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 7, Pages 6529-6537
Abstract
Background: Pediatric anesthesia is a challenging aspect for the Anesthesiologists, the size of ET required for the child is calculated by a standard formula, which considers the age of patient. Present study was attempted to know the applicability of “Broselow tape” for the estimation of weight and endotracheal tube size in 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 size of endotracheal tube used.
Results: Present study was conducted among 200 children, mean age was 2.66 ± 2.76 years. According to validity of estimated weight by Broselow tape with actual weight, majority were overestimated (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. Correlation coefficient between predicted ETT size and ETT size (mm) was very strong, positive, significant (p<0.0001) while every small, non-significant (p=0.2683) mean difference between predicted and ETT 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 endotracheal tube size with correlation coefficient of (P= 0.0001) in 80.5 % of children in age group of 1 month to 10 years
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