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Keywords
surfactant; less invasive surfactant administration (LISA); pain score; sedation
Key points
- The LISA technique has good success rates for administering surfactant to neonates without the need for mechanical ventilation.
- We analysed our practice over two years since introduction, specifically looking at those infants needing sedation.
- In general, routine sedation is not needed in preterm infants.
- LISA can be carried out safely and effectively in smaller local neonatal units.
Also published in Infant:
VOLUME 16/ISSUE 4, JULY 2020
The LISA (less invasive surfactant administration) procedure delivers surfactant to infants with respiratory distress syndrome via a fine catheter inserted directly into the trachea while maintaining spontaneous respiration on non-invasive ventilation. Following establishment of
a standard operating procedure and the training of senior medical staff, the level 3 neonatal unit at Princess Royal Maternity Hospital, Glasgow, was the first in Scotland to implement this procedure. In this article we discuss our procedures and audit our results over a 15-month period.
