Multidisciplinary international expert consensus on perioperative airway management

Hengrui Liang; Guowei Che; Fei Cui; Junguo Dong; Weiquan Gu; Chundong Gu; Shun Xu; Yufeng Ba; Kaican Cai; Qingdong Cao; Chang Chen; Chun Chen; Qixun Chen; Liyang Cheng; Gang Feng; Yunjiu Gou; Wenwei Guo; Jinxi He; Junming He; Jian Hu; Ying Huang; Wenxi Wang; Wenjie Jiao; Shunjun Jiang; Jun Liu; Lan Lan; Wei Li; Xiaofei Li; Zhongcheng Li; Yin Li; Zhu Liang; Hongxu Liu; Yingbin Liu; Xinyu Mei; Xicheng Song; Daqiang Sun; Hui Tian; Ziqiang Tian; Jianhua Wang; Guangsuo Wang; Xin Xu; Xudong Xiang; Guobing Xu; Tao Xue; Chao Yang; Xiaolong Yan; Nuo Yang; Feng Yao; Dalong Yin; Xiaochuan Yin; Bentong Yu; Wei Zhai; Yu Zhang; Guangjian Zhang; Xiaowen Zhang; Qiang Zhang; Yi Zhang; Jun Zhao; Haihui Zhong; Alessandro Brunelli; Till Ploenes; Luca Bertolaccini; John Kit Chung Tam; Min P. Kim; Majed Refai; Michel Gonzalez; Adam R. Dyas; Nicoletta Pia Ardò; Hiran C. Fernando; Giulio Maurizi; Gregor J. Kocher; Giuseppe Marulli; Álvaro Fuentes-Martín; Gianluca Perroni; Kyung Soo Kim; Maria Rodriguez; Marcus Taylor; Xusen Zou; Wei Wang; Jianxing He

doi:10.21037/tlcr-2025-273

Multidisciplinary international expert consensus on perioperative airway management

Hengrui Liang, Guowei Che, Fei Cui, Junguo Dong, Weiquan Gu, Chundong Gu, Shun Xu, Yufeng Ba, Kaican Cai, Qingdong Cao, Chang Chen, Chun Chen, Qixun Chen, Liyang Cheng, Gang Feng, Yunjiu Gou, Wenwei Guo, Jinxi He, Junming He, Jian HuYing Huang, Wenxi Wang, Wenjie Jiao, Shunjun Jiang, Jun Liu, Lan Lan, Wei Li, Xiaofei Li, Zhongcheng Li, Yin Li, Zhu Liang, Hongxu Liu, Yingbin Liu, Xinyu Mei, Xicheng Song, Daqiang Sun, Hui Tian, Ziqiang Tian, Jianhua Wang, Guangsuo Wang, Xin Xu, Xudong Xiang, Guobing Xu, Tao Xue, Chao Yang, Xiaolong Yan, Nuo Yang, Feng Yao, Dalong Yin, Xiaochuan Yin, Bentong Yu, Wei Zhai, Yu Zhang, Guangjian Zhang, Xiaowen Zhang, Qiang Zhang, Yi Zhang, Jun Zhao, Haihui Zhong, Alessandro Brunelli, Till Ploenes, Luca Bertolaccini, John Kit Chung Tam, Min P. Kim, Majed Refai, Michel Gonzalez, Adam R. Dyas, Nicoletta Pia Ardò, Hiran C. Fernando, Giulio Maurizi, Gregor J. Kocher, Giuseppe Marulli, Álvaro Fuentes-Martín, Gianluca Perroni, Kyung Soo Kim, Maria Rodriguez, Marcus Taylor, Xusen Zou, Wei Wang, Jianxing He

