Curosurf Administration - Revision history

JenniferH: /* References */

2020-12-05T09:44:52Z

References

← Older revision		Revision as of 09:44, 5 December 2020
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	===References===		===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.		*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]		*[https://www.youtube.com/watch?v=1tic3rMVBMs Y catheter use YouTube video]

JenniferH: /* References */

2020-12-05T09:35:31Z

References

← Older revision		Revision as of 09:35, 5 December 2020
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	===References===		===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.
	*[https://www.youtube.com/watch?v=1tic3rMVBMs Y catheter use YouTube video]		*[https://www.youtube.com/watch?v=1tic3rMVBMs Y catheter use YouTube video]

JenniferH: /* Curosurf for Medevacs */

2020-12-04T08:36:34Z

Curosurf for Medevacs

← Older revision		Revision as of 08:36, 4 December 2020
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	===Curosurf for Medevacs===		===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		*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===
			*[https://www.youtube.com/watch?v=1tic3rMVBMs Y catheter use YouTube video]

JenniferH: /* YouTube Video Reference [https://www.youtube.com/watch?v=1tic3rMVBMs] */

2020-12-04T08:35:26Z

YouTube Video Reference [https://www.youtube.com/watch?v=1tic3rMVBMs]

← Older revision		Revision as of 08:35, 4 December 2020
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	===Curosurf Indications===		===Curosurf Indications===
	Give Curosurf <26 wks '''OR''' 26–29 wks and needs ≥ 40% O2 '''OR''' > 29 wks with CXR proven RDS		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===		===Preparation of Curosurf===

JenniferH: /* Curosurf for Medevacs */

2020-12-04T08:34:15Z

Curosurf for Medevacs

← Older revision		Revision as of 08:34, 4 December 2020
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	===Curosurf for Medevacs===		===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		*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

JenniferH: /* Curosurf Storage */

2020-12-04T08:32:50Z

Curosurf Storage

← Older revision		Revision as of 08:32, 4 December 2020
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	===Curosurf Storage===		===Curosurf Storage===
	*~~Store~~ at 36-46 F. If warmed and not opened or used, may be returned to refrigerated storage one time.		*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===

JenniferH: /* Administration of Curosurf */

2020-12-04T08:31:56Z

Administration of Curosurf

← Older revision		Revision as of 08:31, 4 December 2020
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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===

JenniferH: /* Preparation of Curosurf */

2020-12-04T08:30:10Z

Preparation of Curosurf

← Older revision		Revision as of 08:30, 4 December 2020
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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.

JenniferH: /* Curosurf for Medevacs */

2020-11-21T08:19:30Z

Curosurf for Medevacs

← Older revision		Revision as of 08:19, 21 November 2020
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	[[Emergency Stabilization Information]]		[[Emergency Stabilization Information]]
	<br/>[[Pediatric Village Delivery Orientation]]		<br/>[[Pediatric Village Delivery Orientation]]
			<br/>[[:Category:OB & Newborn\|OB & Newborn Main Page]]

JenniferH: /* Curosurf for Medevacs */

2020-11-20T11:06:36Z

Curosurf for Medevacs

← Older revision		Revision as of 11:06, 20 November 2020
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	[[Emergency Stabilization Information]]		[[Emergency Stabilization Information]]
	[[Pediatric Village Delivery Orientation]]		<br/>[[Pediatric Village Delivery Orientation]]