Akira Nishisaki is an attending intensivist at Children's Hospital of Philadelphia, with nearly two decades in pediatric airway management. Doug Atkinson, a pediatric cardiac anesthesiologist also from Boston Children's, joins him to discuss critical aspects of airway management in the pediatric ICU. They explore the alarming statistics of intubation failures and complications, advancements in techniques like video laryngoscopy, and the significance of effective teamwork. The conversation also emphasizes the role of training and checklists in improving patient safety during high-risk procedures.