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Surfactant replacement after acute massive milk aspiration in a very low birthweight infant
  1. F Natale,
  2. F Calzolari,
  3. A Castronovo,
  4. L Guadalupi,
  5. M De Curtis
  1. Department of Pediatrics, “La Sapienza” University of Rome, 00161 Rome, Italy
  1. Dr Fabio Natale, Neonatal Intensive Care Unit, Department of Pediatrics, University of Rome “La Sapienza”, Viale Regina Elena 324, 00161 Rome, Italy; fab.natale{at}

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Massive milk aspiration during infant feeding is a severe event causing respiratory distress, asphyxia and sudden death.1 To date, only experimental models have shown that administration of exogenous surfactant is a successful treatment for acute lung injury induced by acidified formula, or human breast milk, aspiration.2 3 We describe a case of massive milk aspiration successfully treated with surfactant administration in a very low birthweight infant.

Case report

A 1180 g male infant of 30 weeks’ gestation was delivered by caesarean section due to variable decelerations in cardio-tocographic readings. The infant’s Apgar scores were 8 and 9 at 1 and 5 min, respectively. …

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  • Competing interests: None.