Surfactant Therapy - Neonatal Disorders

What is Surfactant Therapy?

Surfactant therapy involves administering exogenous surfactant to newborns, particularly preterm infants, who are suffering from Respiratory Distress Syndrome (RDS). This therapy helps reduce surface tension in the lungs, allowing them to remain expanded and thus improving oxygenation and ventilation.

Why is Surfactant Important?

Surfactant is a substance produced by the lungs that reduces surface tension within the alveoli. It is critical for maintaining lung stability and preventing alveolar collapse. In preterm infants, the production of surfactant is often insufficient, leading to RDS and other respiratory complications.

Who Needs Surfactant Therapy?

Surfactant therapy is primarily indicated for preterm infants with RDS. It may also be used in other conditions such as meconium aspiration syndrome, persistent pulmonary hypertension of the newborn (PPHN), and pneumonia, where lung function is compromised.

When is Surfactant Therapy Administered?

Early administration of surfactant, often within the first 2 hours of life, is recommended for infants at high risk of RDS. Prophylactic administration may be considered for extremely preterm infants (



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