Survey of less Invasive Surfactant Administration in England, slow adoption and variable practice

Area of Science:

• Neonatal Medicine
• Respiratory Care
• Pediatric Pulmonology

Background:

• Less Invasive Surfactant Administration (LISA) is a technique for delivering surfactant to premature infants.
• Evaluating the current adoption and barriers to LISA implementation in English neonatal units is crucial.

Purpose of the Study:

• To assess the national uptake of Less Invasive Surfactant Administration (LISA) in neonatal units across England.
• To identify barriers and facilitators for LISA implementation.

Main Methods:

• A web-based survey was distributed to 150 neonatal units in England.
• The survey collected data on LISA indications, practicalities, and reasons for non-use.

Main Results:

• A 96% response rate was achieved, with 11% of units currently using LISA.
• 78% of units are considering LISA implementation, but challenges include lack of guidelines and staff training.
• Commonly reported target populations were ≥27 weeks gestation, with median FiO2 thresholds varying by gestational age.

Conclusions:

• LISA uptake in England is low compared to Europe, despite significant interest in adoption.
• Urgent need for standardized practices, clear indications, staff training, and national guidelines to promote LISA.
• Addressing identified challenges is essential for increasing LISA use in neonatal care.