Intraoperative surfactant administration during neonatal sacrococcygeal teratoma resection.

A very preterm infant with a prenatally diagnosed sacrococcygeal teratoma presented for urgent resection. Intraoperatively, he required massive transfusion due to hemorrhage with progressive decline in lung compliance and hypoxia. Rescue surfactant was given with immediate improvement in ventilation and oxygenation. Surgery was successfully completed without complications.