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Children are not small adults. The differences between paediatric and adult anaesthetic practice are reduced as the patients become older.
The important anatomical and physiological differences will be considered below followed by a discussion of how these will affect anaesthetic practice. They have a large head, short neck and a prominent occiput.
The tongue is relatively large. The larynx is high and anterior, at the level of C3 – C4. The epiglottis is long, stiff and U-shaped.
The head needs to be in a neutral position. Neonates preferentially breathe through their nose.