Submission Deadline
07 Dec 2021 (Vol 44 , Iss 06 )

Upcoming Publication
31 Dec 2021 (Vol 44 , Iss 06 )

Journal ID : TMJ-09-09-2021-10646
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Title : Accuracy of Broselow Tape and Cole Formulation in Predicting Uncuffed Endotracheal Tube Size in Pediatric Patients

Abstract :

Predicting the size of uncuffed endotracheal tubes for pediatrics is quite complicated. Cole formula and Broselow tape are commonly used in estimating the size of endotracheal tubes for pediatrics. This study aimed to determine the accuracy of Broselow tape measurements compared to Cole formula in predicting the size of uncuffed endotracheal tubes in Indonesian pediatrics aged 1-6 years old in Cipto Mangunkusumo Hospital. A comparative analytic observational study with a cross-sectional design was conducted among 110 pediatric patients aged 1 to 6 years old undergoing elective surgery under general anesthesia using uncuffed endotracheal tube intubation in Cipto Mangunkusumo Hospital from August to October 2018. This study has been approved by Ethics Committee. The actual size of the proper uncuffed endotracheal tube was recorded. Data were analyzed using the McNemar test. Cole formula accurately predicted the uncuffed endotracheal tube size in 62 subjects (56.4%) and underestimated it in 43 subjects (39.1%). Broselow Tape measurements accurately predicted the uncuffed endotracheal tube size in 80 subjects (72.7%) and underestimated it in 30 subjects (27.3 %). The size of uncuffed endotracheal tube prediction according to Broselow tape was significantly more precise than Cole formula (p<0.002). For conclusion, prediction of uncuffed endotracheal tube size with Broselow Tape was significantly more precise than Cole formula.

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