Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs

This study will evaluate local pediatric intensive care unit (PICU), cardiac intensive care
unit (CICU) and neonatal intensive care unit (NICU) as well as EDs and delivery room (DR)
practice, and benchmark against other PICUs, CICUs, NICUs, DRs and EDs as a part of
Multi-Center Airway Safety collaborative network (NEAR4KIDS).

The goal of the study is to utilize collected benchmarked data to improve local practice. In
order to develop this quality improvement (QI) intervention and collaboration, it is
necessary to collect baseline data to describe current practice and to continuously evaluate
the effectiveness of any QI intervention.

Inclusion Criteria:

- Primary advanced airway events (on patients of all ages) in the PICU, CICU, NICU, DR
and ED including: Tracheal Intubation, Laryngeal mask placement, Emergency
tracheostomy and/or cricothyrotomy

- Failed extubation attempts or unplanned extubations that require re-intubation will be
considered a new primary intubation.

Exclusion Criteria:

- Primary advanced airway events (tracheal intubations, laryngeal mask placement,
emergency tracheostomy and/or cricothyrotomy) in the Operating Suites.