.
AI is expected to play an increasingly important role in airway management as computational capabilities, data availability, and algorithm performance continue to improve. Although current applications are primarily focused on difficult airway prediction and procedural support, future developments may transform multiple aspects of airway assessment, decision-making, training, and clinical practice.
Since the study population is from a university teaching hospitals that caters to different population subsets from across the country, it may not be applicable for ethnicities from other countries which can explain that Lin et al had a DMV with TT > 6.
Ultrasound Guided Airway Parameters for Predicting Difficult Mask Ventilation: A Prospective Observational Study · 2026 · DOIThe complexity of the BMV process - The need for careful consideration of varying factors such as airway patency…
Gaps in pediatric airway management practice and safety - Underuse of RSI and reliance…
Evolution in pediatric emergency airway management over a decade at a tertiary center in Pakistan · 2026 · DOIBreaths/min 0–5 cm H2O 6–8 mL/kg ideal body weight <30 cm H2O Tolerate pH $ 7.20 Data from Manthous, Weingart, Mosier et al., and Leatherman.
Letter to the Editor: Insight into emergency endotracheal intubation in critically ill and strategies beyond equipment · 2026 · DOI
Most-cited papers in Airway Management and Intubation Techniques
- Consensus guidelines for managing the airway in patients with COVID ‐19 · Anaesthesia · 2020 · 741 citations
- Intubation Practices and Adverse Peri-intubation Events in Critically Ill Patients From 29 Countries · JAMA · 2021 · 577 citations
- 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway · Open MIND · 2022 · 531 citations
- Preoxygenation and Prevention of Desaturation During Emergency Airway Management · Annals of Emergency Medicine · 2011 · 478 citations
- Endotracheal cuff pressure and tracheal mucosal blood flow: endoscopic study of effects of four large volume cuffs. · BMJ · 1984 · 456 citations
- Intubation and Ventilation amid the COVID-19 Outbreak · Anesthesiology · 2020 · 445 citations
- Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures · PEDIATRICS · 2019 · 359 citations
- Airway Management in the Emergency Department: A One-Year Study of 610 Tracheal Intubations · Annals of Emergency Medicine · 1998 · 352 citations
- Techniques, Success, and Adverse Events of Emergency Department Adult Intubations · Annals of Emergency Medicine · 2014 · 336 citations
- Airway Management by US and Canadian Emergency Medicine Residents: A Multicenter Analysis of More Than 6,000 Endotracheal Intubation Attempts · Annals of Emergency Medicine · 2005 · 303 citations
Most recent work
- Era of Sugammadex: A Paradigm Shift in Airway Management · Anesthesiology · 2026
- Survival effect of prehospital emergency anaesthesia with intubation in risk-stratified patients with major trauma: a causal modelling study · The Lancet Respiratory Medicine · 2026
- Prospective development and validation of an objective classification for difficult facemask ventilation: the MASCAN score · Anaesthesia · 2026
- Effects of avoidance versus use of neuromuscular blocking agents for facilitation of tracheal intubation in children and infants · European Journal of Anaesthesiology · 2026
- Airway management of adults in the acute care setting · BMJ · 2026
- Pre‐operative three‐dimensional face scans for predicting difficult facemask ventilation: a prospective development study · Anaesthesia · 2026
- Efficacy of tracheal and gastric tube consecutive insertion under videolaryngoscopy in reducing complications associated with gastric tube insertion: a randomized controlled trial · Journal of Anesthesia · 2026
- A Consensus List of Core Competencies in Emergency Airway Management for Graduating Emergency Physicians: A Modified Delphi Study · AEM Education and Training · 2026
- Airway Management in the ICU and Emergency Department in Resource-Limited Settings · Life · 2026
- When evidence is not enough: making videolaryngoscopy the default for tracheal intubation · The Lancet Respiratory Medicine · 2026
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