 For infants and young children , orotracheal intubation is easier than the nasotracheal route . Nasotracheal intubation carries a risk of dislodgement of adenoids and nasal bleeding . Despite the greater difficulty , nasotracheal intubation route is preferable to orotracheal intubation in children undergoing intensive care and requiring prolonged intubation because this route allows a more secure fixation of the tube . As with adults , there are a number of devices specially designed for assistance with difficult tracheal intubation in children . Confirmation of proper position of the tracheal tube is accomplished as with adult patients . 
