Surfactant administration in neonate | Procedure skills

The following video explains the procedure of surfactant administration in neonates. This was made during my residency in NICU quite a long time back, and there will be a few mistakes (or many maybe). 

Even though it's crude and made by then amateur pediatric resident (that's me!), it should give a fair idea of the steps we must follow during the procedure. This can be a short revision for observed OSCE stations or Viva on procedures or equipment.

What are the Prerequisites?

  1. Confirm the indication and necessity of invasive procedures. 
  2. Rule out contraindication to perform the procedure such as pulmonary haemorrhage
  3. Assist Initially to gain experience under supervision and follow proper steps.


Admission to NICU carries implicit consent for such an emergency procedure however it does carry risk and parents or carers must be fully informed about the procedure at the first suitable opportunity and written consent should be obtained.


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about authors

Ajay Agade | DNB(Pediatrics), FNB(Pediatric Intensive Care), Fellowship in Pediatric pulmonology and LTV

Ajay is a Paediatric Intensivist, currently working in Pediatric Pulmonology & LTV at Great Ormond Street Hospital NHS, London

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