The Efficacy of Neutral Position Beractant Administration in Neonates

Am J Perinatol. 2018 Nov;35(13):1303-1307. doi: 10.1055/s-0038-1649483. Epub 2018 May 7.

Abstract

Objective: The objective was to compare the efficacy and adverse effects of beractant administration in neonates via a single aliquot in a neutral position versus positioning the neonates on their left then right side and two aliquots administration.

Study design: This was a retrospective cohort chart review of neonates who were diagnosed with respiratory distress syndrome and received beractant during two 15-month periods between 2013 and 2015 and 2015 and 2016 to compare the change in the fraction of inspired oxygen (FiO2) 1 hour after beractant administration.

Results: There were no differences in FiO2 1 hour after beractant between groups (p = 0.617). Adverse events and other comorbidities did not differ between the groups.

Conclusion: Changing administration of beractant from two aliquots and positions to a neutral position resulted in no significant change in FiO2 and may be considered as an option for administration in neonates.

MeSH terms

  • Biological Products / administration & dosage*
  • Drug Administration Routes
  • Female
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Male
  • Medical Records, Problem-Oriented / statistics & numerical data
  • Oxygen Consumption / drug effects
  • Patient Positioning / methods*
  • Pulmonary Surfactants / administration & dosage
  • Respiratory Distress Syndrome, Newborn* / diagnosis
  • Respiratory Distress Syndrome, Newborn* / therapy
  • Treatment Outcome
  • United States

Substances

  • Biological Products
  • Pulmonary Surfactants
  • beractant