2025
Site-Level Variation in Tracheal Intubation in the Pediatric Emergency Department: A Report From the National Emergency Airway Registry for Pediatric Emergency Medicine (NEAR4PEM).
Greenwald E, Miller K, Wing R, Prieto M, Nagler J, Napolitano N, Polikoff L, Goldman M, Sterrett E, Jackson J, Melchionne Miseo C, Dean P, Nti B, Losito E, Caperell K, Kennedy C, Patel D, Deanehan J, Bharath A, Killion J, Judge P, Joseph D, Ikeyama T, Nishisaki A, Kerrey B. Site-Level Variation in Tracheal Intubation in the Pediatric Emergency Department: A Report From the National Emergency Airway Registry for Pediatric Emergency Medicine (NEAR4PEM). Pediatric Emergency Care 2025 PMID: 40859870, DOI: 10.1097/pec.0000000000003464.Peer-Reviewed Original ResearchPediatric emergency departmentPediatric emergency medicineNational Emergency Airway RegistryFirst-attempt successSite-level variationEmergency medicineAirway RegistryEmergency departmentInterquartile rangeMulticenter observational studyAdverse tracheal intubation-associated eventsTracheal intubation-associated eventsQuality improvement effortsAnnual site visitsTracheal intubationAdmission ratesImprovement effortsProportion of infantsRegistrySite visitsSubstantial variationPediatricOxygen desaturationAirway outcomesApneic oxygenation
2024
Endotracheal Tube Size Adjustments Within Seven Days of Neonatal Intubation.
Peebles P, Jensen E, Herrick H, Wildenhain P, Rumpel J, Moussa A, Singh N, Abou Mehrem A, Quek B, Wagner M, Pouppirt N, Glass K, Tingay D, Hodgson K, O'Shea J, Sawyer T, Brei B, Jung P, Unrau J, Kim J, Barry J, DeMeo S, Johnston L, Nishisaki A, Foglia E. Endotracheal Tube Size Adjustments Within Seven Days of Neonatal Intubation. 2024, 153 PMID: 38469643, PMCID: PMC10979295, DOI: 10.1542/peds.2023-062925.Peer-Reviewed Original ResearchNeonatal Resuscitation ProgramSevere oxygen desaturationEndotracheal tubeOxygen desaturationETT sizeWeight subgroupsNeonatal Resuscitation Program recommendationsRetrospective multicenter cohort studyAssociated with fewer adverse eventsMulticenter cohort studyFewer adverse eventsEndotracheal tube sizeAssociated with lower oddsNeonatal endotracheal tubeNeonatal intubationAdverse eventsResuscitation ProgramCohort studyAdverse outcomesAirway RegistryTracheal intubationInfantsLower oddsIntubationSubgroups
2023
Evaluating Airway Management in Patients With Trisomy 21 in the PICU and Cardiac ICU: A Retrospective Cohort Study
Wilsterman E, Nellis M, Panisello J, Al-Subu A, Breuer R, Kimura D, Krawiec C, Mallory P, Nett S, Owen E, Parsons S, Sanders R, Garcia-Marcinkiewicz A, Napolitano N, Shults J, Nadkarni V, Nishisaki A, Network F. Evaluating Airway Management in Patients With Trisomy 21 in the PICU and Cardiac ICU: A Retrospective Cohort Study. Pediatric Critical Care Medicine 2023, 25: 335-343. PMID: 38059735, PMCID: PMC10994735, DOI: 10.1097/pcc.0000000000003418.Peer-Reviewed Original ResearchTracheal intubationCardiac ICUTrisomy 21Trisomy 21 patientsNational Emergency Airway RegistryCervical spine protectionDifficult airway featuresLower median weightNorth American PICUsPeri-intubation hypoxemiaRetrospective cohort studyUpper airway obstructionRetrospective database studyCohort of childrenCongenital heart diseasePropensity-score matchingAirway RegistryAirway riskAirway obstructionAirway outcomesCohort studyAirway managementMedian weightHeart diseaseIll childrenSingle-use versus reusable metallic laryngoscopes for non-emergent intubation: A retrospective review of 72,672 intubations