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Perioperative airway management is critical for patient safety and optimal surgical outcomes. Effective airway management reduces postoperative pulmonary complications and accelerates recovery. This expert consensus aims to update the earlier consensus based on the latest research and emphasize aspects that were previously overlooked. Methods: A comprehensive search up to June 2024 was performed. Earlier consensus documents were reviewed to ensure thorough coverage. A modified Delphi method involved 62 domestic experts from various surgical and anesthetic specialties who discussed and voted on preliminary recommendations in face-to-face meetings, requiring ≥70% agreement. Drafts were then reviewed by 18 international experts via email to incorporate diverse insights. Results: Through the modified Delphi method, consensus was achieved with ≥70% agreement among the 62 domestic experts, ensuring that the preliminary recommendations were robust and widely supported. Additionally, feedback from the 18 international experts provided diverse insights that further refined and validated the recommendations. Recommendations were established for preoperative airway preparation, anesthesia management, surgical approach, postoperative airway management, and managing coexisting respiratory diseases. These recommendations update the perspectives of earlier consensus documents based on the latest research and emphasize non-intubated surgery, inhalation therapy, and individualized treatment for patients with coexisting pulmonary diseases. Conclusions: This expert consensus provides a valuable reference for clinical practice. Further technological optimization and clinical research are needed to improve perioperative airway management.

Original language	English (US)
Pages (from-to)	1042-1060
Number of pages	19
Journal	Translational Lung Cancer Research
Volume	14
Issue number	4
DOIs	https://doi.org/10.21037/tlcr-2025-273
State	Published - Apr 30 2025

Keywords

Perioperative airway management
anesthesia
coexisting pulmonary disease
inhalation therapy
non-intubated surgery

ASJC Scopus subject areas

Oncology

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10.21037/tlcr-2025-273

Cite this

Liang, H., Che, G., Cui, F., Dong, J., Gu, W., Gu, C., Xu, S., Ba, Y., Cai, K., Cao, Q., Chen, C., Chen, C., Chen, Q., Cheng, L., Feng, G., Gou, Y., Guo, W., He, J., He, J., ... He, J. (2025). Multidisciplinary international expert consensus on perioperative airway management. Translational Lung Cancer Research, 14(4), 1042-1060. https://doi.org/10.21037/tlcr-2025-273

Liang, H, Che, G, Cui, F, Dong, J, Gu, W, Gu, C, Xu, S, Ba, Y, Cai, K, Cao, Q, Chen, C, Chen, C, Chen, Q, Cheng, L, Feng, G, Gou, Y, Guo, W, He, J, He, J, Hu, J, Huang, Y, Wang, W, Jiao, W, Jiang, S, Liu, J, Lan, L, Li, W, Li, X, Li, Z, Li, Y, Liang, Z, Liu, H, Liu, Y, Mei, X, Song, X, Sun, D, Tian, H, Tian, Z, Wang, J, Wang, G, Xu, X, Xiang, X, Xu, G, Xue, T, Yang, C, Yan, X, Yang, N, Yao, F, Yin, D, Yin, X, Yu, B, Zhai, W, Zhang, Y, Zhang, G, Zhang, X, Zhang, Q, Zhang, Y, Zhao, J, Zhong, H, Brunelli, A, Ploenes, T, Bertolaccini, L, Tam, JKC, Kim, MP, Refai, M, Gonzalez, M, Dyas, AR, Ardò, NP, Fernando, HC, Maurizi, G, Kocher, GJ, Marulli, G, Fuentes-Martín, Á, Perroni, G, Kim, KS, Rodriguez, M, Taylor, M, Zou, X, Wang, W & He, J 2025, 'Multidisciplinary international expert consensus on perioperative airway management', Translational Lung Cancer Research, vol. 14, no. 4, pp. 1042-1060. https://doi.org/10.21037/tlcr-2025-273

@article{b83dd61cb424400f836e414be1179c5b,

title = "Multidisciplinary international expert consensus on perioperative airway management",

abstract = "Background: Perioperative airway management is critical for patient safety and optimal surgical outcomes. Effective airway management reduces postoperative pulmonary complications and accelerates recovery. This expert consensus aims to update the earlier consensus based on the latest research and emphasize aspects that were previously overlooked. Methods: A comprehensive search up to June 2024 was performed. Earlier consensus documents were reviewed to ensure thorough coverage. A modified Delphi method involved 62 domestic experts from various surgical and anesthetic specialties who discussed and voted on preliminary recommendations in face-to-face meetings, requiring ≥70% agreement. Drafts were then reviewed by 18 international experts via email to incorporate diverse insights. Results: Through the modified Delphi method, consensus was achieved with ≥70% agreement among the 62 domestic experts, ensuring that the preliminary recommendations were robust and widely supported. Additionally, feedback from the 18 international experts provided diverse insights that further refined and validated the recommendations. Recommendations were established for preoperative airway preparation, anesthesia management, surgical approach, postoperative airway management, and managing coexisting respiratory diseases. These recommendations update the perspectives of earlier consensus documents based on the latest research and emphasize non-intubated surgery, inhalation therapy, and individualized treatment for patients with coexisting pulmonary diseases. Conclusions: This expert consensus provides a valuable reference for clinical practice. Further technological optimization and clinical research are needed to improve perioperative airway management.",

