Airway Management and Weight in Children

Inclusion Criteria: * sex-specific body mass index (BMI) is ≥85th percentile * elective surgical outpatient peripheral or lower abdominal procedures * Surgery length estimated to last between 30 and 120 minutes Exclusion Criteria: * Active gastro-esophageal reflux, possible difficult intubation or planned asleep fiber optic intubation, cardiac disease, thoracic deformities, upper abdominal, and thoracic or airway surgeries. * Children with active asthmatic attack or those considered to be "full stomach" will also be excluded. * Laparoscopic surgical procedures and those requiring extreme head-down tilt will also be excluded. * Children with a physiology or other condition requiring a certain type of airway for the procedure will also be excluded * Children whose anesthesiologist is not agreeable to randomization of airway management choice will also be excluded.