Curosurf Administration: Difference between revisions
From Guide to YKHC Medical Practices
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===Preparation of Curosurf=== | ===Preparation of Curosurf=== | ||
*Warm to room temperature and gently invert (do not shake). | *Warm to room temperature and gently invert (do not shake). | ||
*Draw up Curosurf dose from the Neonatal Resuscitation Summary using estimated gestational age OR if weight is known, calculate Curosurf dose using 2.5 mL/kg | *Draw up Curosurf dose from the [[Media:Neonatal resuscitation summary.pdf|Neonatal Resuscitation Summary]] using estimated gestational age OR if weight is known, calculate Curosurf dose using 2.5 mL/kg | ||
*Draw up total Curosurf dose using a 20 gauge or larger needle. Divide the dose between two syringes with half the dose in each. | *Draw up total Curosurf dose using a 20 gauge or larger needle. Divide the dose between two syringes with half the dose in each. | ||
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===Administration of Curosurf=== | ===Administration of Curosurf=== | ||
*Disconnect bag or ventilator. | *Disconnect Neopuff, bag, or ventilator. | ||
*Remove ETT cap (cut it if it is too stuck) and attach Y catheter to port. | *Remove ETT cap (cut it if it is too stuck) and attach Y catheter to port. | ||
*Insert catheter until numbers on catheter match the numbers on the ETT and then advance ½ cm further. If you are unable to see the numbers, look for the color that matches the desired depth. | *Insert catheter until numbers on catheter match the numbers on the ETT and then advance ½ cm further. If you are unable to see the numbers, look for the color that matches the desired depth. | ||
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*Remove catheter and bag baby at a rate of 40-60 breaths/min for one minute. | *Remove catheter and bag baby at a rate of 40-60 breaths/min for one minute. | ||
*When patient is stable, reposition infant so the other side is dependent and administer the other half of dose. | *When patient is stable, reposition infant so the other side is dependent and administer the other half of dose. | ||
*Place infant in supine position. Remove Y catheter and adapter, replace ETT cap and resume ventilation. Do not suction for one hour after administration unless required for obstruction. | *Place infant in supine position. Remove Y catheter and adapter, replace ETT cap and resume ventilation. Do not suction for one hour after administration unless required for obstruction. | ||
===Post Curosurf Administration=== | ===Post Curosurf Administration=== | ||
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===Curosurf Storage=== | ===Curosurf Storage=== | ||
* | *Stored at 36-46 F in OB medication refrigerator. If warmed and not opened or used, may be returned to refrigerated storage one time. | ||
===Curosurf for Medevacs=== | ===Curosurf for Medevacs=== | ||
*Curosurf is stored in the OB refrigerator. Put | *Curosurf is stored in the OB refrigerator. Put Curosurf into pink bag next to it. Pink bag has a copy of the Curosurf protocol and Village Delivery Orientation in the front pouch for reference. Curosurf Y catheter is stocked in the inside net pouch of the OB bag | ||
===References=== | |||
*Nouraeyan N, Lambrinakos-Raymond A, Leone M, Sant'Anna G. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4456838/ Surfactant administration in neonates: A review of delivery methods]. ''Can J Respir Ther''. 2014;50(3):91-95. | |||
*Polin et al. [https://pediatrics.aappublications.org/content/133/1/156 Surfactant Replacement Therapy for Preterm and Term Neonates With Respiratory Distress]. ''Pediatrics'' January 2014, 133 (1) 156-163; DOI: doi.org/10.1542/peds.2013-3443 | |||
*[https://www.youtube.com/watch?v=1tic3rMVBMs Y catheter use YouTube video] | |||
[[Emergency Stabilization Information]] | [[Emergency Stabilization Information]] | ||
[[Pediatric Village Delivery Orientation]] | <br/>[[Pediatric Village Delivery Orientation]] | ||
<br/>[[:Category:OB & Newborn|OB & Newborn Main Page]] |
Latest revision as of 11:18, 26 January 2024
Preparation of Curosurf
- Warm to room temperature and gently invert (do not shake).
- Draw up Curosurf dose from the Neonatal Resuscitation Summary using estimated gestational age OR if weight is known, calculate Curosurf dose using 2.5 mL/kg
- Draw up total Curosurf dose using a 20 gauge or larger needle. Divide the dose between two syringes with half the dose in each.
Preparation of patient
- Prior to intubation (if possible) remove the stock ETT cap and replace it to make sure it comes on and off easily after you intubate the infant. Choose correct Y cap and check fit on ETT.
- Intubate patient with ETT cap on tube. Verify good ETT placement
- Make sure the ETT is well secured.
Administration of Curosurf
- Disconnect Neopuff, bag, or ventilator.
- Remove ETT cap (cut it if it is too stuck) and attach Y catheter to port.
- Insert catheter until numbers on catheter match the numbers on the ETT and then advance ½ cm further. If you are unable to see the numbers, look for the color that matches the desired depth.
- Turn the patient on his/her side. Instill half the dose, while bagging continuously
- Remove catheter and bag baby at a rate of 40-60 breaths/min for one minute.
- When patient is stable, reposition infant so the other side is dependent and administer the other half of dose.
- Place infant in supine position. Remove Y catheter and adapter, replace ETT cap and resume ventilation. Do not suction for one hour after administration unless required for obstruction.
Post Curosurf Administration
- Remember to dial down Neopuff pressures as lung compliance improves.
Curosurf Storage
- Stored at 36-46 F in OB medication refrigerator. If warmed and not opened or used, may be returned to refrigerated storage one time.
Curosurf for Medevacs
- Curosurf is stored in the OB refrigerator. Put Curosurf into pink bag next to it. Pink bag has a copy of the Curosurf protocol and Village Delivery Orientation in the front pouch for reference. Curosurf Y catheter is stocked in the inside net pouch of the OB bag
References
- Nouraeyan N, Lambrinakos-Raymond A, Leone M, Sant'Anna G. Surfactant administration in neonates: A review of delivery methods. Can J Respir Ther. 2014;50(3):91-95.
- Polin et al. Surfactant Replacement Therapy for Preterm and Term Neonates With Respiratory Distress. Pediatrics January 2014, 133 (1) 156-163; DOI: doi.org/10.1542/peds.2013-3443
- Y catheter use YouTube video
Emergency Stabilization Information
Pediatric Village Delivery Orientation
OB & Newborn Main Page