Methods of surfactant administration in newborn. Literature review
DOI:
https://doi.org/10.12775/QS.2024.22.54692Keywords
preterm infant, noninvasive respiratory support, surfactant, lisa, insure, salsa, respiratory distress syndromeAbstract
The most common cause of respiratory distress syndrome (RDS) in neonates born prematurely is surfactant deficiency. Surfactant administration has been the method of choice for the treatment of RDS since the 1990s, only the method of delivery is changing with the use of increasingly less invasive methods of respiratory support in neonatal respiratory failure. For many years, the standard method was the administration of surfactant after intubation through an endotracheal tube during artificial ventilation. Gradually, new methods were introduced to reduce or avoid the use of ventilation (INSURE), followed by methods that bypass intubation (LISA). The latest SALSA technique made it possible to omit the use of a laryngoscope and the need for intubation. The new methods of surfactant administration can be used successfully in newborns requiring only non-invasive respiratory support, in neonatal centers in regions with limited access to specialized medical care.
References
1. McPherson C, Wambach JA. Prevention and treatment of respiratory distress syndrome in preterm neonates. Neonatal Netw. (2018) 37:169- 77. doi: 10.1891/0730-0832.37.3.169
Soll RF. Surfactant therapy in the USA: Trials and current routines. Biol Neonate 1997;71 Suppl 1:1–7 doi: 10.1159/000244444.
. Engle WA; American Academy of Pediatrics Committee on Fetus and Newborn. Surfactantreplacement therapy for respiratory distress in the preterm and term neonate. Pediatrics. 2008;121(2):419–432 DOI: 10.1542/peds.2007-3283
Schmolzer GM, Kumar M, Pichler G, Aziz K, O’Reilly M, Cheung PY (2013) Non-invasive versus invasive respiratory support in preterm infants at birth: systematic review and meta-analysis. BMJ (Clinical research ed) 347:f5980. doi:10.1136/bmj.f5980
Eugene H. Ng, Vibhuti Shah Guidelines for surfactant replacement therapy in neonates Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario Paediatrics & Child Health, 2021, 35–41 doi: 10.1093/pch/pxaa116
Vincent Rigo & Caroline Lefebvre & Isabelle Broux Surfactant instillation in spontaneously breathing preterm infants: a systematic review and meta-analysis Eur J Pediatr (2016) 175:1933–1942 DOI 10.1007/s00431-016-2789-4
Pollin RA, Carlo WA and Committee on Fetus and Newborn American Academy of Pediatrics Committee on Fetus and Newborn. Surfactant replacement therapy for respiratory distress in the preterm and term neonate. Pediatrics 2014;133:156-163 doi: 10.1542/peds.2013-3443.
Selective surfactant treatment for neonatal respiratory distress syndrome Dorota Pawlik, Ryszard Lauterbach Med Wieku Rozwoj. 2008 Oct-Dec;12(4 Pt 1):862-4
Göpel W, Kribs A, Ziegl A i wsp.; German Neonatal Network. Avoidance of mechanical ventilation by surfactant treatment of spontaneously breathing preterm infants (AMV):an open-label, randomised, controlled trial. Lancet 2011;378:1627-1634 DOI: 10.1016/S0140-6736(11)60986-0
Rita C. Silveira, Carolina Panceri, Nathalia Peter Mun, Mirian Basílio Carvalho, Aline Costa Fraga,, Renato Soibelmann Procianoy Less invasive surfactant administration versus intubation-surfactant-extubation in the treatment of neonatal respiratory distress syndrome: a systematic review and meta-analyses. Jornal de Pediatria Volume 100, Issue 1, January–February 2024, Pages 8-24 doi 10.1016/j.jped.2023.05.008
Mats Blennow, Kajsa Bohlin Surfactant and noninvasive ventilation 2015;107(4):330-6. doi: 10.1159/000381122. Epub 2015 Jun 5
Surfactant Administration Through Laryngeal or Supraglottic Airways (SALSA): A Viable Method for Low-Income and Middle-Income Countries Henry A. Zapata1, Prem Fort 2,3, Kari D. Roberts 4, Dinushan C. Kaluarachchi 1 and Scott O. Guthrie5 doi: 10.3389/fped.2022.853831
EBNEO commentary: Surfactant administration via laryngeal mask airway versus brief tracheal intubation in preterm infants. Mary Eileen Foster , Harsha Gowda DOI: 10.1111/apa.17380
. Pejovic NJ, Myrnerts Höök S, Byamugisha J, et al. A randomized trial of laryngeal mask airway in neonatal resuscitation. N Engl J Med. 2020;383(22):2138-47. doi:10.1056/NEJMoa2005333
Randomized Trial of Surfactant Therapy via Laryngeal Mask Airway Versus Brief Tracheal Intubation in Neonates Born Preterm Jacqueline A Gallup , Sussan Mbi Ndakor , Chad Pezzano, Joaquim M B Pinheiro DOI: 10.1016/j.jpeds.2022.10.009
The effect of endotracheal tubes versus laryngeal mask airways on perioperative respiratory adverse events in infants: a randomised controlled trial. Thomas F E Drake-Brockman , Anoop Ramgolam , Guicheng Zhang , Graham L Hall , Britta S von Ungern-Sternberg DOI: 10.1016/S0140-6736(16)31719-6
Randomized trial of laryngeal mask airway versus endotracheal intubation for surfactant delivery J M B Pinheiro , Q Santana-Rivas , C Pezzano DOI: 10.1038/jp.2015.177
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Copyright (c) 2024 Julia Głoskowska, Agata Frańczuk, Katarzyna Kuleta, Tomasz Dyl, Adrian Kruk, Hanna Gruszczyńska, Angelika Szpulak, Ewelina Kopczyńska, Aleksandra Makłowicz, Michał Peregrym

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