In contrast to adults,most children with difficult airways are recognised before induction of anaesthesia. The choice of the LMA is based on the lean body weight of the child.It is common to inflate the cuff partly during insertion. The estimated size of the endotracheal tube can be chosen from a table and compared with the distal phalanx of the fifth finger of the child, which often correlates well with the tube size. From the age of 2 years, the formula Tube size=4+(age/4), may be used as guidance. If cuffed tubes are used, the formula is changed to 3.5+(age/4). The first flexible pedia
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