Guide to Pediatric Resuscitation—Mechanical Measures

Age (yr)

Term neonate

< 12 mo

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

Weight, typical (kg)

3.5

< 10

10

12

14

16

18

20

22

25

28

30

35

40

45

50

55

60

Compression techniques

Thumb compression, hands around chest (preferred) or 2 fingers

1 hand

2 hands

Airway ISO size P in cm

000

00

00

0

0

7

7

7

7

7

7

7

7

7

8

8

8

8

3.5

5

5

6

6

Masks in Laerdal sizes or equivalent

Circular 0/1

Rendell- Baker type # 1

Rendell-Baker type # 2

Dome cuff mask # 3

Dome cuff mask # 4

Ventilation bag with reservoir for 100% O2 delivery

Infant 240 mL

Child 400–500 mL

Adult 1600 mL

Laryngoscope blade size

Miller 0

Straight blade

1

1

1

2

2

2

2

2

2

2

3

3

3

3

3

3

3

Straight blade (preferred) or curved blade

Curved or straight blade

ETT size* in mm

3

3.5

4

4.5

4.5

5

5

5.5

5.5

6

6

6

6

6.5

6.5

6.5

6.5

7

Uncuffed

Uncuffed

Cuffed

Laryngeal mask airways and other supraglottic airway devices*

Suction catheter

Direct oropharyngeal

Through ETT

10 F

Pediatric tonsil suction

8 Fr

Adult tonsil suction

10 Fr

* Refer to specific device manufacturer's sizing instructions.

ETT = endotracheal tube; Fr = French.

Courtesy of Dr. B. Paes and Dr. M. Sullivan, the Departments of Pediatrics and Medicine, St. Joseph’s Hospital, The Children’s Hospital, Hamilton Health Sciences Corporation, McMaster University, Hamilton, Ontario, Canada.