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We surveyed the use of this technique in the Nordic countries in autumn 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A link to a web\u2010based survey of surfactant administration methods was emailed to the directors of all neonatal units in the Nordic Region, apart from Finland, where only the five university\u2010based departments were invited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 73 units (85%) who responded, 23 (32%) said that they used <jats:styled-content style=\"fixed-case\">LISA<\/jats:styled-content>. The country rates were Iceland 100%, Norway 82%, Finland 60%, Denmark, including Faroe Island and Greenland, 11% and Sweden 9%. <jats:styled-content style=\"fixed-case\">LISA<\/jats:styled-content> was used in 62% of level three units, but only 14% of level two units and most commonly in babies with a gestational age of at least 26 weeks. Premedication was always or sometimes used by 78%. The main reasons for not using <jats:styled-content style=\"fixed-case\">LISA<\/jats:styled-content> were lack of familiarity with the technique (61%), no perceived benefit over other methods (22%) and concerns about patient discomfort (26%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Less invasive surfactant administration was used in 32% of Nordic neonatal units, most commonly in level three units. 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