Am J Perinatol 2021 Sep 24. Epub 2021 Sep 24.
Children's Hospital, London Health Science Centre, Department of Pediatrics, Western University, London, Ontario, Canada.
Objective: Surfactant delivery via a thin endotracheal catheter during spontaneous breathing; a technique called minimally invasive surfactant therapy (MIST) is an alternative to intubation and surfactant administration. Procedural details among different centers vary, with marked differences in the choice of catheter to instill surfactant. Studies report use of feeding catheters, multiaccess suction catheters, vascular catheters, and more recently custom-built catheters for this purpose. Read More