Positioning During Surfactant Delivery

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Surfactant Replacement Therapy - Respiratory Care

    http://www.rcjournal.com/cpgs/srtcpg.html
    11.1 Variables to be monitored during surfactant administration 11.1.1 Proper placement and position of delivery device 11.1.2 FIO2 and ventilator settings(8,9,11,13-15,27-29,33,36,38,44) 11.1.3 Reflux of surfactant into ETT(34,41) 11.1.4 position of patient (ie, …

Guidelines for surfactant administration (surfactant ...

    https://uichildrens.org/health-library/guidelines-surfactant-administration-surfactant-replacement-therapy
    Occasionally, gas exchange deteriorates after surfactant administration, requiring a temporary increase in settings to facilitate spreading or suctioning if the ET tube is becoming obstructed. In either case, close surveillance of chest wall movement and frequent monitoring of blood gases, especially during the first 3 hours after dosing, will minimize the complications of either volutrauma or atelectasis.

Delivery and performance of surfactant replacement ...

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3840129/
    Approximately 90% of surfactant is conserved during this cycle and the entire circulating surfactant pool is replenished every 9–10 days. Pulmonary surfactant is composed of approximately 90% lipids, and 10% proteins.Author: Nashwa El-Gendy, Anubhav Kaviratna, Cory Berkland, Prajnaparamita Dhar

AARC Clinical Practice Guideline. Surfactant Replacement ...

    http://rc.rcjournal.com/content/respcare/58/2/367.full.pdf
    surfactant delivery.23,31,57 Therefore, we recommend using good clinical judgment and tracheal suctioning following surfactant, as needed. 7.6 Not all infants who are treated with a single dose of surfactant experience a positive response,48 or the response may be transient. 7.7 Positioning recommended for surfactant adminis-Author: Brian K. Walsh, Brandon Daigle, Robert M. DiBlasi, Ruben D. Restrepo

Clinical Guidelines (Nursing) : Surfactant Administration ...

    https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Surfactant_Administration_in_the_NICU/
    Place the neonate in supine position. There is no evidence to support the practice of placing the neonate in multiple positions during administration. Assistant disconnects the ETT from the ventilator. Medical practitioner or NNP to administer the surfactant via the pre-cut 5 Fr catheter in a single bolus dose as quickly as the neonate tolerates.

Pulmonary surfactant and drug delivery: Focusing on the ...

    https://www.sciencedirect.com/science/article/pii/S0168365918305832
    The presence of these four proteins, which will be more elaborately described in 2 Pulmonary surfactant and drug delivery, 3 Hydrophilic surfactant proteins, strongly determines both the immunoregulatory and mechanical function of the pulmonary surfactant to protect the human body from invading pathogens or other potentially harmful particulates and to support breathing, respectively.Author: Roberta Guagliardo, Jesús Pérez-Gil, Stefaan De Smedt, Koen Raemdonck

Less invasive surfactant administration (LISA): chances ...

    https://fn.bmj.com/content/104/6/F655
    Nov 01, 2019 · Non-invasive ventilation and especially the application of continuous positive airway pressure (CPAP) has become standard for the treatment of premature infants with respiratory problems. However, CPAP failure may occur due to respiratory distress syndrome, that is, surfactant deficiency. Less invasive surfactant administration (LISA) aims to provide an adequate dose of surfactant while …Author: Egbert Herting, Christoph Härtel, Wolfgang Göpel

Surfactant administration in neonates: A review of ...

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4456838/
    The present article reviews several aspects of administration techniques that can influence the delivery of surfactant into the lungs: the bolus volume, injection rate, gravity and orientation, ventilation strategies and development of airway obstruction, alveolar recruitment, …Author: Nina Nouraeyan, Alicia Lambrinakos-Raymond, Marisa Leone, Guilherme Sant’Anna

Surfactant Replacement Therapy for Preterm and Term ...

    https://pediatrics.aappublications.org/content/133/1/156
    Jan 01, 2014 · A prophylactic, or preventive, surfactant strategy is defined as intubation and surfactant administration to infants at high risk of developing RDS for the primary purpose of preventing worsening RDS rather than treatment of established RDS; this has been operationalized in clinical studies as surfactant administration in the delivery room before initial resuscitation efforts or the onset of …Author: Richard A. Polin, Waldemar A. Carlo, Newborn

Positions for labor and birth BabyCenter

    https://www.babycenter.com/0_positions-for-labor-and-birth_10309507.bc
    If your placenta doesn't come right out after delivery, you can get into this position to encourage a natural third stage of labor. What are some good positions for pushing? Many of the positions you've used throughout labor will also help you during the pushing stage.

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