PEDIATRIC ANESTHESIA/ICU PEALS

Johns Hopkins Pediatric Anesthsia/ Cri Care Med

Revision 2012- Jusstin Hamrick, MD, Jennifer Hamrick,MD, Eugenis Heitmiller MD

NORMAL AVERAGE VITAL SIGN FOR AGE

Age HR(Beats/min) BP(mmhg) RR(breaths/min)
Preemie 120-170 55-75/35-45 40-70
0-3 mo 110-160 65-85/45-55 30-60
3-6 mo 100-150 70-90/50-65 30-45
6-12 mo 90-130 80-100/55-65 25-40
1-3 yr 80-125 90-105/55-70 20-30
3-6 yr 70-115 95-110/60-75 20-25
6-12 yr 60-100 100-120/60-75 14-22
>12 yr 60-100 100-120/70-80 12-18
** BP varies by age, height, and sex. Values listed are approximation only
** In premature infant, the gestation age approximates the normal MAP

CALCULATION TO ESTIMATE BLOOD PRESSURE BY AGE

50th % tile 5th % tile
Systolic BP 90 + (age *2) 70 + (age *2)
MAP 55 + (age *1.5) 40 + (age *1.5)

NORMAL VALUES OF MEAN SYSTEMIC ARTERIAL BLOOD PRESSURE BY AGE

Age Mean arterial pressure (mmHg)
Neonate 35-45
Infant 40-45
Small child 45-55
School age 50-65
Adolescents 60-75

Age Premie NB 3 mo 9 mo 12 mo 2-10 yr

Wt (Kg) 0.5-1.5 3.5 6 9 10 2 * (age+4)

INTRAVASULAR CATHETER SIZES

Arterial Catheter
Pt size Arterial Catheter Comments
Infant 24 G or 2.5 F, 2.5cm  Sterile Prep and Drape
10-40 kg 22 G or 2.5 F, 2.5 cm  Femoral OK if >5kg, use
>40kg 20 G 3F 5cm
Central Venous Catheter
Weight Catheter Size Comments
<2-3kg 3F 5cm  Sterile prep and full body
3-4kg 4F 5 or 8 cm drape/barrier precaution required
 Post insertion CXR required to
5-10kg 4F 8, 9, or 12 cm confirm placement before use
10-12kg 5F 8 cm  Confirm appropriate length prior
12-40kg 5F 12-15 cm to use. Length Calculation:
>40kg 7F 15 cmmmbk  For Height<100cm =H/10-1
 For Height>100cm=H/10-2