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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2021
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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. |
format | Online Article Text |
id | pubmed-9897090 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
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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