Evidence map›Paper›PMID 41293147›Full record

ArticleIndian journal of anaesthesia2025

Expert consensus for difficult airway management in the absence of clear evidence using a Delphi method.

Amit P Shah, Prashant Nasa, Syed M Ahmed, Jigeeshu V Divatia, Jeson R Doctor, Rakesh Garg, Pankaj Kundra, Venkateswaran Ramkumar, Sumalatha R Shetty, Zulfiqar Ali and 23 more

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

Amit P ShahConsultant Anaesthesiologist, Department of Anaesthesia, Isha Multispeciality Hospital, Vadodara, Gujarat, India.ORCID https://orcid.org/0009-0000-9324-4108
Prashant NasaSenior clinical fellow, Integrated Critical Care Unit, New Cross Hospital, the Royal Wolverhampton NHS Trust, Wolverhampton, the United Kingdom.ORCID https://orcid.org/0000-0003-1948-4060
Syed M AhmedVice Chancellor, Al-Karnim University, Al-Karnim University, Katihar, Bihar, India.ORCID https://orcid.org/0000-0003-1788-540X
Jigeeshu V DivatiaHead, Critical Care Medicine, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0001-7384-4886
Jeson R DoctorProfessor, Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0003-1452-9282
Rakesh GargProfessor, Department of Onco-Anaesthesiology and Palliative Medicine, Dr Brairch and National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0001-5842-8024
Pankaj KundraProfessor, Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.ORCID https://orcid.org/0000-0002-5670-7932
Venkateswaran RamkumarFormer Professor and Head, Department of Anaesthesiology, Critical Care and Pain, Kasturba Medical College, Manipal, Karnataka, India.ORCID https://orcid.org/0009-0001-3450-2135
Sumalatha R ShettyProfessor, Medical Superintendent, Department of Anaesthesiology and Critical Care, Justice K S Hegde Charitable Hospital, K S Hegde Medical Academy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka, India.ORCID https://orcid.org/0000-0002-6749-7221
Zulfiqar AliAdditional Professor, Division of Neuroanesthesia, Department of Anesthesiology, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.ORCID https://orcid.org/0000-0002-3870-3137
Neerja BhardwajFormer Professor and Head, Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.ORCID https://orcid.org/0000-0001-5550-6277
Mala G BhatAssociate Professor, Department of Anaesthesiology and Critical Care, K S Hegde Medical Academy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka, India.ORCID https://orcid.org/0000-0002-6999-0730
Sabyasachi DasFormer Professor, Department of Anaesthesia, Deben Mahata Government Medical College and Hospital, Purulia, West Bengal, India.ORCID https://orcid.org/0000-0001-6210-038X
Sujata GhoshProfessor, Department of Anaesthesia, Rampurhat Govt Medical College, West Bengal, India.ORCID https://orcid.org/0000-0003-4282-1280
Jyotsna GoswamiSenior Consultant and Head, Department of Onco-Anaesthesia, Tata Medical Center, Kolkata, West Bengal, India.ORCID https://orcid.org/0000-0003-0572-9821
Anju GrewalProfessor and Head, Department of Anaesthesiology, All India Institute Of Medical Sciences, Bathinda, Punjab, India.ORCID https://orcid.org/0000-0002-2836-7301
Rakesh KumarAdditional Professor, Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.ORCID https://orcid.org/0000-0002-4465-6138
M R Anil KumarProfessor, Department of Anaesthesia, Pain and Critical Care, JSS Medical College, Mysore, Karnataka, India.ORCID https://orcid.org/0000-0001-9465-8599
Anila D MaldeProfessor and Head, Department of Anaesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.ORCID https://orcid.org/0009-0005-1819-9067
M ManjuldeviProfessor, Department of Anaesthesia, St John's Medical College and Hospital, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0001-8040-6614
Sripada G MehandaleProfessor, Department of Anaesthesiology and Critical Care, Justice K S Hegde Charitable Hospital, K S Hegde Medical Academy, NITTE (Deemed to be University), Deralakatte, Mangaluru, Karnataka, India.ORCID https://orcid.org/0000-0003-3992-4975
Aruna ParameswariProfessor and Head, Department of Anesthesiology and Pain Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.ORCID https://orcid.org/0000-0002-1280-5047
Apeksh PatwaChief Consultant Anaesthesiologist, Department of Anaesthesia, Kailash Cancer Hospital and Research Centre, Muni Seva Ashram, Goraj, Vadodara, Gujarat, India.ORCID https://orcid.org/0009-0003-5095-5980
Dilip PawarEx-Professor, Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0009-0001-4989-8275
Sandeep SahuProfessor, Department of Anaesthesiology and Intensive Care, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0002-9316-3840
Jyoti SharmaAssociate Professor, Department of Anaesthesiology, All India Institute of Medical Sciences, Bathinda, Punjab, India.ORCID https://orcid.org/0000-0002-2898-9645
Ramesh SingaraveluSenior Consultant, Department of Anesthesiology, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu, India.ORCID https://orcid.org/0000-0001-9160-9513
Sohan L SolankiProfessor, Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0003-4313-7659
Sarbari SwaikaProfessor and Head, Department of Emergency Medicine, Dr DY Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-0525-8460
Tanmay TiwariProfessor Additional, Department of Anaesthesia and Critical Care, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0001-6234-5010
R V RanjanProfessor, Department of Anaesthesiology and Critical Care, Sri Manakular Vinayagar Medical College, Pondicherry, India.ORCID https://orcid.org/0000-0002-3323-5696
Sandhya YaddanapudiFormer Professor and Head, Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.ORCID https://orcid.org/0000-0001-5356-4377
Sheila N MyatraProfessor, Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0001-6761-163X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The All India Difficult Airway Association developed clinical practice statements utilising the Delphi method among experts for specific interventions in the management of unanticipated difficult airways in adult, obstetric, and paediatric populations, as well as for the management of at-risk extubations, where existing evidence was either weak or absent. A Steering Committee consisting of nine airway experts and a Delphi methodologist convened a panel of 24 experts, from whom anonymous responses were collected via an online Delphi survey. Consensus was defined as at least 75% experts voting for a particular option in multiple-choice statements, and agreement (scores of 5-7) or disagreement (scores of 1-3) on a nominal 7-point Likert scale statement. The stability of responses between consecutive rounds was assessed using the Kruskal-Wallis test or Chi-square test, with a

Indexed as

Airway guidelinesairway managementDelphidifficult airwayexpert consensus

Identifiers

PMID41293147
PMCPMC12643131

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.