Airway anatomy differences
Airway anatomy differences
Equipment choosing
 Endotracheal tubes, alternative airways, airway
adjuncts, laryngoscope blades will all be size and age
dependent
 Best decision making is via the
BROSELOW TAPE
Equipment choosing
 Other methods for choosing ET tubes
Uncuffed tubes (in mm):
age
4
+ 4
Cuffed tubes:
Uncuffed size - 0.5
Equipment choosing
SO, as an example:
Uncuffed tube for a 4 year old
5.0
Cuffed tube for a 2 year old
4.0
Uncuffed tube for a 6 year old
5.5
Newborn baby: 3.5, 3.0 if small or premie (or even smaller!)
Always grab one half size up and one half size down
when choosing pediatric ET tubes!!
Equipment choosing
 NG tubes & Suction catheters RULE OF THUMB
2 x uncuffed tube size
 Depth of insertion RULE OF THUMB
3 x uncuffed tube size
Equipment choosing
 Laryngoscope blades

Straight blades for all but the larger children
 Stylets

Discouraged
 Colorimetric ETCO2 detectors

Two sizes:
• <15 kg (infants & toddlers only)
• Everybody else
Pediatric airway
 LMAs can work well
 Always remember:
MOST PEDIATRIC AIRWAYS
IN AN EMERGENCY SETTING
CAN BE HANDLED BEST
WITH THE BASIC MANUEVERS