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Describe the current practice of family presence during neonatal tracheal intubations (TIs) across neonatal intensive care units (NICUs) and examine the association with outcomes. Retrospective analysis of TIs performed in NICUs participating in the National Emergency Airway Registry for Neonates (NEAR4NEOS). Thirteen academic NICUs. Infants undergoing TI between October 2014 and December 2017. Association of family presence with TI processes and outcomes including first attempt success (primary outcome), success within two