Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1998-6-16
|
pubmed:abstractText |
Previous trials of surfactant therapy in premature infants have demonstrated a survival advantage associated with prophylactic therapy as an immediate bolus, compared with the rescue treatment of established respiratory distress syndrome. The optimal strategy for prophylactic therapy, however, remains controversial. When administered as an endotracheal bolus immediately after delivery, surfactant mixes with the absorbing fetal lung fluid and may reach the alveoli before the onset of lung injury. This approach, however, causes a brief delay in the initiation of standard neonatal resuscitation, including positive pressure ventilation, and is associated with a risk for surfactant delivery into the right main stem bronchus or esophagus. As an alternative approach, surfactant prophylaxis may be administered in small aliquots soon after resuscitation and confirmation of endotracheal tube position. Although this strategy has substantial logistical advantages in clinical practice, its efficacy has not been established.
|
pubmed:grant | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Jun
|
pubmed:issn |
1098-4275
|
pubmed:author |
pubmed-author:CowDD,
pubmed-author:DweckH SHS,
pubmed-author:GuilletRR,
pubmed-author:HorganM JMJ,
pubmed-author:KendigJ WJW,
pubmed-author:ManiscalcoW MWM,
pubmed-author:NotterR HRH,
pubmed-author:PhelpsD LDL,
pubmed-author:ReubensL JLJ,
pubmed-author:RisembergHH,
pubmed-author:RyanR MRM,
pubmed-author:SinkinR ARA
|
pubmed:issnType |
Electronic
|
pubmed:volume |
101
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1006-12
|
pubmed:dateRevised |
2007-11-14
|
pubmed:meshHeading |
pubmed-meshheading:9606227-Drug Administration Schedule,
pubmed-meshheading:9606227-Humans,
pubmed-meshheading:9606227-Infant, Newborn,
pubmed-meshheading:9606227-Infant, Premature,
pubmed-meshheading:9606227-Logistic Models,
pubmed-meshheading:9606227-Pulmonary Surfactants,
pubmed-meshheading:9606227-Respiration, Artificial,
pubmed-meshheading:9606227-Respiratory Distress Syndrome, Newborn,
pubmed-meshheading:9606227-Resuscitation,
pubmed-meshheading:9606227-Survival Analysis,
pubmed-meshheading:9606227-Treatment Outcome
|
pubmed:year |
1998
|
pubmed:articleTitle |
Comparison of two strategies for surfactant prophylaxis in very premature infants: a multicenter randomized trial.
|
pubmed:affiliation |
Rochester Surfactant Trials Group, Children's Hospital at Strong, Rochester, New York, USA.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial,
Multicenter Study
|