Predicting Uncuffed Endotracheal Tube Size in Pediatric Anesthesia
Conditions
Keywords
Uncuffed endotracheal tube, Pediatric, Cole Formula, Broselow Tape
Brief summary
This study aimed to determine the accuracy of modified Broselow tape measurements compared to Cole formula in predicting the size of uncuffed endotracheal tubes in Indonesian pediatrics
Detailed description
110 subjects were given informed consent before enrolling the study and randomized into two groups, modified Broselow Tape and Cole formula. Preoperatively, prediction of suitable ETT size was performed based on Cole formula and Modified Broselow Tape. In the operating theatre, general anesthesia induction was performed with sevoflurane 4-8 vol%, fentanyl 2 μcg/kg BW, and atracurium 0.5 mg/kg BW. Laryngoscopy was performed, and an uncuffed polyvinyl chloride endotracheal tubes, whose size was based on the Cole formula, was inserted. An appropriate size of the endotracheal tube was confirmed if the endotracheal tube could go through the cricoid ring smoothly, and no air leakage found when ventilating with an inspiratory pressure of 15-20 cmH2O. The surgery and anesthesia would proceed if the correct size of the endotracheal tube were successfully inserted. If the tube couldn't pass the cricoid smoothly or air leakage was found when ventilated with an inspiratory pressure of 15-20 cmH2O, the endotracheal tube should be replaced with a bigger or smaller size.
Interventions
PROCEDUREModification Broselow Tape
Intubation using modified Broselow Tape prediction for predicting ETT size
PROCEDURECole Formula
Intubation using Cole Formula prediction for predicting ETT size
Sponsors
Indonesia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Investigator)
Masking description
Investigator
Eligibility
Sex/Gender
ALL
Age
1 Years to 6 Years
Healthy volunteers
Yes
Inclusion criteria
* pediatrics aged 1 - 6 y o * ASA I-II * patients went through elective surgery with Genaral anesthesia * Need to intubated with uncuffed ETT
Exclusion criteria
* patients with growth and development disorders * patients whom height that was out of range in modified Broselow tape * patients with possible airway difficulty or obstruction * patients with respiratory diseases, underweight and obese
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Appropriate size of uncuffed endotracheal tube | before procedure | endotracheal tube could go through the cricoid ring smoothly, and no air leakage found when ventilating with an inspiratory pressure of 15-20 cmH2O |
Countries
Indonesia
Outcome results
None listed