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Evaluation of methods of surfactant administration in the delivery suite?

Surfactant administered in the delivery suite might prevent or reduce the severity of subsequent respiratory distress syndrome. This review describes the evidence for surfactant delivery methods with relationship to their relevance in the delivery suite. The techniques include delivery using a thin...

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Detalles Bibliográficos
Autores principales: Ambulkar, Hemant, Dassios, Theodore, Greenough, Anne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9897090/
https://www.ncbi.nlm.nih.gov/pubmed/36817659
http://dx.doi.org/10.5114/aoms/122644
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author Ambulkar, Hemant
Dassios, Theodore
Greenough, Anne
author_facet Ambulkar, Hemant
Dassios, Theodore
Greenough, Anne
author_sort Ambulkar, Hemant
collection PubMed
description Surfactant administered in the delivery suite might prevent or reduce the severity of subsequent respiratory distress syndrome. This review describes the evidence for surfactant delivery methods with relationship to their relevance in the delivery suite. The techniques include delivery using a thin catheter with the first breath, by the intubation-surfactant extubation procedure, less invasive surfactant administration (LISA) technique, using a laryngeal mask airway (LMA), or by nebulisation. There have been few randomised trials that have evaluated outcomes using these techniques in the delivery suite, and these were early trials. Currently, practitioners favour use of nasal continuous positive airway pressure with early rescue surfactant. Whether prophylactic surfactant given by the LISA technique or other techniques, such as via a LMA in the delivery suite, is more beneficial merits testing. This will require appropriately designed randomised trials with long-term outcomes.
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spelling pubmed-98970902023-02-16 Evaluation of methods of surfactant administration in the delivery suite? Ambulkar, Hemant Dassios, Theodore Greenough, Anne Arch Med Sci State of the Art Paper Surfactant administered in the delivery suite might prevent or reduce the severity of subsequent respiratory distress syndrome. This review describes the evidence for surfactant delivery methods with relationship to their relevance in the delivery suite. The techniques include delivery using a thin catheter with the first breath, by the intubation-surfactant extubation procedure, less invasive surfactant administration (LISA) technique, using a laryngeal mask airway (LMA), or by nebulisation. There have been few randomised trials that have evaluated outcomes using these techniques in the delivery suite, and these were early trials. Currently, practitioners favour use of nasal continuous positive airway pressure with early rescue surfactant. Whether prophylactic surfactant given by the LISA technique or other techniques, such as via a LMA in the delivery suite, is more beneficial merits testing. This will require appropriately designed randomised trials with long-term outcomes. Termedia Publishing House 2021-01-08 /pmc/articles/PMC9897090/ /pubmed/36817659 http://dx.doi.org/10.5114/aoms/122644 Text en Copyright: © 2021 Termedia & Banach https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle State of the Art Paper
Ambulkar, Hemant
Dassios, Theodore
Greenough, Anne
Evaluation of methods of surfactant administration in the delivery suite?
title Evaluation of methods of surfactant administration in the delivery suite?
title_full Evaluation of methods of surfactant administration in the delivery suite?
title_fullStr Evaluation of methods of surfactant administration in the delivery suite?
title_full_unstemmed Evaluation of methods of surfactant administration in the delivery suite?
title_short Evaluation of methods of surfactant administration in the delivery suite?
title_sort evaluation of methods of surfactant administration in the delivery suite?
topic State of the Art Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9897090/
https://www.ncbi.nlm.nih.gov/pubmed/36817659
http://dx.doi.org/10.5114/aoms/122644
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