Chang D, Burnett G, Chiu S, Ouyang Y, Lin H, Hyman J. Single-use versus reusable metallic laryngoscopes for non-emergent intubation: A retrospective review of 72,672 intubations. Journal Of Clinical Anesthesia 2023, 89: 111187. PMID: 37339555, DOI: 10.1016/j.jclinane.2023.111187.Peer-Reviewed Original ResearchConceptsDifficult laryngeal viewRapid sequence inductionLaryngeal viewRescue intubationSequence inductionSubgroup analysisRisk factorsMacintosh bladeMiller bladeSingle-site retrospective cohort studyAlternate deviceRetrospective cohort studyGeneral anesthetic casesAcademic medical centerPoor laryngeal viewNon-emergent proceduresSecondary outcomesAdult patientsCohort studyPrimary outcomeRetrospective reviewTracheal intubationIntubation attemptsLower incidenceMedical Center
2022
See one, see one, teach one – Decisions on allocating intubation opportunities in pediatric emergency medicine
Miller K, Dechnik A, Miller A, D'Ambrosi G, Monuteaux M, Thomas P, Kerrey B, Neubrand T, Goldman M, Prieto M, Wing R, Breuer R, D'Mello J, Jakubowicz A, Nishisaki A, Nagler J. See one, see one, teach one – Decisions on allocating intubation opportunities in pediatric emergency medicine. AEM Education And Training 2022, 6: e10830. PMID: 36562026, PMCID: PMC9763969, DOI: 10.1002/aet2.10830.Peer-Reviewed Original ResearchPediatric emergency medicine fellowsEmergency medicine fellowsFirst-attempt successPediatric residentsPre-pandemicNational Emergency Airway Registry for ChildrenAirway protocolPediatric emergency medicineRate of first-attempt successPediatric emergency departmentAirway management protocolLevel of trainingCOVID-19 pandemicStudy combined dataPatient safetyEmergency medicineEmergency departmentPediatric intubationEducation CollaborativeClinical outcomesCOVID-19Older patientsTracheal intubationTraineesAirway outcomesThe Association of Teamwork and Adverse Tracheal Intubation–Associated Events in Advanced Airway Management in the PICU
Jennings J, Nett S, Umoren R, Murray R, Kessel A, Napolitano N, Adu-Darko M, Biagas K, Jung P, Spear D, Parsons S, Breuer R, Meyer K, Malone M, Shenoi A, Lee A, Mallory P, Al-Subu A, Tarquinio K, Glater L, Toal M, Lee J, Pinto M, Polikoff L, Own E, Toedt-Pingel I, Kasagi M, Ducharme-Crevier L, Motomura M, Gima M, Kelly S, Panisello J, Nuthall G, Gladen K, Shults J, Nadkarni V, Nishisaki A, Network F. The Association of Teamwork and Adverse Tracheal Intubation–Associated Events in Advanced Airway Management in the PICU. Journal Of Pediatric Intensive Care 2022 DOI: 10.1055/s-0042-1756715.Peer-Reviewed Original ResearchTracheal intubationTeamwork scoresPoor teamworkNational Emergency Airway RegistryPediatric intensive care unitAdverse tracheal intubationNeuromuscular blockade usePeri-intubation hypoxemiaIntensive care unitAdvanced airway managementHigh-risk procedureAirway RegistryHigher occurrenceCare unitAirway managementNeuromuscular blockadeIll childrenRetrospective analysisHigher oddsProvider typeTeamwork assessment toolsHypoxemiaIntubationTeamwork ratingsScoresImpact of multiple intubation attempts on adverse tracheal intubation associated events in neonates: a report from the NEAR4NEOS
Singh N, Sawyer T, Johnston LC, Herrick HM, Moussa A, Zenge J, Jung P, DeMeo S, Glass K, Howlett A, Shults J, Barry J, Brei BK, Kim JH, Quek BH, Tingay D, Mehrem AA, Napolitano N, Nishisaki A, Foglia EE. Impact of multiple intubation attempts on adverse tracheal intubation associated events in neonates: a report from the NEAR4NEOS. Journal Of Perinatology 2022, 42: 1221-1227. PMID: 35982243, DOI: 10.1038/s41372-022-01484-5.Peer-Reviewed Original ResearchConceptsIntubation attemptsNational Emergency Airway RegistryAdverse tracheal intubationClinical adverse outcomesDesignA retrospective studySevere oxygen desaturationMultiple intubation attemptsTracheal intubation attemptsAdverse safety eventsAirway RegistryOxygen desaturationAdverse eventsRetrospective studyTracheal intubationAdverse outcomesDelivery roomOdds ratioNeonatal intubationHigh riskTI attemptsAcademic centersIntubationSafety eventsNumber of attemptsNeonatesAssociation between choice of reversal agent for neuromuscular block and postoperative pulmonary complications in patients at increased risk undergoing non-emergency surgery: STIL-STRONGER, a multicentre matched cohort study
