Survey of Less Invasive Surfactant Administration in England, slow adoption and variable practice.

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Bhayat, Sadaf, Kaur, Avineet, Premadeva, Irnthu, Reynolds, Peter and Gowda, Harsha (2019) Survey of Less Invasive Surfactant Administration in England, slow adoption and variable practice. Acta paediatrica (Oslo, Norway : 1992). ISSN 1651-2227. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://onlinelibrary.wiley.com/journal/16512227

Abstract

AIM

National survey to evaluate the uptake of LISA (Less Invasive Surfactant Administration) in neonatal units across England.

METHODS

A web-based survey was sent out by email to all 150 neonatal units in England. It consisted of questions regarding indications for LISA, the practicalities of the procedure, and reasons for not using this technique.

RESULTS

The response rate was 96% (144/150 units). Only 11% of units are using LISA, but majority (78%) would consider implementing LISA on their unit. 56% would also consider LISA on delivery suite. Challenges identified are having a guideline and staff training. 61% of units have set the target population ≥27 weeks. On sub-analysis, for tertiary units, the trend for LISA is ≥26 weeks. The median FiO2 threshold for LISA is 0.3 (IQR 0.3-0.4) in less than 28 weekers, and 0.4 in higher gestations. The most common suggestion for premedication is fentanyl (32%).

CONCLUSION

The uptake of LISA in England is low comparing to the rest of Europe. Even though many units are considering implementing LISA, there is lack of training and national guidelines. There is urgent need for standardisation of practice and clear indications for LISA. This article is protected by copyright. All rights reserved.

Item Type:	Article
Additional Information:	This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects:	WQ Obstetrics. Midwifery WS Paediatrics. Child health
Divisions:	Womens and Childrens > Neonates
Related URLs:	https://www.ncbi.nlm.nih.gov/pubmed/3147...
Depositing User:	Mr Philip O'Reilly
Date Deposited:	06 Sep 2019 14:01
Last Modified:	06 Sep 2019 14:01
URI:	http://www.repository.uhblibrary.co.uk/id/eprint/2366

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