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According to NRP: Pg 162 blade size extremely premature blade size 00, premature blade size 0 and newborn blade size 1. blade size should be the size between the patients lips and larynx. Anaesthesist, 2011.Ĭuffed versus uncuffed endotracheal tubes in children: a meta-analysis. Laryngoscope Blade Weight Base Calculated: According to PALS: pg 134. Anaesthesist, 2016.Įndotracheal tubes in pediatric patients: published formulas to predict the optimal size. Fibre optic Mc Intosh laryngoscope blade Soft matte finish to help eliminate reflection and glare Surgical stainless steel Available in 6 blade sizes. Below are visual estimations and starting points for reference but no means a definitive sizing chart.Ī detailed discussion can be found in the concepts tab here.Įstimation of optimal tube length: systematic review article on published formula for infants and children. Furthermore, the tube depth equation had an ROC of. To emphasize the point further, one recent prospective study found that the cuffed tube size equation, above, was only accurate in 21% of 204 patients. These are great to memorize as a reference but the ROC in the most recent meta-analysis was not very good, hence the prudence of preparing multiple tubes if time allows. The selected blade size and type depend on the size of the patient and the. 3 The guidelines recommend that airway management. Figure 16.10 Standard and pediatric laryngoscope handles. 3 Recent guidelines highlight the risks of contracting COVID-19 among those caring for infected patients. Research also shows that video laryngoscopy can help prevent clinician exposure to droplet-borne pathogens and further improve your safety. In researching this article, it turns out there are quite a few pediatric tube size equations. Video laryngoscopy used in the operating room supports first-attempt success of airway intubation. Tube depth: Age/2 +13 for greater than 1 year old Weight/2 + 8 for under 1 year OR 3x ETT size For any pediatric intubation, preparing multiple sizes of tubes is a good idea and don’t forget the Broslow tape is your friend.