2023
Significant deficiency in mentorship amongst female neonatologists in the United States: a descriptive national survey by women in neonatology
Leeman K, Gray M, Dammann C, Reber K, Poindexter B, Johnston L. Significant deficiency in mentorship amongst female neonatologists in the United States: a descriptive national survey by women in neonatology. Journal Of Perinatology 2023, 43: 526-528. PMID: 36658203, DOI: 10.1038/s41372-023-01616-5.Peer-Reviewed Original ResearchFemaleHumansInfant, NewbornIntensive Care Units, NeonatalMentorsNeonatologistsNeonatologySurveys and QuestionnairesUnited States
2022
Does videolaryngoscopy improve tracheal intubation first attempt success in the NICUs? A report from the NEAR4NEOS
Moussa A, Sawyer T, Puia-Dumitrescu M, Foglia EE, Ades A, Napolitano N, Glass KM, Johnston L, Jung P, Singh N, Quek BH, Barry J, Zenge J, DeMeo S, Mehrem AA, Nadkarni V, Nishisaki A. Does videolaryngoscopy improve tracheal intubation first attempt success in the NICUs? A report from the NEAR4NEOS. Journal Of Perinatology 2022, 42: 1210-1215. PMID: 35922664, PMCID: PMC9362392, DOI: 10.1038/s41372-022-01472-9.Peer-Reviewed Original ResearchHumansInfant, NewbornIntensive Care Units, NeonatalIntubation, IntratrachealLaryngoscopesLaryngoscopyRegistries
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 ResearchMeSH KeywordsChildHumansInfant, NewbornIntensive Care Units, NeonatalIntubation, IntratrachealLogistic ModelsRegistriesConceptsTracheal 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 And Neonatal Edition 2021, 106: 392-397. PMID: 33478956, PMCID: PMC8237190, DOI: 10.1136/archdischild-2020-319709.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersFamilyFemaleGestational AgeHumansInfantInfant, NewbornIntensive Care Units, NeonatalIntubation, IntratrachealMaleOximetryOxygenProspective StudiesRegistriesRetrospective StudiesConceptsNeonatal 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
Current training in percutaneously inserted central catheter (PICC) placement and maintenance for neonatal–perinatal medicine fellows
Levit O, Shabanova V, Bizzarro MJ, Johnston L. Current training in percutaneously inserted central catheter (PICC) placement and maintenance for neonatal–perinatal medicine fellows. Journal Of Perinatology 2020, 40: 589-594. PMID: 31932714, DOI: 10.1038/s41372-019-0587-3.Peer-Reviewed Original ResearchMeSH KeywordsCatheterization, Central VenousCatheterization, PeripheralChi-Square DistributionClinical CompetenceCross-Sectional StudiesCurriculumEducation, Medical, GraduateEducational MeasurementFellowships and ScholarshipsHumansInfant, NewbornIntensive Care Units, NeonatalSurveys and QuestionnairesUnited StatesConceptsNeonatal-perinatal medicineNeonatal intensive care unitCentral catheter placementIntensive care unitNeonatal-perinatal medicine fellowsProgram directorsPICC insertionStudy designACare unitPICC placementPICC teamCatheter placementResponse rateMost program directorsConclusionsWide variationsEducational statusFormal trainingTraining program directorsCurrent educational status
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 ResearchMeSH KeywordsDelivery RoomsEmergency Medical ServicesFemaleHumansInfant, NewbornIntensive Care Units, NeonatalIntubation, IntratrachealLogistic ModelsMalePhiladelphiaRegistriesRetrospective StudiesTreatment OutcomeConceptsNeonatal 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 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
2018
Moving from controversy to consensus: premedication for neonatal intubation
Johnston L, Kwon SH. Moving from controversy to consensus: premedication for neonatal intubation. Journal Of Perinatology 2018, 38: 611-613. PMID: 29930326, DOI: 10.1038/s41372-018-0115-x.Peer-Reviewed Original Research
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 ResearchMeSH KeywordsClinical CompetenceCritical IllnessHumansInfant, NewbornIntensive Care Units, NeonatalIntubation, IntratrachealNeonatologyPatient SafetyQuality Assurance, Health CareQuality ImprovementConceptsIntubation 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
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 ResearchMeSH KeywordsClinical CompetenceHumansInfant, NewbornIntensive Care Units, NeonatalIntubation, IntratrachealProspective StudiesQuality ImprovementTertiary Care CentersConceptsNeonatal 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