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. Pediatrics 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 oddsIntubationSubgroupsFactors that impact second attempt success for neonatal intubation following first attempt failure: a report from the National Emergency Airway Registry for Neonates
Johnson M, Tingay D, Perkins E, Sett A, Devsam B, Douglas E, Charlton J, Wildenhain P, Rumpel J, Wagner M, Nadkarni V, Johnston L, Herrick H, Hartman T, Glass K, Jung P, DeMeo S, Shay R, Kim J, Unrau J, Moussa A, Nishisaki A, Foglia E. Factors that impact second attempt success for neonatal intubation following first attempt failure: a report from the National Emergency Airway Registry for Neonates. Archives Of Disease In Childhood - Fetal And Neonatal Edition 2024, 109: 609-615. PMID: 38418208, PMCID: PMC11349927, DOI: 10.1136/archdischild-2023-326501.Peer-Reviewed Original ResearchNeonatal intensive care unitNational Emergency Airway RegistryEndotracheal tube sizeTracheal intubation-associated eventsEndotracheal tubeNeonatal intubationStylet useSevere desaturationAttempt successAcademic neonatal intensive care unitAirway RegistryRisk of adverse eventsNeonatal tracheal intubationSevere tracheal intubation-associated eventsFailed first attemptIntensive care unitDelivery roomAdverse eventsRetrospective analysisPatient characteristicsPrimary outcomeSecondary outcomesCare unitIntubationIntubation practices
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
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 rateAssociations 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 regression
2019
Team 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
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
2015
Do you see what I see? A randomised pilot study to evaluate the effectiveness and efficiency of simulation-based training with videolaryngoscopy for neonatal intubation
Johnston LC, Chen R, Whitfill TM, Bruno CJ, Levit OL, Auerbach MA. Do you see what I see? A randomised pilot study to evaluate the effectiveness and efficiency of simulation-based training with videolaryngoscopy for neonatal intubation. BMJ Simulation & Technology Enhanced Learning 2015, 1: 12. PMID: 35517843, PMCID: PMC8936656, DOI: 10.1136/bmjstel-2015-000031.Peer-Reviewed Original ResearchAirway viewMinimum passing scorePilot studyAirway gradeBaseline demographicsDuration of attemptsPatient's airwayAirway intubationNeonatal intubationNeonatal resuscitationGlobal skills assessmentStorz C-MACDuration of trainingEducational sessionsVideolaryngoscopyAirwayDlSmall sample sizeEducational interventionIntubation trainingAirway trainersDirect visual confirmationIntubationC-MACSignificant differences