It is likely that this child has an upper respiratory infection (URI). Signs of an URI include fever, fatigue, loss of appetite, productive cough, and thick nasal discharge. Children withURI have an irritable airway and are at increased risk for laryngospasm, bronchospasm, postintubation croup, pneumonia, and episodes of desaturation. Bronchial hyperreactivity may last 4 to 6 weeks after an URI; it is recommended to delay treatment for at least 6 weeks. If urgent or emergency surgery is necessary a LMA may reduce complications associated with an irritable airway.