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Updated: May 4, 2026

Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
Published on: April 7, 2021
The effects of surfactant on oxygenation in term infants with respiratory failure
Serdar Beken1, Canan Turkyılmaz1, Esin Koc1
1Department of Pediatrics, Division of Neonatology, Gazi University, Faculty of Medicine, Ankara, Turkey.
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.
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