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Prophylactic vs rescue surfactant and antenatal corticosteroids
  1. Royal Alexandra Hospital
  2. Neonatal Intensive Care Unit
  3. 10240 Kingsway Avenue
  4. Edmonton, Alberta, Canada, T5H 3V9

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    Editor—We read with interest Morley’s review of prophylactic vs rescue surfactant,1 and noted his recommendation that all babies less than 32 weeks of gestation be treated with surfactant at intubation. The trials included in the review all have a relatively low use of antenatal corticosteroid, ranging from only 11% to 50%, with one trial not reporting this variable.2 Analysis of subgroups in one of the reviewed studies suggested that corticosteroids were as effective …

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