@article {Brei392, author = {Brianna K Brei and Taylor Sawyer and Rachel Umoren and Megan M Gray and Jeanne Krick and Elizabeth E Foglia and Anne Ades and Kristen Glass and Jae H Kim and Neetu Singh and Philipp Jung and Lindsay Johnston and Ahmed Moussa and Natalie Napolitano and James Barry and Jeanne Zenge and Binhuey Quek and Stephen D DeMeo and Justine Shults and Jennifer Unrau and Vinay Nadkarni and Akira Nishisaki}, editor = {,}, title = {Associations between family presence and neonatal intubation outcomes: a report from the National Emergency Airway Registry for Neonates: NEAR4NEOS}, volume = {106}, number = {4}, pages = {392--397}, year = {2021}, doi = {10.1136/archdischild-2020-319709}, publisher = {BMJ Publishing Group}, abstract = {Objective Describe the current practice of family presence during neonatal tracheal intubations (TIs) across neonatal intensive care units (NICUs) and examine the association with outcomes.Design Retrospective analysis of TIs performed in NICUs participating in the National Emergency Airway Registry for Neonates (NEAR4NEOS).Setting Thirteen academic NICUs.Patients Infants undergoing TI between October 2014 and December 2017.Main outcome measures Association of family presence with TI processes and outcomes including first attempt success (primary outcome), success within two attempts, adverse TI-associated events (TIAEs) and severe oxygen desaturation >=20\% from baseline.Results Of the 2570 TIs, 242 (9.4\%) had family presence, which varied by site (median 3.6\%, range 0\%{\textendash}33\%; p\<0.01). Family member was more often present for older infants and those with chronic respiratory failure. Fewer TIs were performed by residents when family was present (FP 10\% vs no FP 18\%, p=0.041). Among TIs with family presence versus without family presence, the first attempt success rate was 55\% vs 49\% (p=0.062), success within two attempts was 74\% vs 66\% (p=0.014), adverse TIAEs were 18\% vs 20\% (p=0.62) and severe oxygen desaturation was 49\% vs 52\%, (p=0.40). In multivariate analyses, there was no independent association between family presence and intubation success, adverse TIAEs or severe oxygen desaturation.Conclusion Family are present in less than 10\% of TIs, with variation across NICUs. Even after controlling for important patient, provider and site factors, there were no significant associations between family presence and intubation success, adverse TIAEs or severe oxygen desaturation.All data relevant to the study are included in the article or uploaded as supplementary information.}, issn = {1359-2998}, URL = {https://fn.bmj.com/content/106/4/392}, eprint = {https://fn.bmj.com/content/106/4/392.full.pdf}, journal = {Archives of Disease in Childhood - Fetal and Neonatal Edition} }