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Ion pair-based surfactant-assisted liquid-liquid microextraction with solidification of floating organic drops has been developed to extract Allura red (AR), tartrazine (TAR), and fast green (FG) prior to spectrophotometric determination. Cetyltrimethylammonium bromide (CTAB) was employed as ion-pairing agent to enhance the hydrophobic behavior of anionic dyes. 1-undecanol and ethanol were used as the extraction and dispersion solvents, respectively. The dyes were quantitatively extracted in the presence of KCl (0.15 mol L-1) at pH 4.0. The method exhibits wide linearity (15.0-1500.0 µg L-1 for AR, 35.0-2000.0 µg L-1 for TAR, and 3.0-1200.0 µg L-1 for FG) with preconcentration factors of 19.6, 20.1, and 19.9, respectively. The detection limit was 3.7. 9.5, and 0.83 µg L-1 for AR, TAR, and FG, respectively. The relative standard deviation did not exceed 2.1 %. The procedure was applied for the determination of these dyes in food samples.

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This work highlights the biosurfactant production potential of yeasts from mangroves in northeastern Brazil. The biosurfactants were evaluated by their emulsifying capacity (EI24), with 6 isolates showing values between 50% and 62%. Surfactant properties from crude extract were measured using drop collapse, oil displacement, Parafilm® M, surface tension and critical micellar concentration tests. The effects of temperature, salinity, pH, and the ability to emulsify different hydrocarbons were analyzed, showing a promising potential of the yeast species investigated to tolerance to high temperatures and acidic pH, in addition to emulsifying different sources of hydrocarbons with environmental impact. It is important to note that the Pichia pseudolambica isolates showed a remarkable ability to reduce the surface tension of water, from 70.82 mN/m to 36.47 mN/m. In addition, the critical micellar concentration (CMC) values ranged from 7 to 16 mg/mL, highlighting the promising surfactant activity of these isolates for future applications. It was identified that the biosurfactant adhered to the yeast cell wall, and FTIR and 1H NMR spectroscopy analysis was carried out on the yeast biomass and its post-sonication supernatant. The results indicate the presence of characteristic functional groups and peaks found in biosurfactants of a glycolipid nature. Taking together the results reveals the promising potential of biosurfactant biosynthesis of P. pseudolambica yeast, a trait not reported in the literature so far for this species. P. pseudolambica presents a relevant metabolic potential for alternative substrate use and resilience to adverse conditions that could enable it to produce biosurfactants for the biotechnological remediation of areas contaminated by oil derivatives. The metabolic properties herein investigated, together with their presence in Brazilian mangroves, make P. pseudolambica an emerging candidate for developing industrial processes and sustainable strategies for the recovery of ecosystems impacted by oil spills, being positioned as a sustainable alternative to conventional surfactants.

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In this study, in order to solve the application problems of poor water solubility and low bioavailability of quercetin, we prepared a nano-delivery system with core-shell structure by anti-solvent method, including a hydrophilic shell composed of tea saponin and a hydrophobic core composed of Zein, which was used to improve the delivery efficiency and biological activity of quercetin. Through the optimal experiments, the loading rate and encapsulation rate of nanoparticles reached 89.41 % and 7.94 % respectively. And the water solubility of quercetin is improved by 30.16 times. At the same time, the quercetin acted with Zein through non-covalent interaction and destroyed its spatial network through structural characterization, while tea saponin covered the surface of Zein through electrostatic interaction, making it change into amorphous state. In addition, the addition of tea saponin makes the nanoparticles remain stable under the changes of external environment. During simulating gastrointestinal digestion procedure, ZQTNPs has higher release rate and bioavailability than free quercetin. Importantly, ZQTNPs can overcome the limitations of a single substance through synergy. These results will promote the innovative development of quercetin precision nutrition delivery system.

