To test an artificial surfactant in vivo, six 120-d gestational age lambs were treated at birth with a mixture of a 9:1 M ratio of [14C]dipalmitoyl phosphatidylcholine (DPC) and phosphatidylglycerol at a dose of 100 mg DPC/kg. Nine other lambs were not treated. The mean PO2 values of the lambs treated with artificial surfactant were 65.7 +/- 11 mm Hg vs. 24.8 +/- 1.6 mm Hg for the untreated lam...

BACKGROUND Intramuscular injections of vitamin A decrease the risk of broncho-pulmonary dysplasia. Admixture of vitamin A with surfactant as a lipophilic vehicle might be a less invasive modality. AIM Test physical properties of surfactant + vitamin A. METHODS Miscibility and surface activity were tested in surfactant supplemented with retinyl-acetate, -palmitate, 13-cis-, or all-trans-reti...

Dissipative particle dynamics simulations were utilized to simulate a model surfactant solution-air system. Amphiphilic surfactant molecules were modeled as dimers composed of a hydrophilic head and a hydrophobic tail. With a simple model, the influence of conservative interaction parameters on the surfactant's properties, including surfactant efficiency and critical micelle concentration (CMC)...

With the aid of pH variation, direct transformation of a "1-1" cationic-anionic surfactant pair to a "1-2" cationic-anionic surfactant pair was attained in the system of cetyltrimethylammonium bromide and n-decylphosphoric acid. Owing to the transformation of a "1-1" pair to a "1-2" pair, diverse microstructures and peculiar phase behavior in this cationic-anionic surfactant mixture was obtaine...

We performed a phase I/II trial in North America of a recombinant surfactant protein C-based surfactant (Venticute) as treatment for the acute respiratory distress syndrome. Patients were prospectively randomized to receive either standard therapy or standard therapy plus one of two doses of exogenous surfactant given four times over 24 hours. Surfactant administration was well tolerated. No si...

BACKGROUND Exogenous surfactant derived from animal lungs is applied for treatment of surfactant deficiency. By means of its rapid spreading properties, it could transport pharmaceutical agents to the terminal air spaces. The antimicrobial peptide Polymyxin B (PxB) is used as a topical antibiotic for inhalation therapy. Whereas it has been shown that PxB mixed with surfactant is not inhibiting ...

OBJECTIVE To determine whether use of the click test, a rapid bedside test of surfactant function, results in earlier and more appropriate surfactant administration in ventilated preterm infants than does usual early rescue treatment. STUDY DESIGN Ventilated preterm infants (n = 126) with inspired oxygen >/=25% and mean airway pressure >/=7 cm H(2)O were randomized in gestational strata (<28 ...

OBJECTIVE There are conflicting data regarding the use of end-tidal carbon dioxide (PetCO2) measurement in preterm infants. The aim of this study was to evaluate the effects of different dead space to tidal volume ratios (VD/VT) on the correlation between PetCO2 and arterial carbon dioxide pressure (PaCO2) in ventilated preterm infants with respiratory distress syndrome (RDS). METHODS We enro...

Respiratory failure secondary to surfactant deficiency is a major cause of morbidity and mortality in preterm infants. Surfactant therapy substantially reduces mortality and respiratory morbidity for this population. Secondary surfactant deficiency also contributes to acute respiratory morbidity in late-preterm and term neonates with meconium aspiration syndrome, pneumonia/sepsis, and perhaps p...

Wettability alteration is an important method for increasing oil recovery from oil-wet carbonate reservoirs. Chemical agents like surfactants are known as wettability modifiers in carbonate systems. Oil can be recovered from initially oil-wet carbonate reservoirs by wettability alteration from oil-wet to water-wet condition with adding dilute surfactant and electrolyte solutions. This paper inv...