Validation of the applicability of this Broselow pediatric emergency tape in predicting the size of ET and LMA has been done based on parameters of children in the United States and Europe. This tape is recommended by the Advanced Trauma Life Support and the Paediatric Advanced Life Support courses, which have grown in popularity in recent years. Among these, ET and LMA sizes must be very accurate to prevent air leaks during ventilation/resuscitation. This tape also provides the endotracheal tube (ET) size, laryngeal mask airway (LMA) size, intercostal chest drain (ICD) size, and IV cannula size for that particular color zone to which the child belongs as per the length. In such situations, BT, designed to estimate body weight based on length, can be helpful. This assumption may sometimes lead to ineffective resuscitation and incorrect calculation of drug doses. It is impractical to measure weight during an emergency, and usually, resuscitation is done based on assumed weight or information provided by the parents. Accurately measuring a pediatric patient's weight is crucial for effective resuscitation in pediatric emergencies, as all drug doses and equipment sizes are calculated based on the child's weight. Pediatric patients visit the ED with various surgical and medical conditions a few of these also require immediate intervention and resuscitation. As per age distribution, 28.6% of the population is less than 14 years. India is the second most populated country in the world, with a sixth of the world's population. For all the above parameters, the differences were found to be not significant for p-value <0.05.īroselow tape (BT) is applicable in acute trauma settings where it can be used for estimating weight and ET/LMA sizes in an emergency situation where weight measurement is not feasible. Pearson’s Chi-square test was applied to assess the significance of the difference between the number of patients matching and not matching their weight, LMA/ET tube, and both weight and LMA/ET tube with their corresponding color zones as per the Broselow tape. A total of 112 patients (37.8%) matched the zone with their weight 192 patients (64.8%) matched their LMA/ET tube with their respective zones 81 patients (27.36%) matched both their weights and tracheal tube (LMA/ET) size with the predicted values as per their respective zones. ![]() A maximum number of patients were in the white zone (56 patients). A p-value of less than 0.05 was considered to be significant.Ī total of 296 patients were included in the study. ![]() The Chi-square test was applied to test the difference between those matching and those not matching with their respective color zones with respect to weight, tracheal tube (LMA/ET) tube, and for both weight and tracheal tube, and then the p-value was calculated. The correlation was done between the predicted ET tube and LMA size and used ET tube and LMA size (the difference and mean). ![]() The goal was to assess the accuracy of Broselow pediatric emergency tape in predicting the size of ET and LMA in children and assess the applicability of this tape in an Indian setting based on observation and comparison with the predicted ET tube and LMA size based on the tape. This study aims to elucidate the applicability of the Broselow pediatric emergency tape in predicting the size of the endotracheal tube (ET) and laryngeal mask airway (LMA) in children of central India.Ī retrospective review was conducted in the Department of Pediatric Surgery during the period of four years (January 2018 to December 2021), and all children between 1 month and 12 years of age who were admitted for routine surgery and were operated on were included.
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