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Table 42-1

HeadLarger occiput in the infant naturally positions the head in the “sniffing” position
Stabilize the head against lateral rotation
Obligate nose breathers for the first few months
MouthRelative larger tongue volume in the mouth in the infant reduces the available space for instrumentation
Edentulous
NeckLarynx is more cephalad in the neck (C3–C4) in the infant
Epiglottis is omega shaped and longer
Vocal cords slant caudally at their insertion in the arytenoids
Narrowest part of the upper airway is the cricoid ring (a solid, conically shaped, cartilaginous structure); pseudostratified columnar epithelium covers the ring
Trachea is shorter (4–5 cm)
Tracheobronchial treeAcute angle of the right mainstem bronchus at the carina
Turbulent gas flow until the fifth bronchial division (resistance is related inversely to the radius to the fifth power)