2024
One size does not fit all for URiM applicants: a comparison of NPM program size on URiM applications
Scott K, Castera M, Gray M, Myers P, Bonachea E, Karpen H, French H, Carbajal M, Johnston L. One size does not fit all for URiM applicants: a comparison of NPM program size on URiM applications. Journal Of Perinatology 2024, 1-6. PMID: 39397057, DOI: 10.1038/s41372-024-02151-7.Peer-Reviewed Original ResearchNeonatal-perinatal medicineNeonatal-perinatal medicine fellowship programsURiM applicantsDiverse physician workforceTraining program directorsGeneral pediatricsEnhanced recruitment strategiesFellowship programsPhysician workforceProgram directorsPediatricImprove health outcomesDeclining match ratesFinancial burdenIneffective recruitmentNeonatesURiMHealth outcomesMultifaceted approachWorkforce data
2023
Optimizing clinical care and training in the neonatal intensive care unit: the relationship between front line providers and physician trainees
Dyess N, Keels E, Myers P, French H, Reber K, LaTuga M, Johnston L, Scala M. Optimizing clinical care and training in the neonatal intensive care unit: the relationship between front line providers and physician trainees. Journal Of Perinatology 2023, 43: 1513-1519. PMID: 37580512, DOI: 10.1038/s41372-023-01749-7.Peer-Reviewed Original ResearchFront-line providersNeonatal intensive care unitIntensive care unitPediatric house staffCare unitNICU providersWay patient careDelivery roomProvider teamNurse practitionersClinical careClinical gapsPatient carePhysician assistantsPhysician traineesNICUHouse staffCareTrainee work hoursProvidersWork hoursNeonatesCurrent landscapeInfantsHospitalists
2022
Impact 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 attemptsNeonates
2020
Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows
Simmons MA, Otero-Luna A, Redmond B, Fahey J, Beach C, Bruno C, Johnston L. Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows. MedEdPORTAL 2020, 16: 11045. PMID: 33365389, PMCID: PMC7751327, DOI: 10.15766/mep_2374-8265.11045.Peer-Reviewed Original ResearchConceptsCardiac diseaseMean overall satisfaction scoreNeonatal cardiac emergencyManagement of neonatesCongenital heart diseaseRemote consultationsPediatric cardiology fellowsOverall satisfaction scoreCardiac concernsCardiogenic shockMultidisciplinary managementUnstable arrhythmiasBedside evaluationPediatric cardiologistsCardiac careHeart diseaseCardiac emergenciesPediatric cardiologyClinical decisionSatisfaction scoresCyanosisNeonatesSimulation curriculumCardiology fellowsDisease
2019
Premedication 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 And Neonatal Edition 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 sensitivity
2017
Improving neonatal intubation safety: A journey of a thousand miles
Sawyer T, Foglia E, Hatch L, Moussa A, Ades A, Johnston L, Nishisaki A. Improving neonatal intubation safety: A journey of a thousand miles. Journal Of Neonatal-Perinatal Medicine 2017, Preprint: 1-7. PMID: 28409758, DOI: 10.3233/npm-171686.Peer-Reviewed Original ResearchConceptsIntubation safetyNeonatal intubationLower first-attempt success rateSuccess rateFirst-attempt success rateSevere oxygen desaturationMultiple intubation attemptsAttempt success rateIntubation success rateQuality improvement effortsPatient safety researchOxygen desaturationAdverse eventsDecrease complicationsEndotracheal tubeIntubation attemptsNeonatal medicineHigh riskDangerous procedureIntubation trainingCommon procedureIntubationComplicationsNeonatesSafety