Phoenix Children’s Hospital Research Institute (PCRI) Website Clinical Trial Listing ** Please complete and return to Shy Walker at swalker@phoenixchildrens.com Study Title: Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs (NEAR4KIDs) Study Purpose: Advanced airway interventions are common high risk, high stakes events for children in intensive care units (ICU) and emergency departments (ED), with risk for life and health threatening consequences. Study Summary: 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. Basic Eligibility Criteria: All advanced airway events (tracheal intubations, laryngeal mask placement, emergency tracheostomy and cricothyrotomy) in PICUs, CICUs, NICUs, DRs and EDs during study period. Information regarding airway management events as well as select information regarding circumstances up to the event will be collected. 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. Study Location(s): Phoenix Children’s Hospital Study Contact(s): David Tellez, MD Division of Critical Care Medicine