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Diesel engines are used extensively in heavy-duty transportation due to their high thermal efficiency and energy density, but they also contribute to environmental pollution. Water-in-diesel emulsions have emerged as an alternative method for decreasing NOx and emissions, but there are still obstacles to assuring engine performance and stability. Surfactants are used to stabilise the emulsion by decreasing the interfacial tension between the fuel and water. Studies on water-in-diesel emulsions published literature suggest that chemical surfactants have been used in the production of emulsified fuels. In addition, research have shown that biosurfactants are less harmful to the environment than chemical surfactants. However, only limited study has been conducted on the use of biosurfactants in emulsified fuel. Consequently, it is important to investigate the possible use of biosurfactants in applications using emulsified fuels. This research studies the categorization of surfactants and biosurfactants and emulsion methods for the development of emulsified fuel. This research also aids in the selection of the most suitable surfactant and biosurfactant for applications, particularly in the context of water-in-diesel emulsions and diesel-in-water emulsions, with the goal of developing an environmentally friendly, stable emulsified fuel that can reduce the emission effect and protect the environment.

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Recent advances in fluoropolymer polymerization have focused on replacing perfluorinated polymerization aids (PAs) with hydrocarbon-based alternatives. Hydrocarbon PAs are vulnerable to fluorinated radicals during polymerization, leading to the creation of hundreds of process-specific polyfluorinated residuals. These residuals, which include low molecular weight extractable or leachable impurities, are challenging to detect at trace levels. This study investigates a polytetrafluoroethylene (PTFE) dispersion prepared with a hydrocarbon-based surfactant (DOSS) to measure these process-specific fluorinated residues. Liquid chromatography high resolution mass spectrometry is one of the few analytical methods that offers the sensitivity and selectivity required to detect these residuals in complex matrices at concentrations as low as parts per billion. The results indicate that using a hydrocarbon PA during emulsion polymerization produces numerous polyfluorinated residuals. These must be identified and monitored to develop effective abatement strategies, ensuring responsible fluoropolymer manufacturing.

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Diffusional limitations associated with zeolite microporous systems can be overcome by developing hierarchical zeolites, i.e., materials with a micro- and mesoporous framework. In this work, Y and ZSM-5 zeolites were modified using a surfactant-mediated hydrothermal alkaline method, with NaOH and cetyltrimethylammonium bromide (CTAB). For Y zeolite, after a mild acidic pretreatment, the effect of the NaOH+CTAB treatment time was investigated. For ZSM-5 zeolite, different concentrations of the base and acid solutions were tested in the two-step pretreatment preceding the hydrothermal treatment. The properties of the materials were studied with different physical-chemical techniques. Hierarchical Y zeolites were characterized by 3.3-5 nm pores formed during the alkaline treatment through the structure reconstruction around the surfactant aggregates. The effectiveness of the NaOH+CTAB treatment was highly dependent on the duration. For intermediate treatment times (6-12 h), both smaller and larger mesopores were also obtained. Hierarchical ZSM-5 zeolites showed a disordered mesoporosity, mainly resulting from the pretreatment rather than from the subsequent hydrothermal treatment. High mesoporosity was obtained when the concentration of the pretreating base solution was sufficiently high and that of the acid one was not excessive. Hierarchical materials can be obtained for both zeolite structures, but the pretreatment and treatment conditions must be tailored to the starting zeolite and the desired type of mesoporosity.

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The influence of adding surfactants on the performance of high-solid anaerobic digestion of horticultural waste was extensively investigated in batch systems. Adding Tween series and polyethylene glycol series non-ionic surfactants had positive effects on biogas production, resulting in 370.1 mL/g VS and 256.6 mL/g VS with Tween 60 and polyethylene glycol 300 at a surfactant-to-grass mass ratio of 0.20, while the biogas production of anaerobic digestion without surfactants was 107.54 mL/g VS. The optimal and economically feasible choice was adding Tween 20 at a ratio of 0.08 g/g grass in high-solid anaerobic digestion. A kinetics model reliably represented the relationship between surfactant concentration and biogas production. The mechanism of surfactants working on lignocellulose was investigated. The improvement in high-solid anaerobic digestion by adding surfactants was attributed to the interaction between lignocelluloses and surfactants and the extraction of biodegradable fractions from the porous structure. An economic analysis showed that adding Tween 20 was likely to make a profit and be more feasible than adding Tween 60 and polyethylene glycol 300. This study confirms the enhancement in biogas production from horticultural waste by adding non-ionic surfactants.

