Paediatric normal values and guesstimates
| Age (yrs) | Resp Rate | HeartRate | Sys BP |
|---|---|---|---|
| <1 | 30 - 40 | 110 - 160 | 70-90 |
| 2 - 5 | 25 - 30 | 95 - 140 | 80 - 100 |
| 5 - 12 | 20 - 25 | 80 - 120 | 90 - 110 |
| > 12 | 15 - 20 | 60 - 100 | 100 - 120 |
| Body Weight | Fluid (day) | Fluid (hour) |
|---|---|---|
| First 10kg | 100ml/kg | 4 ml/hr |
| Second 10kg | 50ml/kg | 2 ml/hr |
| Sebsequent kg | 20ml/kg | 1 ml/hr |
Standard resuscitation fluid = 20 ml/kg
Estimating a childs weight
Weight (kg) = 3(age) + 7
Tidal volume = 7-10 ml/kg
Blood vol = 100 ml/kg in neonates, 80ml/kg by one year of age
Systolic BP = 80 + (Age x 2)
Body surface area (m2) = (( height in cm X weight in cm ) / 3600) -2
ETT
Estimate: Tube diameter = diameter child’s little finger or nostril
Formal ETT zize:
Internal diameter (mm) = (age/4)+4 in a child over one year
Length (cm) = (age/2)+12 for an oral tube
Full term neonates usually require a tube diam 3.0 - 3.5mm
Other Tubes
| Age | Gastric Tube | Chest tube | Urinary Catheter |
|---|---|---|---|
| Premie newborn | 8 Fr |
10 - 14 Fr |
5 fr feeding |
| Newborn - 6mo | 8 - 10 Fr |
12 - 18 Fr |
5 - 8 Fr feeding |
| 6 mo - 1 year | 10 Fr |
14 - 20 Fr |
8 Fr |
| 1 - 3 years | 10 - 12 Fr |
14 - 24 fr |
8 10 Fr |
These are rough guides only. Use a tube that seems appropriate, and use the largest practicable
Links
- Nottingham Uni Evidence based paediatric emergencies
- Weight estimation in resuscitation: is the current formula still valid? Arch Dis Childhood 2007;92:412-415


