Rigid catheters reduced duration of less invasive surfactant therapy procedures in manikins

Rigo, Vincent; Debauche, Christian; Maton, Pierre; Broux, Isabelle; Laere, David Van

doi:10.1111/apa.13850

Cited by 19 publications

(30 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We have earlier reported that this improvised MIST equivalent of the semirigid catheter technique (the prototype is the LISA catheter) is technically simpler to adapt in clinical practice [15]. This observation is in conformity with earlier reports from Europe [23][24].…”

Section: Discussionsupporting

confidence: 88%

“…As LISA catheter may not be readily available in all units, we later performed an improvised MIST procedure using the smallest size ETT 2.0, whose inner diameter is equivalent to 8 Fr infant feeding tube and instilled surfactant directly from a syringe attached to the hub of the ETT. Infant feeding tubes are usually made of polyurethane material that is much more flexible and hence difficult to guide into the trachea in contradistinction to the poly vinyl chloride material that is in ETT [23][24]. We have earlier reported that this improvised MIST equivalent of the semirigid catheter technique (the prototype is the LISA catheter) is technically simpler to adapt in clinical practice [15].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Minimally Invasive Surfactant Therapy: An Analytical Report of Our Prospective Dubai Cohort

Karthikeyan¹

2020

Cureus

View full text Add to dashboard Cite

Introduction: Type 2 pneumocytes of the respiratory epithelium secrete the endogenous surfactant, a detergent-like substance that lines the alveolar sacs of the lungs. The surfactant facilitates the gas exchange process across the alveolar membrane by preventing the collapse of the alveoli and thereby maintaining their distended state. Respiratory distress syndrome of the premature neonates is characterized by quantitative and/or qualitative defects of endogenous surfactant metabolic pathways. The advent of exogenous surfactant therapy is rightly hailed as the major milestone in advancement of the care of the babies with surfactant-deficient lung disease. The administration of exogenous surfactant traditionally involves endotracheal intubation and mechanical ventilation. Minimally invasive surfactant therapy (MIST) is the technique of delivering surfactant without intubation whilst continuing the baby on noninvasive respiratory support. This author introduced MIST as the default way of administering surfactant in his neonatal units in Dubai and has to his credit the first published report on MIST from the United Arab Emirates in this journal in 2018. Objective: To analyze prospectively all our babies in Dubai who received surfactant by MIST. Design: Prospective descriptive study of all babies receiving surfactant by MIST starting from January 2018. Setting: Three tertiary care neonatal centers in Dubai. Patients and methods: Thirteen babies (gestation 27-36 weeks and birth weight 0.95-2.81 kg) were treated with MIST on 15 occasions. Catheterization techniques were by infant feeding tube in 10 babies, LISA (less invasive surfactant administration) catheter in one baby, and 2.0 size endotracheal tube (ETT) with surfactant filled syringe directly attached to its hub two times each in two babies. Curosurf the porcine surfactant at 200 mg/kg was used on nine occasions and Survanta the bovine surfactant at 4 mL/kg on six occasions. Main outcome measures: MIST success defined as the baby not needing intubation and ventilation within 72 hours post MIST. Outcome measures with respect to the different modalities of MIST procedure and surfactant preparations used in this prospective cohort. Results: Only one of the 13 babies (7.7%) in this cohort needed escalation of support with mechanical ventilation and high frequency oscillation (HFO). MIST using semi-rigid catheters like the LISA catheter or the smallest size ETT was technically easier to perform. No differences were observed with regard to the surfactant preparation used. None had an abnormal neurosonogram and there were no instances of sepsis and necrotizing enterocolitis either. The baby that had an unsuccessful MIST had retinopathy of prematurity that was effectively treated 1

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Surfactant Therapy: An Analytical Report of Our Prospective Dubai Cohort

Karthikeyan¹

2020

Cureus

View full text Add to dashboard Cite

show abstract

“…Although the Angiocath and the LISAcath have a number of similarities, many of the LISAcath features were specifically designed to facilitate and secure tracheal intubation. Another study investigated different devices used for LISA and found that more rigid catheters, such as the Angiocath, permitted faster laryngeal catheterisation than gastric tubes . In the same study, the subjective ease of use of rigid catheters was also reported to be better.…”

Section: Discussionmentioning

confidence: 90%

“…These include gastric tubes, angiography catheters and vascular catheters, such as the Angiocath (Becton, Dickinson and Company, New Jersey, USA), which was the vascular catheter used by Dargaville et al. in their Hobart method for LISA . However, at the time that method was developed, there was no tool available that had been specifically designed for LISA.…”

Section: Introductionmentioning

confidence: 99%

Five‐country manikin study found that neonatologists preferred using the LISAcath rather than the Angiocath for less invasive surfactant administration

et al. 2018

Self Cite

View full text Add to dashboard Cite

AimLess invasive surfactant administration (LISA) has been shown to decrease the risk of death and bronchopulmonary dysplasia in preterm neonates. The LISAcath is the first catheter to be specifically developed for LISA, and we compared the clinical impressions of neonatologists using the LISAcath and the commonly used Angiocath in a simulated setting.MethodsThis was a multinational, multicentre study, conducted in October 2016, which involved 39 neonatologists who were recruited by employees of the sponsor from large, well‐recognised neonatal intensive care units across Europe. LISA was not the standard of care in these units in Austria, Belgium, Poland, Spain and the United Kingdom at the time of the study. After training, participants simulated LISA on a neonatal manikin, once with the LISAcath and once with Angiocath, then answered a 10‐item questionnaire.ResultsThe responses to nine of 10 questions showed that 67‐95% of the respondents preferred the LISAcath to the Angiocath, with most of the remainder indicating no preference. The only exception was the luer connection question, with two‐thirds expressing no preference. The LISAcath was considered potentially safer by 33 of 39 participants, with no votes for the Angiocath.ConclusionOverall, neonatologists preferred using the LISAcath rather than the Angiocath on a neonatal manikin.

show abstract

“…Semirigid vascular catheters are also preferred by Spanish doctors [10]. Based on a manikin study, semirigid or stylet-guided vs flexible catheters allow faster tracheal insertion and are perceived as easier to use, although they have not been compared in a randomized study [19].…”

Section: Plos Onementioning

confidence: 99%

Implementation of less invasive surfactant administration in clinical practice—Experience of a mid-sized country

Szczapa

Hożejowski²,

Krajewski³

2020

PLoS ONE

View full text Add to dashboard Cite

show abstract

Rigid catheters reduced duration of less invasive surfactant therapy procedures in manikins

Abstract: Only rigid or stylet-guided catheters required tracheal catheterisation times similar to those of endotracheal intubation and neonatologists found them easier.

Cited by 19 publications

References 21 publications

Minimally Invasive Surfactant Therapy: An Analytical Report of Our Prospective Dubai Cohort

Minimally Invasive Surfactant Therapy: An Analytical Report of Our Prospective Dubai Cohort

Five‐country manikin study found that neonatologists preferred using the LISAcath rather than the Angiocath for less invasive surfactant administration

Implementation of less invasive surfactant administration in clinical practice—Experience of a mid-sized country

Contact Info

Product

Resources

About