Survey of aerosol delivery techniques to spontaneously breathing tracheostomized children

Respiratory Care
L Denise Willis, Ariel Berlinski

Abstract

Therapeutic inhaled aerosols are often delivered to spontaneously breathing tracheostomized children. Although aerosol delivery can be affected by several factors, no recommendations for device/drug formulation choice are available. We hypothesized that practice modalities will vary among different institutions. The respiratory care departments in institutions in the United States that train pediatric pulmonologists were surveyed regarding their practices of delivering aerosols to spontaneously breathing tracheostomized children. Characteristics of the institution; use of metered-dose inhalers (MDIs), nebulizers, and dry powder inhalers; use of a resuscitation bag to aid aerosol delivery (assisted); types of medication used; and factors affecting choice of delivery method were recorded. Of the invited institutions, 81% (38/47) participated, with 68% of them being freestanding children's hospitals. MDIs were used by 92% of the institutions surveyed, with similar use of unassisted (32%, with 83% of them using spacers), assisted (34%, with 100% of them using non-valved spacers), and both techniques (34%). Nebulizers were used by 97% of the institutions surveyed, with all using unassisted and 32% also using assisted technique. Trac...Continue Reading

Citations

Oct 12, 2013·Drug Design, Development and Therapy·Paul ZarogoulidisKonstantinos Zarogoulidis
Aug 27, 2016·Journal of Aerosol Medicine and Pulmonary Drug Delivery·Wallace B WeeWarren H Finlay
Jan 12, 2017·Journal of Aerosol Medicine and Pulmonary Drug Delivery·Ariel BerlinskiIsrael Amirav
Feb 24, 2017·Expert Review of Respiratory Medicine·Arzu Ari, James B Fink

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