PT - JOURNAL ARTICLE AU - Sarah Louise Williamson AU - Helen McDermott AU - Harsha Gowda TI - Implementing less invasive surfactant administration on a neonatal unit AID - 10.1136/archdischild-2020-320574 DP - 2022 Aug 01 TA - Archives of disease in childhood - Education & practice edition PG - 298--301 VI - 107 IP - 4 4099 - http://ep.bmj.com/content/107/4/298.short 4100 - http://ep.bmj.com/content/107/4/298.full SO - Arch Dis Child Educ Pract Ed2022 Aug 01; 107 AB - There is increasing evidence reflected in both UK 2019 NICE and European guidelines suggesting that less invasive surfactant administration (LISA) reduces the need for mechanical ventilation and reduces the combined outcome of death or bronchopulmonary dysplasia, and is now the optimal method for surfactant delivery in spontaneously breathing babies. Despite this, uptake in England has been slow compared with Europe. This quality improvement project outlines the process of implementing LISA in a neonatal intensive care unit over a 2-year period, the barriers and challenges which were encountered, and how they were overcome.All data relevant to the study are included in the article or uploaded as online supplemental information. All relevant data are included in the study. Any further requests should be directed to the authors.