{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:13:06Z","timestamp":1791396786554,"version":"4.3.3"},"reference-count":23,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T00:00:00Z","timestamp":1592870400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2020,10]]},"abstract":"\n BACKGROUND:<\/jats:title>\n Tracheal intubation by respiratory therapists (RTs) is a well-established practice that has been described primarily in adult and neonatal patients. However, minimal data exist regarding RTs\u2019 intubation performance in pediatric ICUs. The purpose of this study was to describe the current landscape of intubations performed by RTs in pediatric ICUs.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n \n A multicenter quality improvement database, the National Emergency Airway Registry for Children (NEAR4KIDS) was queried from 2015 to 2018. We performed a retrospective analysis of prospectively collected data on subject demographics, indication for intubation, difficult airway history and feature presence, provider discipline, medications, and device. Intubation outcomes included first-attempt and overall success rates, adverse events, and oxygen desaturation (ie,\n \n \n \n \n S<\/mml:mtext>\n \n \n \n pO<\/mml:mtext>\n <\/mml:mrow>\n 2<\/mml:mtext>\n <\/mml:msub>\n <\/mml:mrow>\n <\/mml:msub>\n <\/mml:mrow>\n <\/mml:math>\n <\/jats:inline-formula>\n < 80%). Overall intubation success was defined as intubation achieved in \u2264 2 attempts.\n <\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n There were 12,056 initial intubation encounters from 46 ICUs, with 109 (0.9%) first attempts performed by RTs. Nine (20%) ICUs reported at least one intubation encounter by RTs. The number of intubations performed by RTs at individual centers ranged from 1 to 46 (RT participation rate: 0.3% to 19.6%). RTs utilized video laryngoscopy more often than other providers (53.2% for RTs vs 28.1% for others,\n P<\/jats:italic>\n < .001). RTs\u2019 first attempt success (RT 60.6% vs other 69.2%,\n P<\/jats:italic>\n = .051), overall success (RT 76.2 % vs other 82.4%,\n P<\/jats:italic>\n = .09), and oxygen desaturation\n \n \n \n \n S<\/mml:mtext>\n \n \n \n pO<\/mml:mtext>\n <\/mml:mrow>\n 2<\/mml:mtext>\n <\/mml:msub>\n <\/mml:mrow>\n <\/mml:msub>\n <\/mml:mrow>\n <\/mml:math>\n <\/jats:inline-formula>\n < 80% (RT 16.5% vs other 16.9%,\n P<\/jats:italic>\n = .91) were similar to other providers. Adverse events were more commonly reported in intubations by RTs versus by other providers (22.9% vs 13.8%,\n P<\/jats:italic>\n = .006).\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n RTs infrequently intubate in pediatric ICUs, with success rates similar to other providers but higher adverse event rates. RTs were more likely to use video laryngoscopy than other providers. RTs\u2019 intubation participation, success, and adverse event rates varied greatly across pediatric ICUs.<\/jats:p>\n <\/jats:sec>","DOI":"10.4187\/respcare.07667","type":"journal-article","created":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T19:14:58Z","timestamp":1592939698000},"page":"1534-1540","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Respiratory Therapist Intubation Practice in Pediatric ICUs: A Multicenter Registry Study"],"prefix":"10.1177","volume":"65","author":[{"given":"Andrew G","family":"Miller","sequence":"first","affiliation":[{"name":"Respiratory Care Services, Duke University Medical Center, Durham, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Napolitano","sequence":"additional","affiliation":[{"name":"Department of Respiratory Care, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Duke University Medical Center, Durham, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle J","family":"Rehder","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Duke University Medical Center, Durham, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Nishisaki","sequence":"additional","affiliation":[{"name":"Anesthesiology and Critical Care Medicine, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02851"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001923"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001782"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3182746736"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001384"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001370"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/002013240104600305"},{"issue":"4","key":"e_1_3_2_9_2","first-page":"336","article-title":"Emergency endotracheal intubation by respiratory care personnel in a community hospital","volume":"26","author":"Conley JM","year":"1981","unstructured":"Conley JM, , Smith DJ. Emergency endotracheal intubation by respiratory care personnel in a community hospital. Respir Care, 1981; 26(4):336-338.","journal-title":"Respir Care"},{"issue":"4","key":"e_1_3_2_10_2","first-page":"333","article-title":"Training and evaluation of respiratory therapists in emergency intubation","volume":"26","author":"McLaughlin AJ","year":"1981","unstructured":"McLaughlin AJJr, , Scott W. Training and evaluation of respiratory therapists in emergency intubation. Respir Care, 1981; 26(4):333-335.","journal-title":"Respir Care"},{"issue":"10","key":"e_1_3_2_11_2","first-page":"1063","article-title":"Respiratory care practitioners as primary providers of neonatal intubation in a community hospital: an analysis","volume":"40","author":"Noblett KE","year":"1995","unstructured":"Noblett KE, , Meibalane R. Respiratory care practitioners as primary providers of neonatal intubation in a community hospital: an analysis. Respir Care, 1995; 40(10):1063-1067.","journal-title":"Respir Care"},{"issue":"5","key":"e_1_3_2_12_2","first-page":"469","article-title":"Analysis of an endotracheal intubation service provided by respiratory care practitioners","volume":"38","author":"Thalman JJ","year":"1993","unstructured":"Thalman JJ, , Rinaldo-Gallo S, , MacIntyre NR. Analysis of an endotracheal intubation service provided by respiratory care practitioners. Respir Care, 1993; 38(5):469-473.","journal-title":"Respir Care"},{"issue":"1","key":"e_1_3_2_13_2","first-page":"30","article-title":"Respiratory care practitioners as secondary providers of endotracheal intubation: one hospital\u2019s experience","volume":"39","author":"Zyla EL","year":"1994","unstructured":"Zyla EL, , Carlson J. Respiratory care practitioners as secondary providers of endotracheal intubation: one hospital\u2019s experience. Respir Care, 1994; 39(1):30-33.","journal-title":"Respir Care"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-016-0593-y"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000120"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05037"},{"key":"e_1_3_2_17_2","article-title":"Respiratory therapist endotracheal intubation practices","author":"Miller AG","year":"2020","unstructured":"Miller AG, , Gentile MA, , Coyle JP. Respiratory therapist endotracheal intubation practices. Respir Care, 2020 [Epub ahead of print] doi: 10.4187\/respcare.07338.","journal-title":"Respir Care"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-014-3407-4"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000774"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-200002000-00002"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001175"},{"key":"e_1_3_2_22_2","first-page":"CD011413","article-title":"Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in children (excluding neonates)","volume":"5","author":"Abdelgadir IS","year":"2017","unstructured":"Abdelgadir IS, , Phillips RS, , Singh D, , Moncreiff MP, , Lumsden JL. Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in children (excluding neonates). Cochrane Database Syst Rev, 2017; 5:CD011413.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-017-1885-9"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-017-1927-3"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.07667","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.07667","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.07667","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:14:07Z","timestamp":1775466847000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.07667"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,23]]},"references-count":23,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.4187\/respcare.07667"],"URL":"https:\/\/doi.org\/10.4187\/respcare.07667","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2020,6,23]]}}}