The Turkish Journal of Pediatrics 2020 , Vol 62 , Num 5
A national survey on use of less invasive surfactant administration in Turkey
Mehmet Yekta Öncel 1-2 ,Ömer Erdeve 3
1 Department of Pediatrics, Division of Neonatology, İzmir Katip Çelebi University Faculty of Medicine, İzmir, Turkey
2 Division of Neonatology, Tepecik Training and Research Hospital, İzmir, Turkey
3 Department of Pediatrics, Division of Neonatology, Ankara University Faculty of Medicine, Ankara, Turkey
DOI : 10.24953/turkjped.2020.05.010 Background. The aim of the study was to assess the rate of utilization, policy of premedication, technique, equipment, experience on safety and efficacy for less invasive surfactant administration or minimally invasive surfactant therapy (LISA/MIST) use in Turkey.

Methods. An online survey was designed and distributed via Google Forms tool to 350 neonatologists from 173 units through NICU-Turk mailing list of the Turkish Neonatal Society. Participants were asked to answer the survey for their own neonatal intensive care unit (NICU).

Results. LISA/MIST use rate was 81.6% among 87 NICUs which responded (response rate was 50.2%). LISA was used regularly in 23 of the units (26.4%), occasionally in 35 (40.2%), rarely in 12 (13.8%), and only for clinical trials in 1 (1.1%). LISA/MIST has been never applied in 16 units (18.4%).

Conclusions. LISA/MIST is widely used in Turkey similar to several regions in Europe but unlike the USA. Future studies are expected to further clarify some questions about LISA/MIST procedure, especially on its efficacy and safety. Keywords : less invasive surfactant administration, minimally invasive surfactant therapy, respiratory distress syndrome, surfactant, survey

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