SALSA: Giving SURFACTANT without Intubating (using LMA)
The NICU Doc The NICU Doc
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 Published On Jun 14, 2020

This STEP-by-STEP video will show you how to perform SALSA, a new method of giving surfactant without intubating using an LMA or laryngeal mask airway or device. SALSA or Surfactant Administration Through Laryngeal or Supraglottic Airways, is a new term coined by Dr. Scott Guthrie, Dr. Kari Roberts, and Dr. Prem Fort (ME!) for a method that has been studied and encompasses the use of liquid surfactant through devices that administer surfactant directly into the laryngeal or supraglottic space (no plastic down into the trachea!).

**CHAPTERS**
00:00 SALSA Surfactant administration
00:30 Equipment needed for SALSA
01:04 Preparing the SALSA technique
02:16 Inserting the laryngeal mask device
03:48 Giving surfactant through the laryngeal mask
05:31 Removing the laryngeal mask device


It has been used in preterm infants in small studies, however larger studies still need to be carried out to determine efficacy and safety. This technique, however, can be live-saving in situations where there is no expert present to intubate and mechanically ventilate and the infant would otherwise die without the instillation of surfactant.

SALSA has been studied in small clinical trials and evidence of safety and efficacy is still inconclusive and requires larger trials.
Any use of this technique or method is done so at your own risk and we hold no responsibility or liability.

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