Intubation (peds)

Airway Adjuncts

OP Airway Size:

from lip/teeth to angle of jaw

NP Airway:

tip of nose to tragus

BVM in Kids: 10cc/kg

ETT

ETT Size:

(Age/4) + 4

Preemies:

1kg 2.5mm tube at 7cm depth

2g 3.0mm tube at 8 cm depth

3kg 3.5 tube at 9 cm depth

Cuffed 1/2 size smaller than cuffless

Depth of Tube Placement: 3 x ETT

• Why uncuffed in kids:

because cricoid ring is narrowest portion of the airway...uncuffed up to 6

Other Tubes:

NG, OG, foley: 2 x ETT

Chest Tube (max) 4x ETT

ETT Drug Delivery

Endotracheal Drug Delivery: 1:1000 solution @ 0.1 mg/kg = 0.1ml/kg

Source

Adapted from Pani, DeBonis