Aerosol Delivery During Mechanical Ventilation: A Predictive In-Vitro Lung Model

1992 ◽  
Vol 5 (4) ◽  
pp. 251-259 ◽  
Author(s):  
H.D. FULLER ◽  
M.B. DOLOVICH ◽  
C. CHAMBERS ◽  
M.T. NEWHOUSE
1983 ◽  
Vol 11 (2) ◽  
pp. 151-157 ◽  
Author(s):  
Kevin R. Cooper ◽  
Peter A. Boswell

We developed an apparatus and technique for the simultaneous measurement of functional residual capacity and oxygen uptake (V̇O2) for use in intensive care unit (ICU) patients. The accuracy of the functional residual capacity measurement was proven using an in vitro lung model and the reproducibility of this measurement was established by use in ICU patients. We tested the accuracy of the V̇O2 measurement in comparison with two other methods in common use among ICU patients and our method proved accurate. We conclude that this technique for measurement of functional residual capacity and V̇O2 is highly accurate and easily applied to patients on any mode of mechanical ventilation.


1996 ◽  
Vol 30 (6) ◽  
pp. 644-655 ◽  
Author(s):  
Denise M Coleman ◽  
H William Kelly ◽  
Bennie C Mcwilliams ◽  
Annette Pérez ◽  
Marc M Perreault

Objective To provide an overview of aerosol drug delivery during mechanical ventilation in the pediatric and adult populations. Data Sources Published articles and abstracts identified in a MEDLINE search (1984–July 1994) were reviewed. Study Selection All articles and abstracts found, including review articles, in vivo and in vitro studies, case reports, and case series pertaining to issues involving aerosol delivery during mechanical ventilation, were reviewed. No predetermined selection criteria were used to exclude studies. Data Extraction Percent delivery of the starting dose to either the patients or the various in vitro lung models, as well as each variable possibly affecting delivery for each study, were tabulated for each study reviewed. Data Synthesis The delivery of therapeutic aerosols to endotracheally intubated and mechanically ventilated patients presents a unique challenge for healthcare providers. Delivery can be affected by the diameter of the endotracheal tube and ventilator circuitry, type of ventilator, ventilator modes, type of delivery device, and how the delivery device is operated and introduced into the ventilator circuitry. The drug being aerosolized may behave differently from one delivery system to another. The proper operation of each device requires attention to positioning in the ventilator circuit as well as the mode of ventilation. Conclusions No apparent advantage exists for metered-dose inhalers with a large-volume adapter over jet nebulizers, as each method of delivery is capable of similar efficiency (5–15%). Sufficient attention to detail, including the use of an efficient nebulizer and/or adapter and proper placement and operating method, is required to provide optimal delivery. For bronchodilator administration, careful monitoring of outcomes will provide the most optimal dosing schedule.


2015 ◽  
Vol 28 (2) ◽  
pp. 130-136 ◽  
Author(s):  
Nabile Boukhettala ◽  
Thierry Porée ◽  
Patrice Diot ◽  
Laurent Vecellio

2017 ◽  
Vol 3 (1) ◽  
pp. 233-241 ◽  
Author(s):  
Haitham Saeed ◽  
Ahmed A. Elberry ◽  
Abeer Salah Eldin ◽  
Hoda Rabea ◽  
Mohamed E. A. Abdelrahim

2017 ◽  
Vol 14 (12) ◽  
pp. 1447-1453 ◽  
Author(s):  
Alejandro Rodríguez ◽  
María Cabrera ◽  
Luis F. Reyes ◽  
María Bodí ◽  
Sandra Trefler ◽  
...  

2005 ◽  
Vol 31 (6) ◽  
pp. 871-876 ◽  
Author(s):  
Laurent Vecellio ◽  
Claude Guérin ◽  
Daniel Grimbert ◽  
Michele De Monte ◽  
Patrice Diot

Sign in / Sign up

Export Citation Format

Share Document