Hi, just wondering if anyone has evidence of surfactant being effective when used in older babies and children ie 12 month old?
thanks in advance
Aug 16, '09
by NotReady4PrimeTime, RN Senior Moderator
qcumba, you're quite right, there is nothing more heart-wrenching.
One of our intensivists is a world-class specialist in pulmonary hypertension. He can be quite creative in treating the kids, if he thinks there's a chance for survival. But he's also very good at bringing things to their natural conclusion in the most compassionate way possible when there is no getting better. I quite admire that trait in him. So far I haven't seen him suggest surfactant in that situation, and I really don't think it would work, because the intrinsic problem isn't the lungs, it's the vessels and eventually the right ventricle. Carvedilol, bosentan, sildenafil and epoprostenol would be his choices, I feel sure... since we have a similar scenario on our unit right now. We just found out that our baby has a whopping secundum ASD though so there's lots of potential for improvement for him.
I feel your loss, qcumba. :icon_hug:
Last edit by NotReady4PrimeTime on Aug 17, '09