In 1959, not long after surfactant had been identified as criticalto maintaining lung inflation at low transpulmonary pressures,1,2Avery and Mead3 reported that saline extracts from the lungsof preterm infants with respiratory distress syndrome lackedthe low surface tension characteristic of pulmonary surfactant.After several unsuccessful attempts to treat infants with respiratorydistress syndrome with aerosolized surfactant,4,5 intratrachealadministration of surfactant recovered from the air spaces ofmature animal lungs was found to improve lung expansion andventilation in preterm animals6,7,8. The clinical potentialof surfactant treatment for respiratory distress syndrome wasdemonstrated 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.
References
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