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Video vs. Direct Laryngoscopy for Less Invasive Surfactant Administration

Recruiting

Randomized Controlled Trial of Video-Laryngoscopy Intervention or Direct Laryngoscopy for Delivery of Less Invasive Surfactant Administration for Premature Infants

Who can join

0 Hours – 3 Days · All sexes

Full eligibility criteria
Inclusion Criteria:

* Infants born ≤28 weeks GA successfully resuscitated in the delivery room (DR) and maintained on CPAP • Need for surfactant in the first 36 hours of life based on clinical assessment and/or meeting threshold per unit protocol

Exclusion Criteria:

* Infants born ≥29 weeks GA or
* Infants with known congenital anomalies or
* Infants who are determined by the primary care team to receive comfort care only or
* Infants who are intubated at any time prior to surfactant administration

About the study

Many preterm babies born between 22-28+6 weeks' estimated gestational age (EGA) need surfactant, a medicine that helps the lungs. The goal of the study is to compare the use of video-based visualization to direct visualization during a procedure called less invasive surfactant administration (LISA). The main questions the study aims to answer are: 1) does one method of visualization have a increased rate of giving the medicine successfully on the first attempt? 2) what benefits are there of each method?

What is being tested

Sponsor: University of Texas Southwestern Medical Center · Participants: 100 · Started: Jun 11, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07426016

Locations in the U.S.

TexasParkland Hospital, Dallas

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.