Loganathan Prakash Kannan, Pitman Fiona, Montasser Mahmoud, O'Shea Joyce, Wagner Michael, Roehr Charles C, Roberts Kari, Roberts Calum
Neonatal Intensive Care Unit, The James Cook University Hospital, Middlesbrough, UK.
Clinical Academic Office, Faculty of Medical Sciences, Newcastle University, Newcastle, UK.
Acta Paediatr. 2025 Aug;114(8):2056-2060. doi: 10.1111/apa.70082. Epub 2025 Apr 3.
Surfactant can be administered by an endotracheal tube or by a catheter through the vocal cords, but both techniques need laryngoscopy skills and can be associated with complications. Supraglottic airway devices have also been used for surfactant administration, and we conducted an international survey to understand how much this is done in current practice.
This online survey was conducted from September 2023 to June 2024. Questions broadly addressed unit structure, practices around surfactant, and the role of supraglottic airway device in their unit.
There were a total of 75 responses, 73% from the United Kingdom. Most of the responses were from intensive care (55%). Fifty-three units reported the use of a supraglottic airway device only in cases of unsuccessful intubation. Only 12 units report the use of a supraglottic airway device for surfactant administration. Twenty-two units reported that they are likely to use this device in the near future, and five of the special care units reported that this technique would be useful for units with limited intubation skills.
There is limited uptake of using supraglottic airway device for surfactant administration. Lack of training, guidelines, and evidence are the most common reasons limiting this practice.
表面活性剂可通过气管内导管或经声带的导管给药，但这两种技术都需要喉镜操作技能，且可能伴有并发症。声门上气道装置也已用于表面活性剂给药，我们进行了一项国际调查，以了解目前实际操作中这种情况的发生程度。
这项在线调查于2023年9月至2024年6月进行。问题广泛涉及单位结构、表面活性剂的使用情况以及声门上气道装置在其单位中的作用。
总共收到75份回复，其中73%来自英国。大多数回复来自重症监护病房（55%）。53个单位报告仅在插管失败的情况下使用声门上气道装置。只有12个单位报告使用声门上气道装置进行表面活性剂给药。22个单位报告他们可能在不久的将来使用该装置，5个特殊护理单位报告该技术对插管技能有限的单位有用。
声门上气道装置用于表面活性剂给药的应用有限。缺乏培训、指南和证据是限制这种做法的最常见原因。
