• Lisa A Davidson, Richard B Utarnachitt, Andrew Mason, and Taylor Sawyer.
• Airlift Northwest, Department of Pediatrics, Division of Neonatology, Seattle, WA. Electronic address: LisaAnn.Davidson@airliftnw.org.
• Air Med. J. 2018 Jan 1; 37 (1): 41-45.

ObjectiveWe developed a Neonatal Intubation Checklist for Airlift Northwest. Our goal was to improve the preparation, technical proficiency, and safety of neonatal intubation without increasing the time required to perform the procedure.MethodsThe Neonatal Intubation Checklist, a "call and response" checklist for neonatal intubation, was developed. Its effectiveness was evaluated during a baseline assessment and 2 practice sessions after a checklist orientation. Intubation proficiency was evaluated using a validated assessment tool that included a proficiency score, a global rating scale (GRS) score, and time to perform the procedure.ResultsSignificant improvements in intubation proficiency and time to intubation were noted when teams used the intubation checklist (proficiency score: 29 [7] at baseline vs. 57 [1] with checklist, P < .001; GRS 2 [2, 2.5] at baseline vs. 5 [3, 5] with checklist, P < .001; baseline intubation time 626 [93] seconds vs. 479 (44) seconds with checklist, P < .001). These changes were associated with a large effect on proficiency (ƞ2 = 0.89), GRS (ƞ2 = 0.6), and time to successful intubation (ƞ2 = 0.52).ConclusionThe use of the Neonatal Intubation Checklist improved transport team performance during simulated neonatal intubations and decreased the time required to successfully perform the procedure.Copyright © 2018 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

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