• Acta paediatrica · Apr 2012

    Review

    RDS--CPAP or surfactant or both.

    • Kajsa Bohlin.
    • Department of Neonatology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden. kajsa.bohlin@ki.se
    • Acta Paediatr. 2012 Apr 1; 101 (464): 24-8.

    UnlabelledThere is mounting evidence that early continuous positive airway pressure (CPAP) from birth is feasible and safe even in very preterm infants. However, many infants will develop respiratory distress syndrome (RDS) and require surfactant treatment. Combining a non-invasive ventilation approach with a strategy for surfactant administration is important, but questions remain about the optimal timing, mode of delivery and the value of predictive tests for surfactant deficiency.ConclusionEarly CPAP in very preterm infants is as safe as routine intubation in the delivery room. However, a strategy for surfactant administration should be part of a non-invasive ventilation approach for those infants at risk of developing significant RDS.© 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica.

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