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Laryngeal mask airway surfactant administration: case series of 60 infants
  1. Natalie J Smee1,
  2. Duncan Boyd1,
  3. Hilary Conetta2,
  4. Joyce O'Shea1
  1. 1 Neonatal Unit, Royal Hospital for Children, Glasgow, UK
  2. 2 Neonatal Unit, Royal Alexandra Hospital, Paisley, Renfrewshire, UK
  1. Correspondence to Dr Natalie J Smee, Neonatal Unit, NHS Greater Glasgow and Clyde, Glasgow G12 0XH, UK; natalie.smee1{at}

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We introduced surfactant administration via supraglottic airway (otherwise known as the laryngeal mask airway or LMA) to treat respiratory distress syndrome (RDS) in infants greater than 1.2 kg in two Scottish neonatal units (level 3 and level 2). We report the outcomes of the first 60 infants treated between December 2018 and May 2020.

Prior to implementation a comprehensive review of available evidence was undertaken,1 including five randomised controlled trials (n=307) all of whom demonstrated a reduction in need for intubation and ventilation in treated infants. Adverse events were minimal, and the technique was reported as well tolerated by infants and easy for staff to learn. We wrote a guideline,2 and developed multimedia teaching materials that complemented simulation training …

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  • Twitter @smee_natalie, @oshea_jem

  • Contributors NJS and JOS wrote the first draft of the manuscript. All authors are responsible for the reported research. All authors have participated in the concept and design; analysis and interpretation of data; and drafting or revising the manuscript. All authors have approved the manuscript as submitted.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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