What would happen in a premature infant if insufficient surfactant were available? mastering easynote?

I think if insufficient surfactant were available then it would result to alveolar collapse. The alveoli collapses due to poor surfactant spreading during inspiration, causing the surface tension to be at its highest which tends to collapse smaller alveoli. Atelectasis may also occur during suction, as along with sputum, air is withdrawn from the lungs.