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LIONEL

RDS - anyone experienced with nebulized surfactant?

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Hello, My name is Lionel, I have been referring many babies from my health institution to higher level, my concern is about the surfactant that we are using in prematurity and RDS, I would like to know if anyone has got experience in using surfactant nebulization instead of endotracheal use, if so what are the advantages and disadvantages.

My regards

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I'm using surfactant in 1:2dilution with NS saline through nebulization for very to late preterm infants with RD. These babies are already on CPAP machine. We give 2ml will 1/2hr for first 2-3 hours followed by 1-2 hours. All babies are recovered. This procedure is nurse friendly and less skill needed. Mild to moderate cases of RD respond well. I have not done any retrospective study. But working well. Thank you. Chakradhar Maddela.

Using Survanta

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Thank you very much with the Highlight on the use of Surfactant Nebulized, it is a very good experience that I am going to share with My colleagues. Very helpful comments.

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On 4/25/2019 at 7:10 PM, CHAKRADHAR MEDDELA said:

I'm using surfactant in 1:2dilution with NS saline through nebulization for very to late preterm infants with RD. These babies are already on CPAP machine. We give 2ml will 1/2hr for first 2-3 hours followed by 1-2 hours. All babies are recovered. This procedure is nurse friendly and less skill needed. Mild to moderate cases of RD respond well. I have not done any retrospective study. But working well. Thank you. Chakradhar Maddela.

Using Survanta

Dear SIr,

Thanks for sharing this. Is this strategy developed by you . Please clarify  how you will give 8 ml say for 2 kg baby.

Regards

Dr Satyen

 

 

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Hi. Thanks for your reciprocation. This is my own strategy based on observations in my NICU. Nurses like this. Working well in our set up - with less resources. Survanta 8ml can be diluted with 16ml of normal saline. Now, the total diluted Surfactant is 24ml. In each setting, we give 2-2.5 ml through nebulizer at intervals of  20-30 minutes based on severity (Initial dose). This is followed by same amount of Surfactant administration but at 1-2hourly. We continue baby on CPAP or HHHFNC - Airvo 2 Fisher and Pakel. Thank you. Dr. Chakradhar Maddela 

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