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Surfactants are hailed as "industrial monosodium glutamate", and are widely used as emulsifiers, demulsifiers, water treatment agents, etc., in the petroleum industry. However, due to the unidirectivity of conventional surfactants, the difficulty in demulsifying petroleum emulsions generated after emulsification with such surfactants increases sharply. Therefore, it is of great significance and application value to design and develop a novel switchable surfactant for oil exploitation. In this study, a CO2-switchable Gemini surfactant of N,N'-dimethyl-N,N'-didodecyl butylene diamine (DMDBA) was synthesized from 1, 4-dibromobutane, dodecylamine, formic acid, and formaldehyde. Then, the synthesized surfactant was structurally characterized by infrared (IR) spectroscopy, hydrogen nuclear magnetic resonance (1H NMR) spectroscopy, and electrospray ionization mass spectrometry (ESI-MS); the changes in conductivity and Zeta potential of DMDBA before and after CO2/N2 injection were also studied. The results show that DMDBA had a good CO2 response and cycle reversibility. The critical micelle concentration (CMC) of cationic surfactant obtained from DMDBA by injecting CO2 was 1.45 × 10-4 mol/L, the surface tension at CMC was 33.4 mN·m-1, and the contact angle with paraffin was less than 90°, indicating that it had a good surface activity and wettability. In addition, the kinetic law of the process of producing surfactant by injecting CO2 was studied, and it was found that the process was a second-order reaction. The influence of temperature and gas velocity on the reaction dynamics was explored. The calculated values from the equation were in good agreement with the measured values, with a correlation coefficient greater than 0.9950. The activation energy measured during the formation of surfactant was Ea = 91.16 kJ/mol.

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Several outbreaks of Listeria monocytogenes originated mainly from contaminated contact surfaces. Thus, this study investigated the antilisterial effect of natural surfactants in terms of their use as a 2-in-1 sanitizing washer on a food contact surface and evaluated their modes of action. The antilisterial activity of alkyl polyglycosides (APGs), namely capryl glucoside (CA), coco glucoside (CG), and decyl glucoside (DG), was evaluated based on the minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) using broth dilution assay. The results showed that CG had the strongest antilisterial activity. Therefore, CG was selected for further investigation. The time-kill assay showed a lethal effect of 0.5 % w/w CG by inactivating 4 Log reduction (99.99 %) of L. monocytogenes within 3 s. Furthermore, 1 % (w/w) CG with slight mechanical force in washing (by shaking) was efficient for sanitizing a stainless-steel coupon surface based on its ability to cause a total reduction of deposited L. monocytogenes (99.9 %) within 10 min. Scanning electron microscopy and applying Fourier-transform infrared spectroscopy revealed that CG chemically disrupted the cell wall and plasma membrane of L. monocytogenes within 5 min after a gentle wash. The results showed it had potent antimicrobial activity and was bactericidal against L. monocytogenes. Overall, our results supported the use of CG as a natural antibacterial surfactant to alter the chemical sanitizer and the possibility of its practical use in the food industry and for household use.

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Stable-state emulsions with no phase separation and dispersed-particle aggregation can be utilized in various fields, such as cosmetics, pharmaceuticals, food, and drug delivery. However, the physicochemical properties and stability of emulsions are significantly affected by factors such as concentration, mixing method, droplet size, and temperature. Surfactants (emulsifiers), which are used to form stable emulsions, adversely affect the human body and environment and influence the properties of emulsions, thereby limiting their development. This study manufactured stable emulsions without a surfactant using ultrasonic equipment. The oil particle size distributions, zeta potentials, microscopic observations, and emulsion stabilities of six emulsions (with an oil content of 1 %) prepared using different frequencies (250-1000 kHz) and output powers (50-150 W) were analyzed, immediately after preparation at 25 °C and 3 d thereafter. Finally, it was possible to manufacture a stable emulsion without particle size change or phase separation with a particle size in the 100 nm range and a surface charge value of -40 mV or more under conditions of 400 kHz and 150 W. This study proposed a method (with the optimum conditions) for manufacturing surfactant-free emulsions by analyzing the stability of emulsions manufactured under various frequencies and output-power conditions. The proposed method could open new frontiers in emulsion development and applications.

