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Successful airway management of difficult airway is formidable task to any experienced anaesthesiologist. Task is more compounded if difficult airway scenario exists in paediatric patient. Some of factors which make situation more challenging are awake uncooperative child, fear of losing airway, risk of bronchospasm, desaturation, bleeding. It is essential to have back up plans to manage difficult and challenging situation. The various plans to be put into action are based on experience ofdoi:10.21275/v5i3.nov161977 fatcat:pwijg4hi5jdmflue7naht5fn4u