Difficult paediatric airway and emergency front-of-neck access — branching viva

Emergency department: a 2-year-old with Pierre Robin sequence and a documented previous difficult intubation is brought in with respiratory failure and needs intubation. The examiner asks: how do you anticipate and prepare for this airway and what is your plan — then branches to the child in whom the first laryngoscopy fails, to the child who deteriorates to cannot-intubate-cannot-oxygenate, and finally to how you prevent the next airway event.