Less invasive surfactant administration in the delivery room: A quality improvement initiative

被引：0

作者：

Burris, Jonathan R. ^{[1
]}

Germain, Blair F. ^{[1
]}

Chess, Patricia R. ^{[1
]}

Powers, Elizabeth A. ^{[1
,2
]}

Gillis, Rebecca ^{[1
]}

Lewis, Hyacinth G. ^{[2
]}

Tulloch, Jamey ^{[1
]}

Day, Colby L. ^{[1
]}

Dylag, Andrew M. ^{[1
]}

机构：

[1] Univ Rochester, Med Ctr, Dept Pediat, Div Neonatol, 601 Elmwood Ave,Box 651, Rochester, NY 14642 USA

[2] Univ Rochester, Med Ctr, Dept Nursing, Rochester, NY 14642 USA

来源：

JOURNAL OF PERINATOLOGY | 2025年

关键词：

RESPIRATORY-DISTRESS-SYNDROME; BRONCHOPULMONARY DYSPLASIA; PRETERM INFANTS; GESTATIONAL-AGE; TRENDS; INSURE;

D O I：

10.1038/s41372-025-02350-w

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective To evaluate less invasive surfactant administration (LISA) in the delivery room as a part of neonatal stabilization and reduce infants requiring intubation. Project design A SMART aim was developed to implement LISA in >30% of infants (25.0-31.6 weeks' gestational age) with respiratory distress syndrome (RDS) in the NICU or delivery room (DR) and increase the number of infants never requiring intubation by 50% by 12/31/2023. Three sequential Plan-Do-Study-Act cycles were implemented. Statistical Process Control charts tracked time-ordered data. Results Over 4 years, 184 patients received LISA (N = 112 in the DR). LISA was safe and successful (98.9%), including DR. DR intubations were reduced (65.5 to 52.6%), infants never requiring intubation increased (22.8 to 38%), and Grade 2 or 3 BPD (12.9 to 8.8%) was reduced. Conclusion LISA in the delivery room is safe and effective for RDS and associated with reduced need for intubation, mechanical ventilation, and BPD.

引用

页数：6

共 32 条

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