Less invasive surfactant administration (LISA): experience from a local neonatal unit | Article

for neonatal and paediatric healthcare professionals

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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

Administration of surfactant via the LISA technique in a level 3 unit in Scotland

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.