surfactant use in older babies

[qcumba]

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

[PageRespiratory!]

Yea...NO as in Nitrtic Oxide. I see that in your earlier post now........Sounds like nothing worked on this poor little one:(

[qcumba]

Yes, unfortunately nothing really worked, but maybe its better,he fought(sp)for 4 days,we celebrated when his sats went into the 70's - didnt happen often,so his brain function if he had recovered would most likely not have been great.

Doesnt make it less sad or frustrating tho.

[cannew304]

I had a kiddo yesterday with recently diagnosed NHL, in septic shock with fungal PNA who received Surfactant x2 after doing progressively worse on a HFOV. Ended up not having to go the ECMO route, and the kiddo is doing great on a conventional vent and there are even mutterings re: extubation in the near future-- it's the first time I've ever seen Surfactant used in a bigger kid, but looks like it might have been successful!