Colquhoun D, Vaughn M, Bash L, Janda A, Shah N, Ghaferi A, Sjoding M, Mentz G, Kheterpal S, Committee M, Craft R, Domino K, Freundlich R, Mathis M, McCormick P, Naik B, Ruiz J, Schonberger R, Schroeder R, Stewart A, Taicher B, Tingle S, Togioka B, Urman R, Vachhani S. Association between choice of reversal agent for neuromuscular block and postoperative pulmonary complications in patients at increased risk undergoing non-emergency surgery: STIL-STRONGER, a multicentre matched cohort study. British Journal Of Anaesthesia 2022, 130: e148-e159. PMID: 35691703, PMCID: PMC9875908, DOI: 10.1016/j.bja.2022.04.023.Peer-Reviewed Original ResearchConceptsPostoperative pulmonary complicationsPulmonary complicationsNon-emergency surgeryRespiratory failureCohort studyNeuromuscular blockReversal agentsAnesthesiologists physical status 3Primary composite outcomeCohort of patientsUse of sugammadexIntra-abdominal surgeryOccurrence of pneumoniaBody mass indexSource of morbidityNeuromuscular blocking agentsStatus 3Complication outcomesComposite outcomeMajor surgeryPrimary outcomeMass indexTracheal intubationGeneral anesthesiaMulticenter Perioperative Outcomes Group
2021
Associations of Stylet Use during Neonatal Intubation with Intubation Success, Adverse Events, and Severe Desaturation: A Report from NEAR4NEOS
Gray MM, Rumpel JA, Brei BK, Krick JA, Sawyer T, Glass K, DeMeo S, Barry J, Ades A, Napolitano N, Johnston L, Moussa A, Jung P, Quek BH, Mehrem AA, Zenge J, Shults J, Nadkarni V, Kim J, Singh N, Tisnic A, Foglia E, Nishisaki A. Associations of Stylet Use during Neonatal Intubation with Intubation Success, Adverse Events, and Severe Desaturation: A Report from NEAR4NEOS. Neonatology 2021, 118: 470-478. PMID: 33946064, PMCID: PMC8376756, DOI: 10.1159/000515872.Peer-Reviewed Original ResearchConceptsTracheal intubation-associated eventsNeonatal intensive care unitFirst-attempt intubation successSevere desaturationStylet useIntubation successDelivery roomIntubation outcomesOral intubationNeonatal intubationSevere oxygen desaturationIntensive care unitFirst-attempt successGeneralized estimates equationsMainstem intubationOxygen desaturationAdverse eventsCare unitTracheal intubationInternational registryPediatric providersIntubationUnsuccessful first attemptEsophageal intubationLogistic regressionAssociations between family presence and neonatal intubation outcomes: a report from the National Emergency Airway Registry for Neonates: NEAR4NEOS
Brei BK, Sawyer T, Umoren R, Gray MM, Krick J, Foglia EE, Ades A, Glass K, Kim JH, Singh N, Jung P, Johnston L, Moussa A, Napolitano N, Barry J, Zenge J, Quek B, DeMeo SD, Shults J, Unrau J, Nadkarni V, Nishisaki A. Associations between family presence and neonatal intubation outcomes: a report from the National Emergency Airway Registry for Neonates: NEAR4NEOS. Archives Of Disease In Childhood Fetal & Neonatal 2021, 106: 392-397. PMID: 33478956, PMCID: PMC8237190, DOI: 10.1136/archdischild-2020-319709.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitSevere oxygen desaturationNational Emergency Airway RegistryTracheal intubationOxygen desaturationFamily presenceAirway RegistryIntubation successAcademic neonatal intensive care unitFirst-attempt success rateAdverse tracheal intubationChronic respiratory failureIntensive care unitAttempt success rateFirst-attempt successNeonatal tracheal intubationsRespiratory failureIntubation outcomesCare unitIndependent associationImportant patientAttempt successRetrospective analysisMultivariate analysisOlder infants
