BACKGROUND: Recent studies indicate an increasing use of less invasive surfactant administration. Different techniques have been shown with distinct risks and benefits. The aim of this study was to develop a new method that simplifies this procedure. OBJECTIVES: An applicator was developed and tested on a manikin to make tracheal surfactant application easier and faster. METHODS: A device for oral administration of a catheter into the trachea was developed. After refining, it was tested by 9 neonatologists on a manikin. The primary aim was device feasibility, which was defined as successful intubation within 30 s. RESULTS: The first device showed success in 30 of 33 measurements (90.9%). After refinement, the final device showed successful intubation in all 27 trials (100%). CONCLUSION: The new technique was feasible in this manikin test and should be confirmed in a clinical study.
BACKGROUND: Recent studies indicate an increasing use of less invasive surfactant administration. Different techniques have been shown with distinct risks and benefits. The aim of this study was to develop a new method that simplifies this procedure. OBJECTIVES: An applicator was developed and tested on a manikin to make tracheal surfactant application easier and faster. METHODS: A device for oral administration of a catheter into the trachea was developed. After refining, it was tested by 9 neonatologists on a manikin. The primary aim was device feasibility, which was defined as successful intubation within 30 s. RESULTS: The first device showed success in 30 of 33 measurements (90.9%). After refinement, the final device showed successful intubation in all 27 trials (100%). CONCLUSION: The new technique was feasible in this manikin test and should be confirmed in a clinical study.
Authors: Christian A Maiwald; Julia Dick; Matthias Marschal; Christian Gille; Axel R Franz; Christian F Poets Journal: BMC Pediatr Date: 2020-05-19 Impact factor: 2.125