The Effects of Surfactant on Oxygenation in Term Infants with Respiratory Failure

AUTHORS

Serdar Beken 1 , * , Canan Turkyılmaz 2 , Esin Koc 3 , Ibrahim M. Hirfanoglu 4 , Nilgun Altuntas 5

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How to Cite: Beken S, Turkyılmaz C, Koc E, M. Hirfanoglu I, Altuntas N. The Effects of Surfactant on Oxygenation in Term Infants with Respiratory Failure, Iran J Pediatr. 2013 ; 23(4):477-480.

ARTICLE INFORMATION

Iranian Journal of Pediatrics: 23 (4); 477-480
Published Online: July 23, 2013
Article Type: Rapid Communication
Received: August 16, 2012
Accepted: May 31, 2013

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Abstract

Objective: The objective of the study was to evaluate the effects of exogenous surfactant on respiratory indices  in term infants with respiratory failure. Methods: Consecutive 18 mechanically ventilated term infants, who received a single dose of exogenous surfactant were retrospectively included into the study. The respiratory outcome of surfactant rescue therapy was evaluated by comparing respiratory indices before and six hours after surfactant administration. Findings: Median oxygenation index (OI), mean alveolar pressure (MAP) and fraction of inspired oxygen (FiO2) values were significantly decreased (P<0.001); median arterial oxygen partial pressure (PaO2), arterial oxygen saturation (SaO2) and PaO2/FiO2 values were significantly increased six hours after surfactant treatment (P<0.001). Conclusion: Rescue therapy with surfactant was found to be effective in the improvement of early respiratory indices in term infants with respiratory failure.

 

Keywords

Surfactant Infant Pneumonia Oxygenation Respiratory Failure Neonate

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