Video-guided vs direct laryngoscopy for less invasive surfactant delivery in extremely preterm infants
Official title: Randomized Controlled Trial of Video-Laryngoscopy Intervention or Direct Laryngoscopy for Delivery of Less Invasive Surfactant Administration for Premature Infants
Run by University of Texas Southwestern Medical Center · NCT07426016 · Data updated 2026-11-12
This trial tests whether using video laryngoscopy helps give surfactant on the first try more often than direct laryngoscopy in extremely preterm babies needing surfactant.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 0 Hours to 3 Days |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | University of Texas Southwestern Medical Center Academic / other |
| Locations | 1 site (Dallas, Texas) |
| Status | Recruiting |
| Started | June 11, 2026 |
| Main results expected | June 2028 |
| Study ends | November 2028 |
| Registry record updated | June 15, 2026 |
| Trial ID | NCT07426016 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Infants born at ≤28 weeks' gestation, successfully resuscitated in the delivery room and on CPAP who need surfactant within the first 36 hours.
✕Probably not a fit
Infants born ≥29 weeks, those with congenital anomalies, those receiving comfort care only, or those already intubated before surfactant may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares two visualization methods during less invasive surfactant administration in neonates born at or before 28 weeks gestation. The goal is to see if video laryngoscopy improves first-attempt success compared with direct laryngoscopy, and to describe potential benefits of each approach. Eligible infants are those resuscitated in the delivery room, on CPAP, and requiring surfactant within 36 hours of life. Exclusions include infants born after 28 weeks, with major congenital anomalies, those receiving comfort care, or those intubated before surfactant. The study is led by University of Texas Southwestern Medical Center at Parkland Hospital in Dallas, Texas.
Why it matters
Potential benefit: If successful, the method that achieves higher first-try surfactant delivery could reduce procedural time and potential lung injury.
How similar studies have gone: Previous research in neonatal airway management supports benefits of visualization aids, but this specific direct comparison in LISA is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion 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
Where it's running
-
Parkland Hospital
Dallas, Texas, United States Recruiting
Study contacts
- Principal investigator: Chokshi, MD — UT Southwestern
- Study coordinator: Principal Investigator, MD
- Email: riti.chokshi@utsouthwestern.edu
- Phone: 214-648-3383
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
How Different Levels of CPAP Deliver Oxygen to Preterm Babies
This study tests how much oxygen actually reaches preterm infants when they receive nasal CPAP at different air pressures.
-
Surfactant delivery methods in preterm infants with RDS in Sweden
This study tests different ways of giving surfactant to preterm babies with respiratory distress to see which method works best when care is routine.
-
Impact of Lung Pressure Levels During MIST on Preterm Babies’ Lung Aeration
This study tests whether applying a lung recruitment maneuver before minimally invasive surfactant therapy helps preterm infants breathe more easily.
-
Duration of surfactant administration: 1 minute vs 5 minutes in very preterm babies
This trial tests whether giving surfactant over 1 minute or 5 minutes during the LISA procedure helps stabilize cerebral and overall oxygen levels in extremely preterm infants.
-
Lung volume changes with synchronized noninvasive ventilator support in preterm infants
This study will use a noninvasive imaging belt to see if synchronized ventilator inflations produce larger lung volumes than unsynchronized or backup inflations in very preterm infants on sNIPPV.
-
Comparing two ways to wean preterm babies from high-frequency oscillatory ventilation
This trial tests two different methods to stop high-frequency oscillatory ventilation in preterm infants with respiratory distress syndrome to see which leads to fewer complications.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.