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kishoreyv17

late surfactant administration

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We have a 32 week gestation 1.6kg baby referred from another hospital at 60 hours of age. No antenatal steroids given. CXR on day 1 and 2 show established RDS. On arrival, baby on SIMV 24/5 rate 50/minute Ti 0.35 FiO2 60%. Would you suggest surfactant administration at this age? Cost of surfactant is a big issue and I would give only if it is likely to be beneficial. Please opine.

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Despite the fact that we can use surfactant as we need to, we would most likely not admin surf at this late stage. In addition, the baby has a relatively long gestational age. I'd suggest your management is focused on gentle ventilation and weaning.

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