Journal of Perinatology, March 13, 2008 This study, by Cara Geary, Rafael Fonseca, James Caskey and Michael Malloy of the Department of Pediatrics at UTMB, concluded: "The introduction of surfactant at delivery followed by immediate extubation to CPAP, decreased oxygen exposure and early parenteral amino acids in ELBW infants is possible, safe and associated with improvements in growth and morbidity."