2020
Timing of Intubation and In-Hospital Mortality in Patients With Coronavirus Disease 2019
Hyman JB, Leibner ES, Tandon P, Egorova NN, Bassily-Marcus A, Kohli-Seth R, Arvind V, Chang HL, Lin HM, Levin MA. Timing of Intubation and In-Hospital Mortality in Patients With Coronavirus Disease 2019. Critical Care Explorations 2020, 2: e0254. PMID: 33134945, PMCID: PMC7587418, DOI: 10.1097/cce.0000000000000254.Peer-Reviewed Original ResearchAcute respiratory syndrome coronavirus 2 infectionSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infectionSyndrome coronavirus 2 infectionCoronavirus 2 infectionCoronavirus disease 2019Mechanical ventilationDisease 2019Hospital deathAdult patientsHospital admissionMount Sinai Health SystemTime-varying Cox modelsTiming of intubationRetrospective cohort studyIn-Hospital MortalitySinai Health SystemSkilled nursing facilitiesHospital mortalityUnderwent intubationCohort studyImproved survivalMedian agePrimary outcomeMedian timeTracheal intubationThe New Trainee Effect in Tracheal Intubation Procedural Safety Across PICUs in North America: A Report From National Emergency Airway Registry for Children.
Branca A, Tellez D, Berkenbosch J, Rehder KJ, Giuliano JS, Gradidge E, Shults J, Turner DA, Nett S, Krawiec C, Edwards LR, Pinto M, Harwayne-Gidansky I, Bysani GK, Shenoi A, Breuer RK, Toedt-Pingel I, Parsons SJ, Orioles A, Al-Subu A, Konyk L, Panisello J, Adu-Darko M, Tarquinio K, François T, Emeriaud G, Lee A, Meyer K, Glater-Welt LB, Polikoff L, Kelly SP, Tallent S, Napolitano N, Nadkarni V, Nishisaki A. The New Trainee Effect in Tracheal Intubation Procedural Safety Across PICUs in North America: A Report From National Emergency Airway Registry for Children. Pediatric Critical Care Medicine 2020, 21: 1042-1050. PMID: 32740182, DOI: 10.1097/pcc.0000000000002480.Peer-Reviewed Original ResearchConceptsFirst-attempt successCritical care medicine fellowsNational Emergency Airway RegistryTracheal intubationAttempt successAirway RegistryPediatric critical care medicine fellowship programsPediatric critical care medicine fellowsPediatric critical care medicine fellowshipCritical care medicine fellowshipEvent ratesAdverse tracheal intubationNorth American PICUsRetrospective cohort studyCritical care medicine fellowship programsYear of fellowshipIntubation safetyAdverse eventsCohort studyProcedural safetyIntubationSafety outcomesHigh riskPICUsClinical fellowship
2019
Comparison of Neonatal Intubation Practice and Outcomes between the Neonatal Intensive Care Unit and Delivery Room
Herrick HM, Glass KM, Johnston LC, Singh N, Shults J, Ades A, Nadkarni V, Nishisaki A, Foglia EE. Comparison of Neonatal Intubation Practice and Outcomes between the Neonatal Intensive Care Unit and Delivery Room. Neonatology 2019, 117: 65-72. PMID: 31563910, PMCID: PMC7098841, DOI: 10.1159/000502611.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitFirst-attempt success rateIntensive care unitAttempt success rateTracheal intubationFirst-attempt successDelivery roomUnivariable analysisCare unitAttempt successNational Emergency Airway RegistryAdverse tracheal intubationRetrospective cohort studyNeonatal tracheal intubationsSuccess rateExposure of interestLogistic regression modelsAirway RegistryBaseline characteristicsCohort studySevere desaturationMultivariable analysisIntubation practicesSafety outcomesPractice characteristicsTeam Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS
