Impact of multiple intubation attempts on adverse tracheal intubation associated events in neonates: a report from the NEAR4NEOS

National Emergency Airway Registry for Neonates (NEAR4NEOS)

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To determine the relationship between number of attempts and adverse events during neonatal intubation. Study design: A retrospective study of prospectively collected data of intubations in the delivery room and NICU from the National Emergency Airway Registry for Neonates (NEAR4NEOS) in 17 academic centers from 1/2016 to 12/2019. We examined the association between tracheal intubation attempts [1, 2, and ≥3 (multiple attempts)] and clinical adverse outcomes (any tracheal intubation associated events (TIAE), severe TIAE, and severe oxygen desaturation). Results: Of 7708 intubations, 1474 (22%) required ≥3 attempts. Patient, provider, and practice factors were associated with higher TI attempts. Increasing intubation attempts was independently associated with a higher risk for TIAE. The adjusted odds ratio for TIAE and severe oxygen desaturation were significantly higher in TIs with 2 and ≥3 attempts than with one attempt. Conclusion: The risk of adverse safety events during intubation increases with the number of intubation attempts.

Original languageEnglish (US)
Pages (from-to)1221-1227
Number of pages7
JournalJournal of Perinatology
Volume42
Issue number9
DOIs
StatePublished - Sep 2022

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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