While attending the birth of a neonate at 32 0/7 weeks’ gestation, surfactant is instilled via the…

➤ How can clinicians reduce the risk of adverse effects during surfactant administration?
Give surfactant in small aliquots with brief ventilation between doses, preoxygenate, and monitor heart rate and SpO2 continuously. Confirm endotracheal tube placement, avoid excessive positive pressure, and have suction and resuscitation equipment ready. Experienced staff should perform the procedure to minimize delays and airway complications.