Could a tiny tube spare preterm babies from breathing machines?

This trial tests whether giving surfactant through a small tube while babies breathe with high-flow nasal cannula support can reduce the need for invasive ventilation. The study includes infants born 2-6 weeks early who have respiratory distress. Researchers will compare outcomes between those receiving this less invasive method and those who do not, looking at ventilation rates, hospital stay length, and lung function.