keywords = "Perioperative airway management, anesthesia, coexisting pulmonary disease, inhalation therapy, non-intubated surgery",

author = "Hengrui Liang and Guowei Che and Fei Cui and Junguo Dong and Weiquan Gu and Chundong Gu and Shun Xu and Yufeng Ba and Kaican Cai and Qingdong Cao and Chang Chen and Chun Chen and Qixun Chen and Liyang Cheng and Gang Feng and Yunjiu Gou and Wenwei Guo and Jinxi He and Junming He and Jian Hu and Ying Huang and Wenxi Wang and Wenjie Jiao and Shunjun Jiang and Jun Liu and Lan Lan and Wei Li and Xiaofei Li and Zhongcheng Li and Yin Li and Zhu Liang and Hongxu Liu and Yingbin Liu and Xinyu Mei and Xicheng Song and Daqiang Sun and Hui Tian and Ziqiang Tian and Jianhua Wang and Guangsuo Wang and Xin Xu and Xudong Xiang and Guobing Xu and Tao Xue and Chao Yang and Xiaolong Yan and Nuo Yang and Feng Yao and Dalong Yin and Xiaochuan Yin and Bentong Yu and Wei Zhai and Yu Zhang and Guangjian Zhang and Xiaowen Zhang and Qiang Zhang and Yi Zhang and Jun Zhao and Haihui Zhong and Alessandro Brunelli and Till Ploenes and Luca Bertolaccini and Tam, {John Kit Chung} and Kim, {Min P.} and Majed Refai and Michel Gonzalez and Dyas, {Adam R.} and Ard{\`o}, {Nicoletta Pia} and Fernando, {Hiran C.} and Giulio Maurizi and Kocher, {Gregor J.} and Giuseppe Marulli and {\'A}lvaro Fuentes-Mart{\'i}n and Gianluca Perroni and Kim, {Kyung Soo} and Maria Rodriguez and Marcus Taylor and Xusen Zou and Wei Wang and Jianxing He",

note = "Publisher Copyright: {\textcopyright} AME Publishing Company.",

year = "2025",

month = apr,

day = "30",

doi = "10.21037/tlcr-2025-273",

language = "English (US)",

volume = "14",

pages = "1042--1060",

journal = "Translational Lung Cancer Research",

issn = "2218-6751",

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number = "4",

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TY - JOUR

T1 - Multidisciplinary international expert consensus on perioperative airway management

AU - Liang, Hengrui

AU - Che, Guowei

AU - Cui, Fei

AU - Dong, Junguo

AU - Gu, Weiquan

AU - Gu, Chundong

AU - Xu, Shun

AU - Ba, Yufeng

AU - Cai, Kaican

AU - Cao, Qingdong

AU - Chen, Chang

AU - Chen, Chun

AU - Chen, Qixun

AU - Cheng, Liyang

AU - Feng, Gang

AU - Gou, Yunjiu

AU - Guo, Wenwei

AU - He, Jinxi

AU - He, Junming

AU - Hu, Jian

AU - Huang, Ying

AU - Wang, Wenxi

AU - Jiao, Wenjie

AU - Jiang, Shunjun

AU - Liu, Jun

AU - Lan, Lan

AU - Li, Wei

AU - Li, Xiaofei

AU - Li, Zhongcheng

AU - Li, Yin

AU - Liang, Zhu

AU - Liu, Hongxu

AU - Liu, Yingbin

AU - Mei, Xinyu

AU - Song, Xicheng

AU - Sun, Daqiang

AU - Tian, Hui

AU - Tian, Ziqiang

AU - Wang, Jianhua

AU - Wang, Guangsuo

AU - Xu, Xin

AU - Xiang, Xudong

AU - Xu, Guobing

AU - Xue, Tao

AU - Yang, Chao

AU - Yan, Xiaolong

AU - Yang, Nuo

AU - Yao, Feng

AU - Yin, Dalong

AU - Yin, Xiaochuan

AU - Yu, Bentong

AU - Zhai, Wei

AU - Zhang, Yu

AU - Zhang, Guangjian

AU - Zhang, Xiaowen

AU - Zhang, Qiang

AU - Zhang, Yi

AU - Zhao, Jun

AU - Zhong, Haihui

AU - Brunelli, Alessandro

AU - Ploenes, Till

AU - Bertolaccini, Luca

AU - Tam, John Kit Chung

AU - Kim, Min P.

