Endotracheal intubation in NICUs: room for improvement

An observational study of endotracheal (oral) intubations from five US NICUs found that of 450 intubation attempts, only 37% were successful on the first attempt. The majority (83%) of successful intubations were accomplished by the third attempt. Success rate was lowest for residents (20%) while fellows and attendings had about a 70% success rate. The median duration of an attempt was 15 seconds for respiratory therapists, 20 seconds for attendings, and 30 seconds for residents.

Neonatal intubation performance: room for improvement in tertiary NICUs. Haubner et al, 2013.