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Research ArticleNew Horizons Symposiums

How Should Aerosols Be Delivered During Invasive Mechanical Ventilation?

Rajiv Dhand
Respiratory Care October 2017, 62 (10) 1343-1367; DOI: https://doi.org/10.4187/respcare.05803
Rajiv Dhand
MD FAARC
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    Fig. 1.

    Effect of albuterol on minimal inspiratory resistance in 12 stable mechanically ventilated subjects with COPD. Significant decreases in minimal inspiratory resistance occurred within 5 min of administration of 4 puffs of albuterol. The addition of 8 and 16 puffs (cumulative doses of 12 and 28 puffs, respectively) did not achieve a significantly greater effect than that with 4 puffs (P > .05). Bars represent SE. *P < .001. From Reference 17, with permission.

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    Fig. 2.

    Effect of albuterol on maximum inspiratory airway resistance (Rmax) in stable, mechanically ventilated subjects with COPD. There was a decrease in airway resistance from baseline values within 10 min of albuterol administration. A: Change in airway resistance from baseline (time 0) after 4 doses of albuterol from a pressurized metered-dose inhalers (pMDI). B: Change in airway resistance from baseline (time 0) after 2.5 mg of albuterol given by nebulizer. Significant reductions in airway resistance were sustained for 2 h and returned to baseline by 4 h. The response to albuterol administered by pMDI (0.4 mg) was comparable to that achieved with 2.5 mg administered by nebulizer. Bars represent SEM. *P < .01. **P < .05. From Reference 18.

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Respiratory Care: 62 (10)
Respiratory Care
Vol. 62, Issue 10
1 Oct 2017
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How Should Aerosols Be Delivered During Invasive Mechanical Ventilation?
Rajiv Dhand
Respiratory Care Oct 2017, 62 (10) 1343-1367; DOI: 10.4187/respcare.05803

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How Should Aerosols Be Delivered During Invasive Mechanical Ventilation?
Rajiv Dhand
Respiratory Care Oct 2017, 62 (10) 1343-1367; DOI: 10.4187/respcare.05803
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  • Article
    • Abstract
    • Introduction
    • Aerosol Delivery Devices in Ventilator-Supported Patients
    • Choice of Aerosol Delivery Device in Mechanically Ventilated Patients
    • Drugs Administered via Inhalation to Mechanically Ventilated Patients
    • Goal-Directed Aerosol Therapy in Mechanically Ventilated Patients
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Keywords

  • inhalation therapy
  • nebulizers
  • aerosol therapy
  • bronchodilators
  • respiratory failure

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