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Sodium houttuyfonate (SH), derived from the widely utilized natural herb Houttuynia cordata, exhibits an effective therapeutic effect on various diseases, including bacterial and fungal infections, especially the respiratory tract infection. Therefore, the anti-microbial mechanisms of SH may be different from the single-target action mechanism of conventional antibiotics, and further research is needed to clarify this. Firstly, we discovered that SH can effectively intervene in mouse lung infections by reducing bacterial load and acute inflammation response related to pneumonia caused by Pseudomonas aeruginosa. Interestingly, our results confirmed that SH has surface activity and can directly induce changes in the cell wall the shedding of surface lipopolysaccharide (LPS). Additionally, we found that SH-induced shedding of LPS can induce M1 polarization of macrophages in the early stage, leading to the production of corresponding polarization effector molecules. Subsequently, we discovered that SH-induced M1 polarization cells can effectively phagocytose and kill bacterial cells. The protein expression results indicated that SH can enhance the expression of M1 polarization pathway of TLR4/MyD88/NF-κB during the initial phase of macrophage and pathogen interaction. In summary, our results imply that SH could directly induce the shedding of P. aeruginosa LPS in a surfactant-like manner. Afterwards, the SH induced abscisic LPS can initiate the TLR4/MyD88/NF-κB immune pathway to trigger the M1 polarization of macrophages, which might intervene the P. aeruginosa-caused acute lung infection at early stage. Based on these findings, we attempted to coin the term "immune feedback eradication mechanism against pathogen of natural product" to describe this potent antimicrobial mechanism of SH.

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Assessing the concentrations of various chemicals in river water is critical for ensuring global environmental sustainability. There is an increasing need to assess water risks in southeast Asia due to the increasing chemical pollution associated with the rapid economic growth and abnormal weather. Although AIST-SHANEL, a model for analyzing chemical concentrations in river water based on the characteristics of individual rivers and meteorological conditions, is useful for assessing the water risks, this model currently only applies to Japanese rivers due to the lack of global data. To facilitate the high-spatio-temporal-resolution exposure assessment for aquatic organisms systems in southeast Asia, we built a Global-SHANEL Asia model (expanded model of the AIST-SHANEL) by collecting and processing open geospatial and meteorological data in Asia. Estimated river flow rates and concentrations of linear alkyl benzenesulfonic acid (LAS) were compared to measured values. Our model precisely estimated the seasonal variation of flow rates related to weather changes and predicted LAS concentrations at a practical level (within one order of magnitude). The model visualizes the overall distribution of LAS concentrations in southeast Asia and identifies hotspots where chemical concentrations could increase. The model visualizes the chemical distribution across countries to facilitate risk assessments for chemical pollution in future climate change and population projections. The model identifies chemical pollution and aids decision-making to promote environmental sustainability.

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The foamability of dissolved phosphogypsum from the phosphate fertilizer factories of Gabes (SE Tunisia) is a spectacular phenomenon that has not yet been thoroughly studied. The main objective of this research was to investigate the organic properties of phosphogypsum foam (PGF) to understand its formation process, determine the origin of its enhanced radiochemical contaminants load, and identify its role in pollutants dispersion in marine environment of the Southern Mediterranean Sea. This study identified PGF as an unnatural, surfactant-stabilized, and ephemeral aqueous foam. PGF-forming process comprises three main steps: (i) formation (through phosphogypsum dissolution), (ii) stabilization (facilitated by organic surfactants and gypsum crystals), and (iii) destabilization (geochemical (involving the dissolution of the PGF skeleton gypsum) and/or mechanical (influenced by wind and wave action)). The amphiphilic nature of PGF organic matter and the presence of specific organic groups are responsible for its high toxic contaminants load. PGF contributes, through its elevated pollutants content and its ability to migrate far from its source, to the marine dispersion of industrial toxic radiochemical contaminants. It is therefore recommended to mitigate the environmental and health risks associated with PGF, including banning the discharge of untreated phosphogypsum and other industrial wastes into the coastal environment of Gabes.

