Surfactant question

[HighCensus]

We are updating our policies and procedures and are currently looking at our policy for surfactant administration. One of our NNP's mentioned that she had read somewhere that it is no longer necessary to change the baby's position (right side down, left side down, etc.) during the administration of Survanta. I have been assigned the task of researching this and so far have been unable to locate any information supporting that. Has anyone heard of this? What procedure does your unit use?

Thanks.

[Jolie, BSN]

We are updating our policies and procedures and are currently looking at our policy for surfactant administration. One of our NNP's mentioned that she had read somewhere that it is no longer necessary to change the baby's position (right side down, left side down, etc.) during the administration of Survanta. I have been assigned the task of researching this and so far have been unable to locate any information supporting that. Has anyone heard of this? What procedure does your unit use?

Thanks.

Can you contact the drug rep and ask for the current administration guidelines?

[EricJRN, MSN, RN]

The video on the Survanta.com website still says that you change positions with each dose.

http://survanta.com/professionals/dosing_video.asp

One of our part-time docs says that they don't change positions at the hospital where she works full-time.

[BittyBabyGrower, MSN, RN]

We keep them midline for the administration.

[SteveNNP, MSN, NP]

My last job we gave Infasurf (calfactant) in the DR and always rotated. At my current job we give Curosurf (poractant) as a rescue only, and we rotate for that too. That being said, I think survanta is 4 aliquots, right? As opposed to 2 for Infa/Curosurf? Maybe it has to do with the sheer amount of volume you're shooting in their lungs....

[ScammRNC]

just within the past year, we have started keeping the kids midline with the administration of surfactant.