Family Presence During Pediatric Tracheal Intubations

RESULTS A total of 4969 TI encounters were reported. Among those, 81% (n = 4030) of TIs had documented FPstatus (with/without). The median age of participants with FPwas 2 years and 1 year for those without FP. The average percentage of TIs with FPwas 19% and varied widely across sites (0%-43%; P < .001). Tracheal intubationswith FP(vs without FP) were associated with older patients (median, 2 years vs 1 year; P = .04), lower Paediatric Index of Mortality 2 score, and pediatric resident as the first airway clinician (23%, n = 179 vs 18%, n = 584; odds ratio [OR], 1.4; 95% CI, 1.2-1.7). Tracheal intubationswith FPand without FPwere no different in the first attempt success rate (OR, 1.00; 95% CI, 0.85-1.18), adverse TI-associated events (any events: OR, 1.06; 95% CI, 0.85-1.30 and severe events: OR, 1.04; 95% CI, 0.75-1.43), multiple attempts (3) (OR, 1.03; 95% CI, 0.82-1.28), oxygen desaturation (oxygen saturation <80%) (OR, 0.97; 95% CI, 0.80-1.18), or self-reported team stress level (OR, 1.09; 95% CI, 0.92-1.31). This result persisted after adjusting for patient and clinician confounders. CONCLUSIONS AND RELEVANCE Wide variability exists in FPduring TIs across PICUs. Family presence was not associated with first attempt success, adverse TI-associated events, oxygen desaturation (<80%), or higher team stress level. Our data suggest that FPduring TI can safely be implemented as part of a family-centered caremodel in the PICU.