Update of minimally invasive surfactant therapy

Update of minimally invasive surfactant therapy

To date, preterm infants with respiratory distress syndrome (RDS) after birth have been managed with a combination of endotracheal intubation, surfactant instillation, and mechanical ventilation. It is now recognized that noninvasive ventilation (NIV) such as nasal continuous positive airway pressure (CPAP) in preterm infants is a reasonable alternative to elective intubation after birth. Recen...

Update in Surfactant Therapy

Innovation in surfactant therapy I: surfactant lavage and surfactant administration by fluid bolus using minimally invasive techniques.

Innovation in the field of exogenous surfactant therapy continues more than two decades after the drug became commercially available. One such innovation, lung lavage using dilute surfactant, has been investigated in both laboratory and clinical settings as a treatment for meconium aspiration syndrome (MAS). Studies in animal models of MAS have affirmed that dilute surfactant lavage can remove ...

An Update on Minimally Invasive Adrenalectomy

Adrenal tumors require careful clinical and biochemical evaluation with appropriate imaging to determine malignancy or functional status. Tumors that are suspicious or confirmed for malignancy or hormone-secreting require adrenalectomy. This review discusses adrenal gland anatomy, physiology, and pathology, indications for adrenalectomy, preoperative management, and an update on surgical approa...

Minimally Invasive Mitral Valve Surgery: An Update

Minimally invasive mitral valve surgery (MIMVS) was introduced in the mid-1990s to refer to a variety of surgical techniques that avoid full sternotomy through smaller or alternative chest wall incisions, as an attempt to reduce complications, but at the same time preserve outcomes of the full sternotomy approach. In this review, different aspects of MIMVS are discussed in relation to its appro...