To Study applicability of Broselow tape for the estimation of weight and size of Endotracheal tube in Indian children
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 1406-1414
Abstract
Background:Pediatricanesthesia is a challenging aspect for the Anesthesiologists, the size of ET required for the child is calculated by a standard formula, which considerstheage of patient. Present study was attempted to know the applicability of “Broselowtape”for the estimation of weight and end ot rachea ltubesizein Indian children.Material and Methods: Present study was cross-sectional study, conducted in children aged 1 month to 10 years including both genders, ASA Grade I or II, undergoing elective surgeries under general anesthesia requiring endotracheal intubation. Length of the child was recorded with the Broselow Paediatric Emergency tape. We correlated the sizes of endotracheal tube estimated by Broselow tape to actual sizeofendotrachealtubeused.
Results: Present study was conducted among 200 children, mean age was 2.66 ± 2.76years. According to validity of estimated weight by Broselow tape with actual weight, majority wereoverestimated (49 %) & least were underestimated weight (41.5%). 19.5%children required tube change during procedure. The average predicted endotracheal tube size of children was observed 4.24 ± 0.78 mm. Average endotracheal tube used was 4.26 ± 0.72 mm. CorrelationcoefficientbetweenpredictedETTsizeand ETT size (mm) was very strong, positive, significant (p<0.0001) whileeverysmall,non-significant(p=0.2683)mean difference between predicted andETT size actually required was observed. It was observed that correlation coefficient between Broselow tape predicted weight (range) and actual weight (Kg) recorded was very strong, positive, significant (p<0.0001)whereas Broselow tape overestimate weight as a marginal and significant (p=0.0082) mean difference was observed between predicted and actual weight.
Conclusion: Broselow tape was found to be significantly reliable for estimation of endotrachealtubesizewithcorrelationcoefficientof(P=0.0001)in80.5%ofchildren in age group of 1 month to 10 years.
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