Surfactant treatment

Czech version

Authors: J. Termerová
Authors‘ workplace: Klinika gynekologie, porodnictví a neonatologie, 1. LF UK a VFN, Praha
Published in: Čes-slov Neonat 2023; 29 (2): 94-101.
Category: Contributions on respiratory problems of preterm newborns

Overview

Surfactant therapy is essential for the treatment of respiratory distress syndrome. A modern approach to the treatment of the syndrome is to use distension support with nasal continuous positive airway pressure, upon meeting the criteria to administer surfactant as soon as possible, using the gentlest, less invasive method, before injuring the immature lung. The goal is to avoid invasive positive pressure ventilation that is harmful and poses a risk of lung damage. If intubation is necessary during stabilization, the rule of thumb is to administer surfactant as soon as possible and direct the newborn to early extubation and non-invasive respiratory support. The following text focuses mainly on specific points of the European consensus guidelines on the management of respiratory distress syndrome: 2022 update.

Keywords:

surfactant, respiratory distress syndrome, distension support, nCPAP, meconium aspiration, pulmonary hemorrhage, bronchopulmonary dysplasia

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