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Review
. 2023 Oct;28(5):101482.
doi: 10.1016/j.siny.2023.101482. Epub 2023 Nov 18.

Success rates and adverse events during neonatal intubation: Lessons learned from an international registry

Heidi M Herrick  1 , Mackenzie A O'Reilly  2 , Elizabeth E Foglia  3
Affiliations
Review

Success rates and adverse events during neonatal intubation: Lessons learned from an international registry

Heidi M Herrick et al. Semin Fetal Neonatal Med. 2023 Oct.

Abstract

Neonatal endotracheal intubation is a challenging procedure with suboptimal success and adverse event rates. Systematically tracking intubation outcomes is imperative to understand both universal and site-specific barriers to intubation success and safety. The National Emergency Airway Registry for Neonates (NEAR4NEOS) is an international registry designed to improve neonatal intubation practice and outcomes that includes over 17,000 intubations across 23 international sites as of 2023. Methods to improve intubation safety and success include appropriately matching the intubation provider and situation and increasing adoption of evidence-based practices such as muscle relaxant premedication and video laryngoscope, and potentially new interventions such as procedural oxygenation.

Keywords: Intubation; Neonate; Safety.

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Figures

Figure 1:
Figure 1:. Tracheal Intubation Safety Events across Settings,–
TI: Tracheal Intubation, TIAE: Tracheal Intubation Associated Events, NICU: Neonatal Intensive Care Unit, PICU: Pediatric Intensive Care Unit, ED: Emergency Department
Figure 2:
Figure 2:
Conceptual model of factors associated with intubation safety
See this image and copyright information in PMC

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