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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
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Broselow Tape | Active Comparator | Patient will given an intubation using uncuffed endotracheal tube size based on Modified Broselow Tape |
|
| Cole Formula | Active Comparator | Patient will given an intubation using uncuffed endotracheal tube size based on Cole Formula |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Modification Broselow Tape | Procedure | Intubation using modified Broselow Tape prediction for predicting ETT size |
|
| Measure | Description | Time Frame |
|---|---|---|
| Appropriate size of uncuffed endotracheal tube | endotracheal tube could go through the cricoid ring smoothly, and no air leakage found when ventilating with an inspiratory pressure of 15-20 cmH2O | before procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cipto Mangunkusumo Hospotal | Jakarta Pusat | DKI Jaka | 10430 | Indonesia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11878662 | Background | Hofer CK, Ganter M, Tucci M, Klaghofer R, Zollinger A. How reliable is length-based determination of body weight and tracheal tube size in the paediatric age group? The Broselow tape reconsidered. Br J Anaesth. 2002 Feb;88(2):283-5. doi: 10.1093/bja/88.2.283. | |
| 24729837 | Background | Park HP. Appropriate tube size selection based on radiological images. Korean J Anesthesiol. 2014 Mar;66(3):181-2. doi: 10.4097/kjae.2014.66.3.181. No abstract available. |
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Investigator
| Cole Formula | Procedure | Intubation using Cole Formula prediction for predicting ETT size |
|
| 22612446 | Background | Schramm C, Knop J, Jensen K, Plaschke K. Role of ultrasound compared to age-related formulas for uncuffed endotracheal intubation in a pediatric population. Paediatr Anaesth. 2012 Aug;22(8):781-6. doi: 10.1111/j.1460-9592.2012.03889.x. Epub 2012 May 21. |
| 17384410 | Background | Jang HY, Shin SD, Kwak YH. Can the Broselow tape be used to estimate weight and endotracheal tube size in Korean children? Acad Emerg Med. 2007 May;14(5):489-91. doi: 10.1197/j.aem.2006.12.014. Epub 2007 Mar 23. |
| 18782950 | Result | Shih MH, Chung CY, Su BC, Hung CT, Wong SY, Wong TK. Accuracy of a new body length-based formula for predicting tracheal tube size in Chinese children. Chang Gung Med J. 2008 May-Jun;31(3):276-80. |