The use of less invasive surfactant administration (LISA) in the United States with review of the literature

被引：69

作者：

Kurepa, Dalibor ^{[1
]}

Perveen, Shahana ^{[1
]}

Lipener, Yisrael ^{[1
]}

Kakkilaya, Venkatakrishna ^{[2
]}

机构：

[1] Cohen Childrens Med Ctr, New Hyde Pk, NY 11040 USA

[2] Univ Texas Southwestern Med Ctr Dallas, Dallas, TX 75390 USA

来源：

JOURNAL OF PERINATOLOGY | 2019年 / 39卷 / 03期

关键词：

RESPIRATORY-DISTRESS-SYNDROME; LARYNGEAL MASK AIRWAY; BREATHING PRETERM INFANTS; THIN CATHETER; OPEN-LABEL; THERAPY; VENTILATION; INTUBATION; NCPAP; AGE;

D O I：

10.1038/s41372-018-0302-9

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background The majority of extremely low gestational age neonates undergo intubation for surfactant therapy. Less invasive surfactant administration (LISA) uses a thin catheter inserted into the trachea to deliver the surfactant. During the procedure, the infant is breathing spontaneously while supported with continuous positive airway pressure. Although LISA is widely adapted in Europe and Australia, the rate of LISA use in the United States is unknown. Study design The aim of this study is to evaluate the use of LISA in the US. A web-based survey was distributed via SurveyMonkey to 2550 neonatologists from AAP's SoNPM mailing list. Results Of the 472 neonatologists who answered the survey, 15% used LISA either as a part of routine care (8%) or as part of research (7%). Conclusion Unlike several regions of Europe, LISA is not widely used in the US. Future studies should address ambiguities regarding infant selection, procedure training and "roadblocks" to its broader application.

引用

页码：426 / 432

页数：7

共 54 条

[1] Minimally invasive surfactant therapy with a gastric tube is as effective as the intubation, surfactant, and extubation technique in preterm babies [J].