Lung ultrasound score is the forgotten, accurate, and physiologically sound method to guide surfactant administration

We read with interest the review by Dr. Wright and coworkers. (1) The authors provide a comprehensive overview to encourage optimizing use of non-invasive ventilation and exogenous surfactant in babies born preterm in order to enhance outcomes and to address limitations inherent in diagnosing respiratory distress syndrome (RDS). However, we would like to advocate for a tool mentioned by the authors. When addressing the need for a customized surfactant replacement, they state: “…whether lung ultrasound examination can help to tailor exogenous surfactant therapy when less inclusive treatment criteria are used remains to be tested“ citing four references that do not deal with lung ultrasound.

source https://www.jpeds.com/article/S0022-3476(23)00123-3/fulltext?rss=yes