How often can you give surfactant?

How often can you give surfactant?

Ideally the dose should be given within 1 hr of birth but definitely before 2 hours of age. A repeat dose should be given within 4 – 12 hours if the patient is still intubated and requiring more than 30 to 40% oxygen….Indications.

Description Surfactant
Premature infants unresponsive to 2 doses of Curosurf Infasurf

How is pulmonary surfactant administered?

Surfactant has been administered either by disconnecting the infant from the ventilator and applying bagging, or by continuing ventilation during the procedure.

How is exogenous surfactant administered?

The surfactant is administered via a thin catheter into the trachea in small aliquots, while the baby is spontaneously breathing on CPAP support. In infants 29-32 weeks gestation, LISA may reduce the occurrence of pneumothorax and need for mechanical ventilation.

How is surfactant replacement therapy administered?

Medical practitioner or NNP to administer the surfactant via the pre-cut tube to the distal end of the endotracheal tube in a single bolus dose or in two aliquots as quickly as the neonate tolerates. The total dose is usually given less than a minute.

When should you give surfactant?

Optimal timeframe for surfactant administration: a. The optimal time for rescue surfactant administration is within 2 to 6 hours of birth. b. In general, the literature does not support giving a first dose of surfactant past about 24 hours of life.

How do you inject survanta?

First quarter-dose aliquot of SURVANTA suspension:

  1. Position the infant appropriately in one of the four recommended positions.
  2. Insert the 5 -French end-hole catheter into the endotracheal tube.
  3. Gently inject the first quarter-dose aliquot through the catheter over 2-3 seconds.

When do you give babies surfactant?

Artificial surfactant. This helps the most if it is started in the first 6 hours of birth. Surfactant replacement may help make RDS less serious. It is given as preventive treatment for some babies at very high risk for RDS.

When do you administer CUROSURF?

The initial recommended dose of CUROSURF is 2.5 mL/kg birth weight. Up to 2 repeat doses of 1.25 mL/kg birth weight each may be administered at approximately 12‑hour intervals. A total of 4 doses of Survanta (4 mL/kg birth weight) can be administered no more frequently than every 6 hours in the first 48 hours of life.

What is CUROSURF used for?

Curosurf is used to treat or prevent Respiratory Distress Syndrome (RDS) in newborn babies. Most babies are born with a substance in their lungs known as ‘surfactant’. This substance lines the lungs and stops them from sticking together and so makes normal breathing possible.

What medication is given for surfactant?

List of Lung surfactants:

Drug Name Avg. Rating Reviews
Survanta (Pro) Generic name: beractant 10 No reviews
Surfaxin (Pro) Generic name: lucinactant 6.0 No reviews
Infasurf (Pro) Generic name: calfactant 10 No reviews
Curosurf (Pro) Generic name: poractant 10 No reviews

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