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When positioning older children, a head rest is generally sufficient to bring patients in
optimal sniffing position. The principles governing obese children are similar to that of
adults.
NEONATES, INFANTS AND TODDLERS
STEP 1: SIMPLE EXTENSION
(No Shoulder Roll or Headrest)
CLINICAL PEARL: SIMPLE HEAD EXTENSION MAY BRING SOME INFANTS IN THE SNIFFING
POSITION.
NEONATES, INFANTS AND TODDLERS
STEP 2: PLACE A SHOULDER ROLL
NEONATES, INFANTS AND TODDLERS
STEP 3: ADD A HEADREST
(Shoulder Roll adjustment may be required)
OLDER CHILDREN
STEP 1: ADD A HEADREST
(Shoulder Roll Combo may be required in Obese
Children)
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USEFUL LINKS
Tufts Medical Center
Floating Hospital for Children
American Board of Anesthesiology (ABA)
American Society of Anesthesiologists (ASA)
Society of Pediatric Anesthesia (SPA)
Accreditation Council for Graduate Medical Education
ASA Guidelines, Statements and Practice Advisories
Malignant Hyperthermia Association of the United States
AnesthesiaHub - The Central Resource of Anesthesiology