Umoren RA, Sawyer TL, Ades A, DeMeo S, Foglia EE, Glass K, Gray MM, Barry J, Johnston L, Jung P, Kim JH, Krick J, Moussa A, Mulvey C, Nadkarni V, Napolitano N, Quek BH, Singh N, Zenge JP, Shults J, Nishisaki A. Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS. American Journal Of Perinatology 2019, 37: 1417-1424. PMID: 31365934, DOI: 10.1055/s-0039-1693698.Peer-Reviewed Original ResearchConceptsAdverse eventsTracheal intubationAcademic neonatal intensive care unitNeonatal intensive care unitAdverse tracheal intubationIntensive care unitNeonatal tracheal intubationsHemodynamic instabilityOxygenation failureCare unitPotential confoundersNeonatal intubationFamily presenceEvent ratesIntubationPractice factorsHigh stress levelsLikert scaleAssociationTeam stressStress levelsPremedicationLevelsPatientsConfoundersPremedication with neuromuscular blockade and sedation during neonatal intubation is associated with fewer adverse events
Ozawa Y, Ades A, Foglia EE, DeMeo S, Barry J, Sawyer T, Singh N, Glass K, Jung P, Quek BH, Johnston L, Kim J, Napolitano N, Shults J, Nadkarni VM, Nishisaki A. Premedication with neuromuscular blockade and sedation during neonatal intubation is associated with fewer adverse events. Journal Of Perinatology 2019, 39: 848-856. PMID: 30940929, DOI: 10.1038/s41372-019-0367-0.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitAdverse tracheal intubationTracheal intubationNeuromuscular blockadeNational Emergency Airway RegistryDesignRetrospective cohort studyImpact of premedicationSevere oxygen desaturationIntensive care unitAirway RegistryBlockade groupOxygen desaturationAdverse eventsCohort studyMedication groupCare unitOdds ratioNeonatal intubationSedationBlockadePremedicationIntubationMedicationsStandard useNeonatesIncidence, impact and indicators of difficult intubations in the neonatal intensive care unit: a report from the National Emergency Airway Registry for Neonates
Sawyer T, Foglia EE, Ades A, Moussa A, Napolitano N, Glass K, Johnston L, Jung P, Singh N, Quek BH, Barry J, Zenge J, DeMeo SD, Brei B, Krick J, Kim JH, Nadkarni V, Nishisaki A. Incidence, impact and indicators of difficult intubations in the neonatal intensive care unit: a report from the National Emergency Airway Registry for Neonates. Archives Of Disease In Childhood Fetal & Neonatal 2019, 104: f461. PMID: 30796059, DOI: 10.1136/archdischild-2018-316336.Peer-Reviewed Original ResearchMeSH KeywordsAirway ManagementClinical CompetenceEmergenciesFemaleHumansHypoxiaIncidenceInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalIntubation, IntratrachealMaleOutcome Assessment, Health CarePractice Patterns, Physicians'Quality ImprovementRegistriesRetrospective StudiesUnited StatesConceptsNeonatal intensive care unitNational Emergency Airway RegistrySevere oxygen desaturationIntensive care unitDifficult intubationAirway RegistryOxygen desaturationAdverse eventsCare unitTracheal intubationOdds ratioAcademic neonatal intensive care unitDifficult intubation groupSmall preterm infantsDifficult tracheal intubationIntubation groupPreterm infantsRetrospective reviewClinical impactIntubationNeonatesRegistryIncidenceDesaturationLack of sensitivityNeonatal Intubation Practice and Outcomes: An International Registry Study
