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Pediatric anesthesia is always a challenge for the anesthetist, the smaller the child the more difficult it is.Starting from putting a IV cannula to removing the endotracheal tube, the anesthetist needs to be vigilant in each phase.Here a 3 year old child underwent an ENT procedure under general anesthesia in Jubilee Hospital Trivandrum, India and the child is being extubated by Dr.Thomas, the senior anesthetist.