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Introduction: Less-invasive surfactant administration (LISA) is associated with better respiratory outcomes in preterm infants with respiratory distress syndrome. However, mechanical ventilation (MV) shortly after the LISA procedure has been related to lower survival. This study aimed to analyze the trends and main predictors of continuous positive airway pressure (CPAP) failure after LISA. Material and methods: Preterm infants born between 230 and 336 weeks gestational age (GA) in two level III neonatal units who received surfactant were included (2017-2022). Demographic data, lung ultrasound (LUS) scores, the saturation/fraction of inspired oxygen (SF) ratio, technique, time to surfactant administration, and the main neonatal outcomes were collected. Results: Over the study period, 289 inborn preterm infants received surfactant, 174 with the LISA method (60.2%). Patients who received surfactant after intubation in the delivery room (n = 56) were more immature and exhibited worse outcomes. Patients who received surfactant via an endotracheal tube in the neonatal intensive care unit (n = 59) had higher LUS scores and a lower SF ratio than those treated with LISA. The LISA method was associated with less death or bronchopulmonary dysplasia (BPD), with an adjusted odds ratio (aOR) = 0.37 [95% confidence interval (CI), 0.18-0.74, p = 0.006]. CPAP failure after LISA (defined as the need for intubation and MV in the first 72 h of life) occurred in 38 patients (21.8%), inversely proportional to GA (38.7% at 23-26 weeks, 26.3% at 27-30 weeks, and 7.9% at 30-33 weeks (p < 0.001). CPAP failure after LISA was significantly related to death, with an aOR = 12.0 (95% CI, 3.0-47.8, p < 0.001), and moderate to severe BPD, with an aOR = 2.9 (95% CI, 1.1-8.0, p = 0.035), when adjusting for GA. The best predictors of CPAP failure after LISA were GA, intrauterine growth restriction, temperature at admission, the SF ratio, and the LUS score, with a Nagelkerke's R 2 = 0.458 (p < 0.001). The predictive model showed an area under the curve = 0.84 (95% CI, 0.75-0.93, p < 0.001). Conclusions: CPAP failure after LISA is still common in extremely preterm infants, leading to an increase in death or disability. Clinicians must acknowledge the main risk factors of CPAP failure to choose wisely the right patient and the best technique. LUS and the SF ratio at admission can be useful when making these decisions.

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BACKGROUND: Less invasive surfactant administration (LISA) has become the preferred method of surfactant administration for spontaneously breathing babies on continuous positive airway pressure (CPAP). SUMMARY: The development of LISA followed the need to combine CPAP and surfactant replacement as mainstay treatment options for respiratory distress syndrome, thereby avoided exposure to positive pressure ventilation. KEY MESSAGES: This review summarises the current knowns and unknowns of LISA including the physiological concept, its relevance for short-term and long-term outcomes and the challenges for practical implementation of LISA as part of a less invasive respiratory care bundle. Further, we provide an update of the evidence on alternatives to LISA, for example, nebulised surfactant administration, pharyngeal deposition of surfactant and delivery via supraglottic airway.

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Objectives: The objective of the present study was to develop natural excipient-based solid lipid nanoparticles (SLN) of butenafine hydrochloride (BUTE) using a modified solvent emulsification technique and to evaluate the competence of aloe vera nanolipidgel in enhancing the penetration of BUTE. Materials and Methods: BUTE-SLNs were prepared using a 23 factorial design to correlate the effect of formulation components on the BUTE-SLN. Particle size, polydispersity index (PDI), zeta potential, entrapment performance, and drug loading were assessed in the formed SLNs. The fabricated BUTE-SLN was evaluated for transmission electron microscopy, fourier transform infrared spectroscopy, differential scanning calorimetry, and X-ray diffraction study studies and revealed the encapsulation of BUTE in lipid in the amorphous state. BUTE-SLN-based aloe vera gel was formulated and evaluated compared with the marketed product with respect to primary skin irritation, hydration, skin permeation, and antifungal activity. Results: The BUTE-SLN aloe vera gel, optimized for its formulation, features excellent slip properties and controlled drug release. DSC and XRD studies confirm its amorphous nature with effective drug entrapment. The gel provides enhanced skin deposition, improved antifungal activity, and reduced irritation. This makes it a cost-effective and innovative alternative to traditional dosage forms. BUTE-SLN promisingly showed no irritation, higher hydrating potential, slow and sustained release, and enhanced antifungal activity. With an aim to target deeper skin strata, minimize the side effects of drugs and symptomatic impact of fungal infection, and shorten the duration of therapy, BUTE-SLN was successfully prepared. The mean particle size and PDI were 261.25 ± 2.38 nm and 0.268 ± 0.01, respectively. Conclusion: BUTE-SLN gel offers improved topical delivery of BUTE with significantly higher compatibility and antifungal activity than the marketed formulation.

