The best method of intubation for a child patient is:

 # A pediatric patient is brought to the clinic for interpositional arthroplasty procedure. The best method of intubation is:

A. Topical anesthesia and sedation

B. GA

C. Fibreoptic intubation

D. Tracheostomy

The correct answer is C. Fibreoptic intubation.

Nasal fibreoptic tube with cuffed endotracheal one size less than that is indicated for children is the best method. Airway management is either by oral airway or LMA. Inhalational induction should be done as paediatric patients cannot tolerate awake fibro-optic intubation. Usually uncuffed ETT are preferred in child patients.