AU - Refai, Majed

AU - Gonzalez, Michel

AU - Dyas, Adam R.

AU - Ardò, Nicoletta Pia

AU - Fernando, Hiran C.

AU - Maurizi, Giulio

AU - Kocher, Gregor J.

AU - Marulli, Giuseppe

AU - Fuentes-Martín, Álvaro

AU - Perroni, Gianluca

AU - Kim, Kyung Soo

AU - Rodriguez, Maria

AU - Taylor, Marcus

AU - Zou, Xusen

AU - Wang, Wei

AU - He, Jianxing

PY - 2025/4/30

Y1 - 2025/4/30

N2 - Background: Perioperative airway management is critical for patient safety and optimal surgical outcomes. Effective airway management reduces postoperative pulmonary complications and accelerates recovery. This expert consensus aims to update the earlier consensus based on the latest research and emphasize aspects that were previously overlooked. Methods: A comprehensive search up to June 2024 was performed. Earlier consensus documents were reviewed to ensure thorough coverage. A modified Delphi method involved 62 domestic experts from various surgical and anesthetic specialties who discussed and voted on preliminary recommendations in face-to-face meetings, requiring ≥70% agreement. Drafts were then reviewed by 18 international experts via email to incorporate diverse insights. Results: Through the modified Delphi method, consensus was achieved with ≥70% agreement among the 62 domestic experts, ensuring that the preliminary recommendations were robust and widely supported. Additionally, feedback from the 18 international experts provided diverse insights that further refined and validated the recommendations. Recommendations were established for preoperative airway preparation, anesthesia management, surgical approach, postoperative airway management, and managing coexisting respiratory diseases. These recommendations update the perspectives of earlier consensus documents based on the latest research and emphasize non-intubated surgery, inhalation therapy, and individualized treatment for patients with coexisting pulmonary diseases. Conclusions: This expert consensus provides a valuable reference for clinical practice. Further technological optimization and clinical research are needed to improve perioperative airway management.

AB - Background: Perioperative airway management is critical for patient safety and optimal surgical outcomes. Effective airway management reduces postoperative pulmonary complications and accelerates recovery. This expert consensus aims to update the earlier consensus based on the latest research and emphasize aspects that were previously overlooked. Methods: A comprehensive search up to June 2024 was performed. Earlier consensus documents were reviewed to ensure thorough coverage. A modified Delphi method involved 62 domestic experts from various surgical and anesthetic specialties who discussed and voted on preliminary recommendations in face-to-face meetings, requiring ≥70% agreement. Drafts were then reviewed by 18 international experts via email to incorporate diverse insights. Results: Through the modified Delphi method, consensus was achieved with ≥70% agreement among the 62 domestic experts, ensuring that the preliminary recommendations were robust and widely supported. Additionally, feedback from the 18 international experts provided diverse insights that further refined and validated the recommendations. Recommendations were established for preoperative airway preparation, anesthesia management, surgical approach, postoperative airway management, and managing coexisting respiratory diseases. These recommendations update the perspectives of earlier consensus documents based on the latest research and emphasize non-intubated surgery, inhalation therapy, and individualized treatment for patients with coexisting pulmonary diseases. Conclusions: This expert consensus provides a valuable reference for clinical practice. Further technological optimization and clinical research are needed to improve perioperative airway management.

KW - Perioperative airway management

KW - anesthesia

KW - coexisting pulmonary disease

KW - inhalation therapy

KW - non-intubated surgery

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U2 - 10.21037/tlcr-2025-273

DO - 10.21037/tlcr-2025-273

M3 - Article

AN - SCOPUS:105004225022

SN - 2218-6751

VL - 14

SP - 1042

EP - 1060

JO - Translational Lung Cancer Research

JF - Translational Lung Cancer Research

IS - 4

ER -

Multidisciplinary international expert consensus on perioperative airway management

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ASJC Scopus subject areas

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