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Updated: Jul 28, 2026

Lavage-induced Surfactant Depletion in Pigs As a Model of the Acute Respiratory Distress Syndrome (ARDS)
Published on: September 7, 2016
[Treatment of severe respiratory distress syndrome with surfactant]
1Neonatalafdeling GN, Rigshospitalet, København.
Insights
The first Danish study on exogenous surfactant treatment for respiratory distress syndrome (RDS) in preterm infants shows promising results. Pulmonary function improved, though further registration is needed.
Area of Science:
- Neonatal Medicine
- Pediatric Pulmonology
- Critical Care
Background:
- Respiratory distress syndrome (RDS) is a common condition in preterm infants.
- Artificial ventilation with high oxygen concentrations is often required for severe RDS.
- Exogenous surfactant therapy has shown promise in improving outcomes for preterm infants with RDS.
Purpose of the Study:
- To describe the initial Danish experience with exogenous surfactant treatment for severe RDS in preterm infants.
- To evaluate the efficacy and safety of purified porcine surfactant (Curosurf) in this population.
Main Methods:
- Fifteen preterm infants (birthweights 645-1,865 g, gestational ages 25-32 weeks) with severe RDS requiring mechanical ventilation (>60% oxygen) were treated with Curosurf within 28 hours of birth.
- Pulmonary function was monitored post-treatment.
Main Results:
- Immediate improvement in pulmonary function was observed in all treated infants.
- Mortality rate was 27% (4/15).
- Bronchopulmonary dysplasia (pulmonary fibrosis) occurred in 27% (4/15) and late neurological sequelae in 13% (2/15) of infants.
Conclusions:
- Preliminary results suggest that exogenous surfactant therapy is a promising treatment for severe RDS in preterm infants.
- The findings align with international randomized controlled trials.
- Systematic registration and further studies are necessary to confirm these outcomes.
Abstract:
The first Danish experience of treatment of the respiratory distress syndrome (RDS) in preterm infants with exogenous surfactant is described. Fifteen infants with birthweights of 645-1,865 g and gestational ages of 25-32 weeks, all receiving artificial ventilation with at least 60% oxygen for severe RDS, were treated with purified porcine surfactant (Curosurf) within the first 28 hours of life. Pulmonary function improved immediately in all of the infants. Four infants (27%) died, four (27%) developed bronchopulmonary dysplasia (pulmonary fibrosis) and two (13%) had late neurological sequelae. These preliminary results are considered to be promising and they are in complete agreement with the results of randomised, controlled investigations from abroad. Systematic registration is, however, still necessary.
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