NEAR4NEOS

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The National Emergency Airway Registry for Neonates (NEAR4NEOS) Program was formed in 2014 with a goal to improve neonatal intubation safety. Intubation is one of the most common, and potentially dangerous, procedures in neonatal care. As many as one to six percent of newborns will undergo intubation at birth, and many more undergo the procedure in the NICU.

Intubation is a highly specialized skill, requiring practice and experience to gain proficiency. First-attempt success rates in pediatric residents are around 20-30 percent and, even in the well-trained hands of neonatal fellows, NNPs and neonatologists, first-attempt success rates are 50 to 70 percent. Adverse events occur in approximately 20 percent of intubation encounters, and severe oxygen desaturations occur in up to 50 percent of encounters.

 

The three pillars of the NEAR4NEOS Program involve:

  • Groundbreaking research to identify modifiable risk factors in neonatal intubation and test new methods and modalities of intubating neonates.
  • Educating the healthcare community about the risks of neonatal intubation and developing ways to train providers to perform the procedure more safely.
  • Maintaining the NEAR4NEOS database, the keystone of our work, with which we prospectively collect data on intubations in the delivery room and neonatal intensive care unit of participating research sites. The data is then used to improve neonatal care.

NEAR4NEOS is supported by the National Institute of Health (NIH), Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) grant (1R21HD089151-01A1)

 

LEADER

Akira Nishisaki, MD, MSCE
Lead Investigator