The study aims to assess the role of intubation pillow versus no pillow in paediatric intubation by assessing the Cormack and Lehane Laryngoscopy grade. This will be a randomized controlled study where children between 5 to 12years of age who are undergoing elective surgery requiring endotracheal intubation, who consent for the study will be randomized into two groups. The laryngoscopy will be done using an intubation pillow in group 1 and without intubation pillow in group 2.

The laryngoscopy will be performed by primary investigator, an anaesthetist, who has done at least 50 paediatric intubations along with consultant who has experience in paediatric anaesthesia. The scopies will be compared and study will be started if the scopies are similar 75% of the time.

The child will be premedicated with syrup Trichloryl 75mg/kg one hour before the start of anaesthesia. A silicon teeth guard will be used to cover the teeth. The child will be induced in theatre with Sevoflurane (MAC intubation of 1.3), Fentanyl 1 to 2 microgram per kilogram, and atracurium 0.5 milligram per kilogram.  In children who allow an intravenous line, Propofol 1.5 to 2.5 milligram per kilogram will be used for induction of anaesthesia instead of sevoflurane. Sevoflurane will be used to maintain anaesthesia. Laryngoscopy will be done using Macintosh Blade five minutes after administration of the muscle relaxant. The primary investigator will compare Cormack and Lehane grade. For children between 5 to 9 years of age a 4 cm pillow will be used and for age group between 10 and 12, a 6cm pillow will be used.  This data will be then analyzed.  The study hypothesizes that a head elevation using the intubation pillow will facilitate a better laryngoscopy grade when compared to the traditional head neutral technique.