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ENHORNING: Dr. MORLEY, to be honest with you I think there is a problem with your artificial surfactant that its adsorbtion rate is very low. And I think this is the reason why you don't see the immediate effect. The long term effect, lowering the mortality, probably is due to recirculation of the phospholipids you have introduced. My feeling is an advantage of giving surfactant before the first breath. If you give it later on, there is already damage to the airway and subsequent protein leakage.

Round table discussion.Future programs in the basic and clinical sciences on surfactant Stimulation and substitution