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ali

LISA Guideline

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Hi 99ers, I am currently working on a Level 3 and we are considering adopting LISA so I would be particularly interested and grateful for opinions and guideline from our European (preBrexit) colleagues who already undertake LISA. 

Many thanks in advance

Al

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We perform LISA routinely on all preterms < 28 wks right after birth. We do not use any premedication or analgesia. We use a gastric tube and Magill forceps for application of surfactant intratracheally. We follow a slightly modified version of the original protocol from Cologne (as published here: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)60986-0/fulltext).

You can find our publication on our experience with LISA here: https://www.ncbi.nlm.nih.gov/pubmed/23446061

Let me know if you need any more information.

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@ali We have recently started using LISA and we had a lot of disussion on what to use as premedication. ...the choices were propofol, fentanyl, morphine etc After much discussion we agreed on Fentanyl! I will have to double check if we give anything else along with it! We have developed a guideline ...which includes which baby, when and how! Only by consultants or under their supervision by senior trainees...Hope that helps. 

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