Abstract
Prolonged intubation in preterm neonates is associated with increased morbidity, including greater infection risk and development of bronchopulmonary dysplasia (BPD). Very low birth weight (VLBW, <1500 g) infants often require ongoing respiratory support after extubation due to residual lung disease and/or apnea of prematurity. In recent years, there has been a growing trend toward early extubation after surfactant or complete avoidance of intubation and mechanical ventilation for preterm neonates.1, 2
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