Utilization of Lung Ultrasound Score in Decision for Minimally Invasive Surfactant Administration

This prospective randomized controlled study aims to determine if using a lung ultrasound score can lead to a faster diagnosis of severe respiratory distress syndrome and quicker administration of surfactant in moderately and late-preterm infants. The research will involve 100 infants, with 67 in the prospective group and 33 serving as controls. The primary goal is to shorten the time to treatment for these vulnerable newborns. The study will also assess whether this ultrasound-guided approach improves short-term respiratory outcomes. These secondary objectives include measuring any decrease in the need for and duration of mechanical ventilation, the length of non-invasive respiratory support, and the overall need for oxygen. The study population includes infants born between 27 and 34 6/7 weeks of gestation who are admitted to the NICU. Each participant will be monitored from birth until they are discharged or transferred. This research aligns with a growing body of evidence suggesting that lung ultrasound can be a valuable tool in neonatal care, potentially leading to earlier and more precise treatment for respiratory distress syndrome.

NCT Number	NCT07442669
Lead Sponsor	Hackensack Meridian Health
Conditions	Respiratory Distress Syndrome, Newborn, Respiratory Distress Syndrome in Premature Infant
Enrollment	100 participants
Start Date	2026-07-01
Primary Completion	2028-06-28 (estimated)
Study Completion	2028-07-05 (estimated)
Updated on ClinicalTrials.gov	2026-05-22