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A Survey of Less Invasive Surfactant Administration Usage in India
Dinesh Pawale1, Saikiran D2, Rajendra Prasad Anne3
1Department of Neonatology, Child and Adolescent Health Services, Perth Children Hospital/King Edward Memorial Hospital, Perth, 6008, Australia. dinesh_pawale@rediffmail.com.
Less invasive surfactant administration (LISA) is gaining traction in India, but widespread preference is hindered by a lack of standardized training. Many neonatologists use LISA, yet few prefer it due to inconsistent skill acquisition methods.
Area of Science:
- Neonatology
- Pediatric Pulmonology
- Medical Training
Background:
- Less invasive surfactant administration (LISA) offers an alternative to traditional surfactant delivery methods.
- Surfactant therapy is crucial for managing respiratory distress syndrome in preterm infants.
Purpose of the Study:
- To assess the current adoption and preferred use of LISA among neonatologists in India.
- To identify training methods and challenges associated with LISA implementation.
Main Methods:
- An anonymous web-based survey was distributed to 127 neonatologists across India.
- Seventy-seven responses (61% participation rate) were analyzed.
Main Results:
- 68.8% of respondents use LISA, but only 35.8% prefer it.
- Common training methods include online videos and in-house sessions.
- Lack of standardized training (83.33%) is the primary barrier to LISA adoption.
- Surfactant regurgitation was the most common complication.
Conclusions:
- LISA is a promising technique for surfactant administration in India.
- The absence of uniform, standardized training significantly limits its preferred use.
- Developing standardized training programs is essential to promote wider LISA adoption.
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