Curosurf Administration: Difference between revisions
From Guide to YKHC Medical Practices
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(last updated 7/16/2019) | |||
''' | ===Curosurf Indications=== | ||
Give Curosurf <26 wks '''OR''' 26–29 wks and needs ≥ 40% O2 '''OR''' > 29 wks with CXR proven RDS | |||
===YouTube Video Reference=== | |||
[https://www.youtube.com/watch?v=1tic3rMVBMs] | |||
===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 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=== | |||
*Store at 36-46 F. 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 in the inside net pouch of the OB bag |
Revision as of 11:04, 20 November 2020
(last updated 7/16/2019)
Curosurf Indications
Give Curosurf <26 wks OR 26–29 wks and needs ≥ 40% O2 OR > 29 wks with CXR proven RDS
YouTube Video Reference
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 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
- Store at 36-46 F. 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 in the inside net pouch of the OB bag