A preterm neonate with hyaline membrane disease needs to be treated with:: (A) Dexamethasone, (B) Betamethasone, (C) Hydrocortisone, (D) Surfactant
Answer is D. d. Surfactant(Ref: Nelson's 20/e p 854)Systemic or inhaled corticosteroids have been used, mainly in those infants with RDS, who continue to require respiratory support & in whom bronchopulmonary dysplasia (BPD) develops.Routine use of corticosteroids for the prevention or treatment of BPD is not recommended by the American Academy of Pediatrics.