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Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization

Less invasive surfactant administration (LISA) has been introduced at our tertiary Level IV perinatal center since 2016 with an unsatisfactory success rate, which we attributed to an inconsistent, non-standardized approach and ambiguous patient inclusion criteria. This study aimed to improve the LIS...

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Autores principales: Liebers, Björn, Ebenebe, Chinedu Ulrich, Wolf, Monika, Blohm, Martin Ernst, Vettorazzi, Eik, Singer, Dominique, Deindl, Philipp
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700472/
https://www.ncbi.nlm.nih.gov/pubmed/34943341
http://dx.doi.org/10.3390/children8121145
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author Liebers, Björn
Ebenebe, Chinedu Ulrich
Wolf, Monika
Blohm, Martin Ernst
Vettorazzi, Eik
Singer, Dominique
Deindl, Philipp
author_facet Liebers, Björn
Ebenebe, Chinedu Ulrich
Wolf, Monika
Blohm, Martin Ernst
Vettorazzi, Eik
Singer, Dominique
Deindl, Philipp
author_sort Liebers, Björn
collection PubMed
description Less invasive surfactant administration (LISA) has been introduced at our tertiary Level IV perinatal center since 2016 with an unsatisfactory success rate, which we attributed to an inconsistent, non-standardized approach and ambiguous patient inclusion criteria. This study aimed to improve the LISA success rate to at least 75% within 12 months by implementing a highly standardized LISA approach combined with team training. The Plan Do Study Act method of quality improvement was used for this initiative. Baseline assessment included a review of patient medical records 12 months before the intervention regarding patient characteristics, method success rate, respiratory, and adverse outcomes. A multi-professional team developed a standardized LISA approach and a training program including an educational film, checklists, pocket cards, and team briefings. Twenty-one preterm infants received LISA before and 24 after the intervention. The mean LISA success rate improved from 62% before the intervention to 92% (p = 0.029) after the intervention. Implementing a highly standardized LISA approach and multi-professional team training significantly improved the methods’ success rate.
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spelling pubmed-87004722021-12-24 Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization Liebers, Björn Ebenebe, Chinedu Ulrich Wolf, Monika Blohm, Martin Ernst Vettorazzi, Eik Singer, Dominique Deindl, Philipp Children (Basel) Article Less invasive surfactant administration (LISA) has been introduced at our tertiary Level IV perinatal center since 2016 with an unsatisfactory success rate, which we attributed to an inconsistent, non-standardized approach and ambiguous patient inclusion criteria. This study aimed to improve the LISA success rate to at least 75% within 12 months by implementing a highly standardized LISA approach combined with team training. The Plan Do Study Act method of quality improvement was used for this initiative. Baseline assessment included a review of patient medical records 12 months before the intervention regarding patient characteristics, method success rate, respiratory, and adverse outcomes. A multi-professional team developed a standardized LISA approach and a training program including an educational film, checklists, pocket cards, and team briefings. Twenty-one preterm infants received LISA before and 24 after the intervention. The mean LISA success rate improved from 62% before the intervention to 92% (p = 0.029) after the intervention. Implementing a highly standardized LISA approach and multi-professional team training significantly improved the methods’ success rate. MDPI 2021-12-06 /pmc/articles/PMC8700472/ /pubmed/34943341 http://dx.doi.org/10.3390/children8121145 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liebers, Björn
Ebenebe, Chinedu Ulrich
Wolf, Monika
Blohm, Martin Ernst
Vettorazzi, Eik
Singer, Dominique
Deindl, Philipp
Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization
title Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization
title_full Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization
title_fullStr Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization
title_full_unstemmed Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization
title_short Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization
title_sort improved less invasive surfactant administration success in preterm infants after procedure standardization
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700472/
https://www.ncbi.nlm.nih.gov/pubmed/34943341
http://dx.doi.org/10.3390/children8121145
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