Intubation (peds): Difference between revisions
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| [[Bag valve mask]]||10cc/kg | | [[Bag valve mask]]||10cc/kg | ||
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'''LMA size''' = Wt(kg)/20 + 1 | |||
'''Apneic oxygenation''' | |||
*Infant: 5L/min | |||
*Child: 10 L/min | |||
*Adolescent/adult: 15 L/min | |||
===Blade Sizes=== | |||
*Preemie <1.4kg: 00 | |||
*Newborn: 0 | |||
*Neonate/infant: 1 | |||
*2 blade starting at 2 yo | |||
*3 blade in 3rd grade (8-9 yo) | |||
==Endotracheal tube Size== | ==Endotracheal tube Size== | ||
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*[[PALS (Main)]] | *[[PALS (Main)]] | ||
*[[Pediatric Vital Signs]] | *[[Pediatric Vital Signs]] | ||
*Practical pediatric RSI/vent algorithm: http://pemsource.org/wp-content/uploads/2016/11/RSI-and-Ventilator-Settings-Algorithm.pdf | |||
==References== | ==References== | ||
Revision as of 02:40, 18 August 2019
See critical care quick reference for pre-calculated airway sizes by weight.
Airway Adjuncts
| Airway | Placement |
| Nasopharyngeal | Tip of nose to tragus |
| Oropharyngeal | From lip/teeth to angle of jaw |
| Bag valve mask | 10cc/kg |
LMA size = Wt(kg)/20 + 1
Apneic oxygenation
- Infant: 5L/min
- Child: 10 L/min
- Adolescent/adult: 15 L/min
Blade Sizes
- Preemie <1.4kg: 00
- Newborn: 0
- Neonate/infant: 1
- 2 blade starting at 2 yo
- 3 blade in 3rd grade (8-9 yo)
Endotracheal tube Size
ETT Size: (Age/4) + 4 for uncuffed, (Age/4) + 3.5 for cuffed
- Estimates cuffed
- 1 yr, 10kg, size 4
- 5 yr, 20kg, size 5
- 10 yr, 30 kg, size 6
- Cuffed and uncuffed ETT are acceptable outside neonatal age
- Uncuffed
- <1yo - 3.5mm ETT
- 1-2yo - 4mm ETT
- >2yo - 4 + (age/4)
- Cuffed
- <1yo - 3mm ETT
- 1-2yo - 3.5mm ETT
- >2yo - 3.5 + (age/4)
- Uncuffed
- Depth of Tube Placement: 3 x uncuffed ETT size (cm)
- Neonate: Nasal septum to tragus in cm + 1 cm
Preemies
- 1kg 2.5mm tube at 7 cm depth
- 2kg 3.0mm tube at 8 cm depth
- 3kg 3.5mm tube at 9 cm depth
- OR tube size = Gestational age(wks)/10
There is no evidence to support the routine use of atropine as a premedication to prevent bradycardia in emergency pediatric intubations[1]
Relation to Other Tubes
- NG, OG, foley = 2 x ETT
- Chest Tube (max) = 4 x ETT
Endotracheal Drug Delivery
Endotracheal Drug Delivery: 1:1000 solution at 0.1mg/kg = 0.1ml/kg
Newborn: 1:10,000 solution at 0.03mg/kg = 0.3mL/kg
See Also
- Critical care quick reference
- PALS (Main)
- Pediatric Vital Signs
- Practical pediatric RSI/vent algorithm: http://pemsource.org/wp-content/uploads/2016/11/RSI-and-Ventilator-Settings-Algorithm.pdf
References
- ↑ Fleming B, McCollough M; Henderson SO. Myth: Atropine should be administered before succinylcholine for neonatal and pediatric intubation. Can J Emerg Med 2005;7(2):114-7
Adapted from Pani, DeBonis