SURFACTANT THERAPY AND BRONCHOPULMONARY DYSPLASIA DEVELOPMENT IN VERY PRETERM INFANTS

In a prospective cohort study the association between surfactant therapy and development (severity) of bronchopulmonary dysplasia (BPD) in very preterm infants required mechanical ventilation after birth was studied taking into account infants’ age, surfactant dose and particular surfactant preparat...

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Main Authors: D. Dobryanskyy, O. Borysiuk
Format: Article
Language:English
Published: Bukovynian State Medical University 2019-12-01
Series:Неонатологія, хірургія та перинатальна медицина
Subjects:
Online Access:http://neonatology.bsmu.edu.ua/article/view/186840
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author D. Dobryanskyy
O. Borysiuk
author_facet D. Dobryanskyy
O. Borysiuk
author_sort D. Dobryanskyy
collection DOAJ
description In a prospective cohort study the association between surfactant therapy and development (severity) of bronchopulmonary dysplasia (BPD) in very preterm infants required mechanical ventilation after birth was studied taking into account infants’ age, surfactant dose and particular surfactant preparation use. 88 newborns received surfactant were included into the main group. 29 control newborns were treated according to standard protocols but without surfactant. Early rescue surfactant administration (during the first 2 hrs. of life) was used in 21 (24%) infants. The rest 67 of the babies (76%) got surfactant later, in about 10 hrs. after birth. 24 patients received several surfactant doses, but 64 – only one dose. 31 newborns were treated with Neosurf and 57 infants – Curosurf. Prevalence of majority of perinatal risk factors was similar in the both groups. The study results showed that in newborns required mechanical ventilation after birth, surfactant therapy did not prevent BPD development but did reduce the incidence of air leak syndromes and total duration of mechanical ventilation and could alleviate the severity of lung injury.
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spelling doaj.art-00820a3ce5b34fc8bce507fb0ea16c882023-04-27T18:51:48ZengBukovynian State Medical UniversityНеонатологія, хірургія та перинатальна медицина2226-12302413-42602019-12-0142(12)10.24061/2413-4260.IV.2.12.2014.2SURFACTANT THERAPY AND BRONCHOPULMONARY DYSPLASIA DEVELOPMENT IN VERY PRETERM INFANTSD. DobryanskyyO. BorysiukIn a prospective cohort study the association between surfactant therapy and development (severity) of bronchopulmonary dysplasia (BPD) in very preterm infants required mechanical ventilation after birth was studied taking into account infants’ age, surfactant dose and particular surfactant preparation use. 88 newborns received surfactant were included into the main group. 29 control newborns were treated according to standard protocols but without surfactant. Early rescue surfactant administration (during the first 2 hrs. of life) was used in 21 (24%) infants. The rest 67 of the babies (76%) got surfactant later, in about 10 hrs. after birth. 24 patients received several surfactant doses, but 64 – only one dose. 31 newborns were treated with Neosurf and 57 infants – Curosurf. Prevalence of majority of perinatal risk factors was similar in the both groups. The study results showed that in newborns required mechanical ventilation after birth, surfactant therapy did not prevent BPD development but did reduce the incidence of air leak syndromes and total duration of mechanical ventilation and could alleviate the severity of lung injury.http://neonatology.bsmu.edu.ua/article/view/186840very preterm newbornsexogenous surfactantbronchopulmonary dysplasia
spellingShingle D. Dobryanskyy
O. Borysiuk
SURFACTANT THERAPY AND BRONCHOPULMONARY DYSPLASIA DEVELOPMENT IN VERY PRETERM INFANTS
Неонатологія, хірургія та перинатальна медицина
very preterm newborns
exogenous surfactant
bronchopulmonary dysplasia
title SURFACTANT THERAPY AND BRONCHOPULMONARY DYSPLASIA DEVELOPMENT IN VERY PRETERM INFANTS
title_full SURFACTANT THERAPY AND BRONCHOPULMONARY DYSPLASIA DEVELOPMENT IN VERY PRETERM INFANTS
title_fullStr SURFACTANT THERAPY AND BRONCHOPULMONARY DYSPLASIA DEVELOPMENT IN VERY PRETERM INFANTS
title_full_unstemmed SURFACTANT THERAPY AND BRONCHOPULMONARY DYSPLASIA DEVELOPMENT IN VERY PRETERM INFANTS
title_short SURFACTANT THERAPY AND BRONCHOPULMONARY DYSPLASIA DEVELOPMENT IN VERY PRETERM INFANTS
title_sort surfactant therapy and bronchopulmonary dysplasia development in very preterm infants
topic very preterm newborns
exogenous surfactant
bronchopulmonary dysplasia
url http://neonatology.bsmu.edu.ua/article/view/186840
work_keys_str_mv AT ddobryanskyy surfactanttherapyandbronchopulmonarydysplasiadevelopmentinverypreterminfants
AT oborysiuk surfactanttherapyandbronchopulmonarydysplasiadevelopmentinverypreterminfants