2021
Intubation Competence During Neonatal Fellowship Training
Evans P, Shults J, Weinberg DD, Napolitano N, Ades A, Johnston L, Levit O, Brei B, Krick J, Sawyer T, Glass K, Wile M, Hollenberg J, Rumpel J, Moussa A, Verreault A, Mehrem A, Howlett A, McKanna J, Nishisaki A, Foglia EE. Intubation Competence During Neonatal Fellowship Training. Pediatrics 2021, 148: e2020036145. PMID: 34172556, PMCID: PMC8290971, DOI: 10.1542/peds.2020-036145.Peer-Reviewed Original ResearchConceptsIntubation encountersFellowship trainingNational Emergency Airway RegistryMulti-center cohort studyNorth American academic centersNeonatal-perinatal medicine fellowsNumber of intubationsOverall success rateCumulative sum analysisProcedural competenceAirway RegistryCohort studyMultivariable analysisIntubation attemptsNeonatal intubationSuccessful intubationIntubation successAcademic centersIndividualized approachPractice characteristicsStart of trainingIntubationProgressionIndependent impactSuccess rateImpact of Physician Training Level on Neonatal Tracheal Intubation Success Rates and Adverse Events: A Report from National Emergency Airway Registry for Neonates (NEAR4NEOS)
Johnston L, Sawyer T, Ades A, Moussa A, Zenge J, Jung P, DeMeo S, Glass K, Singh N, Howlett A, Shults J, Barry J, Brei B, Foglia E, Nishisaki A. Impact of Physician Training Level on Neonatal Tracheal Intubation Success Rates and Adverse Events: A Report from National Emergency Airway Registry for Neonates (NEAR4NEOS). Neonatology 2021, 118: 434-442. PMID: 34111869, PMCID: PMC8376802, DOI: 10.1159/000516372.Peer-Reviewed Original ResearchConceptsPhysician training levelFirst-attempt successOxygen desaturationAdverse eventsMultivariable analysisNeonatal physiciansNational Emergency Airway RegistryTracheal intubation success rateFirst-attempt success rateSevere oxygen desaturationProspective cohort studyIntubation success rateSuccess rateTraining levelAirway RegistryCohort studyPatient ageIntubation outcomesUnivariable analysisIndependent associationOdds ratioPractice characteristicsPrimary TiDesaturationTI success
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 characteristics
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
2014
Utilization of Exploration-Based Learning and Video-Assisted Learning to Teach GlideScope Videolaryngoscopy
Johnston LC, Auerbach M, Kappus L, Emerson B, Zigmont J, Sudikoff SN. Utilization of Exploration-Based Learning and Video-Assisted Learning to Teach GlideScope Videolaryngoscopy. Teaching And Learning In Medicine 2014, 26: 285-291. PMID: 25010241, DOI: 10.1080/10401334.2014.910462.Peer-Reviewed Original ResearchConceptsEndotracheal intubationPediatric critical carePediatric endotracheal intubationSuccessful endotracheal intubationProcedural performancePediatric emergency medicinePediatric airwayProcedural durationGlideScope videolaryngoscopyAirway simulatorCritical carePediatric providersPediatric anesthesiaIntubation procedureAdult airwayGlideScopeDlRandom orderPediatric residentsEmergency medicineLevel of trainingAirway trainersSuccess rateAirwayBaseline success rate
2013
Neonatal intubation performance: Room for improvement in tertiary neonatal intensive care units
Haubner LY, Barry JS, Johnston LC, Soghier L, Tatum PM, Kessler D, Downes K, Auerbach M. Neonatal intubation performance: Room for improvement in tertiary neonatal intensive care units. Resuscitation 2013, 84: 1359-1364. PMID: 23562374, DOI: 10.1016/j.resuscitation.2013.03.014.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitIntensive care unitCare unitPatient factorsSuccess rateTI attemptsVocal cordsLevel III neonatal intensive care unitTertiary neonatal intensive care unitProcedural success rateProcedure success rateProspective descriptive studyStandardized data collection instrumentTI successTracheal intubation performanceRespiratory failureMedian durationCommon indicationPrimary outcomeHigh success rateNeonatal fellowsCommon reasonPatient decompensationLow success rateIntubation performance