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Previous Volume 358:2520-2521 June 5, 2008 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the trial reported by Morley et al. (Feb. 14 issue),¹ a significant reduction in the use of surfactant in the group treated with early continuous positive airway pressure (CPAP) as compared with the intubation group (38% vs. 77%) was perhaps the most striking finding. In the CPAP group, the median time for intubation was 6.6 hours (interquartile range, 2.2 to 19.3), and we inferred from this that surfactant was probably given as a rescue treatment. Since the timing of surfactant therapy is likely to affect outcome measures,² perhaps the advantages of early CPAP balanced out the . . . [Full Text of this Article]

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