Our coverage of Anesthesiology 2025 begins, presented by Desiree Chappell and Andy Cumpstey with their guest Annery Garcia-Marcinkiewicz MD MSCE, Care Medicine at the Children's Hospital of Philadelphia, University of Pennsylvania. The discussion highlights the unique challenges and anatomical differences in pediatric patients, elaborates on the evolution of airway management tools and the impact of the Pediatric Difficult Intubation Registry. We underscore the benefits of video laryngoscopy over direct laryngoscopy in improving first-attempt success rates and reducing complications, especially in small, vulnerable infants. The episode concludes with practical advice for clinicians and the importance of advanced equipment in enhancing patient safety and efficiency in pediatric anesthesiology. https://www.pediregistry.org/

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