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Achieving circularity in the plastic economy predominantly depends on sourcing higher quality recyclates. Packaging plastic poses a significant challenge as it is often not prioritised for collection or recycling initiatives. The presence of additives, such as printing ink, impedes the quality of recyclates. Considering the volume of packaging plastics and the importance of branding (aesthetics and consumer information), ink removal is a critical pre-treatment step. However, the literature is limited, with only 14 studies exploring de-inking processes. Drawing parallels with the detergent laundering process, surfactants have been widely investigated in plastic de-inking, with cationic surfactants proving the most effective with a de-inking efficiency of up to 100%. However, concerns exist regarding the toxic and hazardous nature of the surfactants and chemicals. The average hazard quotient (AHQ) was developed, which compares de-inking chemicals as one of the key findings. AHQ provides a quantitative proxy for the hazards and toxicities, which are qualitatively presented as part of the globally harmonised system (GHS) classification of chemicals. To drive emerging packaging plastic de-inking, including the development of green surfactants (e.g. gamma-valerolactone), this work enables an informed chemical selection minimising potential hazards (rather than creating more adverse effects in plastic recycling processes) and toxicities from plastic waste, fulfilling the objectives of cleaner plastic waste recycling.

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HYPOTHESIS: Ethoxylated complex coacervate core micelles (C3Ms), formed by the electrostatic coacervation of a charge-neutral diblock copolymer and an oppositely charged homopolymer, exhibit morphology governed by molecular packing principles. Additionally, this morphology is temperature-dependent, leading to transitions similar to those observed in classical ethoxylated surfactant aggregates. EXPERIMENTS: To explore the thermal effects on the size and morphology of C3Ms, we employed dynamic light scattering (DLS), small-angle X-ray scattering (SAXS), and cryogenic transmission electron microscopy (cryo-TEM). These techniques were applied to C3Ms formed by copolymers with varying poly(ethylene oxide) (EO) lengths. FINDINGS: Increasing the temperature-induced a transition from spherical to elongated aggregates, contingent on the EO block length. This morphological transition in EO-containing C3Ms parallels the behavior of classical ethoxylated surfactant aggregates. Despite the fundamental differences between hydrophobically driven and electrostatic coacervate micelles, our findings suggest that similar molecular packing principles are universally applicable across both systems. Our results offer valuable insights for predicting the structural properties of these coacervate platforms, which is crucial for envisioning their future applications.

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The cornerstone of treatment for respiratory distress syndrome in preterm infants is surfactant administration, traditionally performed through an invasive procedure involving tracheal intubation and mechanical ventilation. Consequently, there has been a growing interest in exploring less invasive methods of surfactant delivery to mitigate the associated risks. Currently, several techniques are under evaluation, including intratracheal instillation using a thin catheter, aerosolized or nebulized administration, and guided administration by supraglottic airway devices. One such method is surfactant administration through laryngeal or supraglottic airway, which involves placing a laryngeal mask without the need for laryngoscopy and administering surfactant through the device. The simplicity of laryngeal mask insertion could potentially streamline the surfactant delivery process, eliminating the necessity for advanced skills. This narrative review aimed to assess the current evidence in the literature regarding the benefits and risks associated with surfactant administration through a laryngeal supraglottic airway.

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Pulmonary ultrasound has become a fundamental tool for the early detection and management of major neonatal lung diseases in neonatal intensive care units (NICUs). The advantages of this imaging investigation include its rapid execution and information acquisition, non-invasive nature, early diagnosis establishment, dynamic monitoring, and usefulness in therapeutic management. Regarding therapeutic management, the lung ultrasound (LUS) score is used as a basic tool for indicating surfactant administration. Performing and interpreting pulmonary ultrasounds requires an experienced clinician capable of recognizing anatomical structures, understanding the limitations of the technique, and correlating the obtained data with the patient's clinical picture. A series of diagnostic characteristics of pulmonary ultrasonography for neonatal lung pathologies have been described, making pulmonary ultrasound a useful tool in establishing differential diagnoses. This study evaluates the effectiveness of ultrasonography in determining the severity of lung pathologies in newborns and its impact on therapeutic decision-making, including surfactant administration and continuous positive airway pressure (CPAP) support. Newborns admitted to the NICU with various respiratory conditions underwent LUS scoring. The study analyzed the relationship between LUS scoring and the severity of conditions such as pneumonia, respiratory distress syndrome, meconium aspiration syndrome, transient tachypnea of the newborn, and pneumothorax. The correlation between LUS scoring, surfactant administration, and CPAP requirements was also examined.