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Review Article
Drug Therapy
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Volume 328:861-868 March 25, 1993 Number 12
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Pulmonary Surfactant Therapy
Alan H. Jobe

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In 1959, not long after surfactant had been identified as critical to maintaining lung inflation at low transpulmonary pressures,1,2 Avery and Mead3 reported that saline extracts from the lungs of preterm infants with respiratory distress syndrome lacked the low surface tension characteristic of pulmonary surfactant. After several unsuccessful attempts to treat infants with respiratory distress syndrome with aerosolized surfactant,4,5 intratracheal administration of surfactant recovered from the air spaces of mature animal lungs was found to improve lung expansion and ventilation in preterm animals6,7,8. The clinical potential of surfactant treatment for respiratory distress syndrome was demonstrated by Fujiwara et al.9 . . . [Full Text of this Article]

Natural Surfactant and the Surfactants in Clinical Use

Clinical Trials

Timing of Surfactant Treatment

Repetition of Treatment

Acute Effects of Surfactants on the Lung

Pharmacokinetics of Surfactant

Clinical Implications


Source Information

From the Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, Calif., and the UCLA School of Medicine, Los Angeles.

Address reprint requests to Dr. Jobe at the Department of Pediatrics, Harbor-UCLA Medical Center, 1000 W. Carson Street, RB-1, Torrance, CA 90509.

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