Diferencia entre revisiones de «Intubation (peds)»

(Text replacement - "* " to "*")
(Clarify, add NRP recs for ETT depth)
Línea 10: Línea 10:


==ETT==
==ETT==
ETT Size:  (Age/4) + 4
ETT Size:  (Age/4) + 4 for uncuffed, (Age/4) + 3.5 for cuffed


*Estimates cuffed
*Estimates cuffed
Línea 17: Línea 17:
*10 yr, 30 kg, size 6
*10 yr, 30 kg, size 6


*Cuffed and uncuffed ETT are acceptable
*Cuffed and uncuffed ETT are acceptable outside neonatal age
**Uncuffed
**Uncuffed
***<1yo - 3.5mm ETT
***<1yo - 3.5mm ETT
Línea 27: Línea 27:
***>2yo - 3.5 + (age/4)
***>2yo - 3.5 + (age/4)


*Depth of Tube Placement: 3 x ETT
*Depth of Tube Placement: 3 x uncuffed ETT size (cm)
** Neonate: Nasal septum to tragus in cm + 1 cm


===Preemies===
===Preemies===
*1kg 2.5mm tube at 7cm depth
*1kg 2.5mm tube at 7 cm depth
*2g 3.0mm tube at 8 cm depth
*2kg 3.0mm tube at 8 cm depth
*3kg  3.5 tube at 9 cm depth
*3kg  3.5mm tube at 9 cm depth


==Other Tubes:==
==Other Tubes:==

Revisión del 06:14 6 jul 2016

See critical care quick reference for airway sizes by weight.

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 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)
  • 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

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

See Also

References

Adapted from Pani, DeBonis