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Survey shows large differences between the Nordic countries in the use of less invasive surfactant administration

Heiring, Christian; Jonsson, Baldvin; Andersson, Sture and Björklund, Lars J. LU (2017) In Acta Paediatrica, International Journal of Paediatrics 106(3). p.382-386
Abstract

Aim: Less invasive surfactant administration (LISA), namely surfactant instillation through a thin catheter in the trachea during spontaneous breathing, is increasingly used for premature infants. We surveyed the use of this technique in the Nordic countries in autumn 2015. Methods: A link to a web-based survey of surfactant administration methods was emailed to the directors of all neonatal units in the Nordic Region, apart from Finland, where only the five university-based departments were invited. Results: Of the 73 units (85%) who responded, 23 (32%) said that they used LISA. The country rates were Iceland 100%, Norway 82%, Finland 60%, Denmark, including Faroe Island and Greenland, 11% and Sweden 9%. LISA was used in 62% of level... (More)

Aim: Less invasive surfactant administration (LISA), namely surfactant instillation through a thin catheter in the trachea during spontaneous breathing, is increasingly used for premature infants. We surveyed the use of this technique in the Nordic countries in autumn 2015. Methods: A link to a web-based survey of surfactant administration methods was emailed to the directors of all neonatal units in the Nordic Region, apart from Finland, where only the five university-based departments were invited. Results: Of the 73 units (85%) who responded, 23 (32%) said that they used LISA. The country rates were Iceland 100%, Norway 82%, Finland 60%, Denmark, including Faroe Island and Greenland, 11% and Sweden 9%. LISA was used in 62% of level three units, but only 14% of level two units and most commonly in babies with a gestational age of at least 26 weeks. Premedication was always or sometimes used by 78%. The main reasons for not using LISA were lack of familiarity with the technique (61%), no perceived benefit over other methods (22%) and concerns about patient discomfort (26%). Conclusion: Less invasive surfactant administration was used in 32% of Nordic neonatal units, most commonly in level three units. Premedication was used more often than previously reported.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Less invasive surfactant administration, Nordic countries, Premature infants, Respiratory distress syndrome, Web-based survey
in
Acta Paediatrica, International Journal of Paediatrics
volume
106
issue
3
pages
382 - 386
publisher
Wiley-Blackwell Publishing Ltd
external identifiers
  • scopus:85007569751
  • wos:000397404700009
ISSN
0803-5253
DOI
10.1111/apa.13694
language
English
LU publication?
yes
id
f996580b-9084-414b-a23f-eac03077cebd
date added to LUP
2017-01-13 15:58:07
date last changed
2018-01-07 11:45:02
@article{f996580b-9084-414b-a23f-eac03077cebd,
  abstract     = {<p>Aim: Less invasive surfactant administration (LISA), namely surfactant instillation through a thin catheter in the trachea during spontaneous breathing, is increasingly used for premature infants. We surveyed the use of this technique in the Nordic countries in autumn 2015. Methods: A link to a web-based survey of surfactant administration methods was emailed to the directors of all neonatal units in the Nordic Region, apart from Finland, where only the five university-based departments were invited. Results: Of the 73 units (85%) who responded, 23 (32%) said that they used LISA. The country rates were Iceland 100%, Norway 82%, Finland 60%, Denmark, including Faroe Island and Greenland, 11% and Sweden 9%. LISA was used in 62% of level three units, but only 14% of level two units and most commonly in babies with a gestational age of at least 26 weeks. Premedication was always or sometimes used by 78%. The main reasons for not using LISA were lack of familiarity with the technique (61%), no perceived benefit over other methods (22%) and concerns about patient discomfort (26%). Conclusion: Less invasive surfactant administration was used in 32% of Nordic neonatal units, most commonly in level three units. Premedication was used more often than previously reported.</p>},
  author       = {Heiring, Christian and Jonsson, Baldvin and Andersson, Sture and Björklund, Lars J.},
  issn         = {0803-5253},
  keyword      = {Less invasive surfactant administration,Nordic countries,Premature infants,Respiratory distress syndrome,Web-based survey},
  language     = {eng},
  month        = {01},
  number       = {3},
  pages        = {382--386},
  publisher    = {Wiley-Blackwell Publishing Ltd},
  series       = {Acta Paediatrica, International Journal of Paediatrics},
  title        = {Survey shows large differences between the Nordic countries in the use of less invasive surfactant administration},
  url          = {http://dx.doi.org/10.1111/apa.13694},
  volume       = {106},
  year         = {2017},
}