Foglia EE, Ades A, Sawyer T, Glass KM, Singh N, Jung P, Quek BH, Johnston LC, Barry J, Zenge J, Moussa A, Kim JH, DeMeo SD, Napolitano N, Nadkarni V, Nishisaki A. Neonatal Intubation Practice and Outcomes: An International Registry Study. 2019, 143: e20180902. PMID: 30538147, PMCID: PMC6317557, DOI: 10.1542/peds.2018-0902.Peer-Reviewed Original ResearchConceptsTracheal intubation-associated eventsDR intubationIntubation safetyAdverse eventsModifiable factorsIntubation practicesAdverse tracheal intubation-associated eventsDesaturation rateNational Emergency Airway RegistryFirst-attempt success rateDelivery room settingInternational registry studySevere oxygen desaturationFuture interventional studiesAttempt success rateMultivariable logistic regressionNeonatal tracheal intubationsAirway RegistryIntubation characteristicsUnivariable testsOxygen desaturationRegistry studyTracheal intubationInterventional studyNeonatal intubation
2018
Video screen viewing and first intubation attempt success with standard geometry video laryngoscope use
Dodd K, Prekker M, Robinson A, Buckley R, Reardon R, Driver B. Video screen viewing and first intubation attempt success with standard geometry video laryngoscope use. The American Journal Of Emergency Medicine 2018, 37: 1336-1339. PMID: 30528054, DOI: 10.1016/j.ajem.2018.10.018.Peer-Reviewed Original ResearchConceptsFirst-attempt successFirst-attempt success rateVideo LaryngoscopySuccess rateHigher first-attempt successEmergency department intubationAcademic medical centerElectronic medical recordsCalendar year 2013Video laryngoscope useDifficult airwayTracheal intubationOrotracheal intubationEmergency intubationMedical recordsAttempt successEmergency physiciansMedical CenterVideo laryngoscopeClinical practiceIntubationMacintosh video laryngoscopeReal-world settingVL devicesPhysiciansNeonatal Intubation Competency Assessment Tool: Development and Validation
Johnston L, Sawyer T, Nishisaki A, Whitfill T, Ades A, French H, Glass K, Dadiz R, Bruno C, Levit O, Gangadharan S, Scherzer D, Moussa A, Auerbach M, Network I. Neonatal Intubation Competency Assessment Tool: Development and Validation. Academic Pediatrics 2018, 19: 157-164. PMID: 30103050, DOI: 10.1016/j.acap.2018.07.008.Peer-Reviewed Original ResearchConceptsCompetency assessment toolNeonatal tracheal intubationsGlobal skills assessmentEPA levelsChecklist scoresCormack-Lehane scoreAssessment toolHealth care providersImportant clinical skillTracheal intubationGlottic exposureNeonatal simulatorCare providersGood internal consistencyPatient harmBlinded reviewersDelphi processActivity levelsSimulation-based trainingClinical skillsScoresInternal consistencyChecklist itemsFinal toolSkills assessmentEnd-Tidal Carbon Dioxide Use for Tracheal Intubation
Langhan ML, Emerson BL, Nett S, Pinto M, Harwayne-Gidansky I, Rehder KJ, Krawiec C, Meyer K, Giuliano JS, Owen EB, Tarquinio KM, Sanders RC, Shepherd M, Bysani GK, Shenoi AN, Napolitano N, Gangadharan S, Parsons SJ, Simon DW, Nadkarni VM, Nishisaki A. End-Tidal Carbon Dioxide Use for Tracheal Intubation. Pediatric Critical Care Medicine 2018, 19: 98-105. PMID: 29140968, DOI: 10.1097/pcc.0000000000001372.Peer-Reviewed Original ResearchConceptsCapnography useTracheal intubationCardiac arrestEmergency departmentEsophageal intubationOxygen desaturationWaveform capnographyAdverse tracheal intubation-associated eventsMulticenter retrospective cohort studyNational Emergency Airway RegistryTracheal intubation-associated eventsEnd-tidal carbon dioxide measurementPrimary tracheal intubationsRetrospective cohort studyUse of capnographyTracheal intubation procedureQuality improvement initiativesAirway RegistryCohort studyProvider characteristicsSafety outcomesIntubationIntubation procedureCapnographyImprovement initiatives
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