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Airway management remains a significant cause of morbidity and mortality in anaesthetized children. Children with difficult direct laryngoscopy are an especially vulnerable group. However, most paediatric anaesthetics are administered by generalists without advanced paediatric training. This editorial is aimed at all practitioners who care for children, particularly those without advanced paediatric anaesthesia training. Our goal is to convey three important points:(i) the contributing factors for severe complications in this population;(ii) the important role of the supraglottic airway (SGA) in managing these patients; and (iii) the