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 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
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 sensitivity