Endobronchial surfactant administration in full-term newborn with respiratory distress syndrome

Neonatal respiratory distress syndrome is the leading cause of neonatal acute failure. Despite successes achieved and existing international recommendations, in some cases there a severe course this disease, which requires personalized approach to patient intensive care measures.
 The article presents case successful treatment full-term newborn complicated by pulmonary barotrauma using monobronchial administration exogenous surfactant under X-ray control. In order assess disease effectiveness treatment, retrospective analysis medical documentation was carried out. From first minutes life, child had disorders, basis for non-invasive mechanical lung ventilation nCPAP (nasal continuous positive airway pressure). Progression hypercapnia hypoxemia revealed over time, therefore tracheal intubation performed convective started with FiO2 = 1,0. Monobronchial key element therapy that allowed achieve stabilization condition regression gas exchange disorders complete recovery patient.
 heterogeneous involvement an effective option can be used clinical practice refractory hypoxemia.