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Research ArticleConference Proceedings

Aerosol Delivery Devices for Obstructive Lung Diseases

Roy A Pleasants and Dean R Hess
Respiratory Care June 2018, 63 (6) 708-733; DOI: https://doi.org/10.4187/respcare.06290
Roy A Pleasants
Duke Clinical Research Institute and Durham Veterans Administration Pulmonary Division, Durham, North Carolina.
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Dean R Hess
Massachusetts General Hospital, Harvard Medical School, and Northeastern University in Boston, Massachusetts. He is also Managing Editor of R C.
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Figures

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  • Fig. 1.
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    Fig. 1.

    Aerosol deposition with a pressurized metered-dose inhaler without a spacer (A), and with a spacer (B), compared to the soft mist inhaler (C) using radio scintigraphy. From Reference 7, with permission.

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    Fig. 2.

    The adult lung with dimensions and generations of the airways with predicted aerosol deposition. BSM = bronchial smooth muscle. From Reference 4, with permission.

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    Fig. 3.

    Components of a pressurized metered-dose inhaler. From Reference 19.

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    Fig. 4.

    Soft mist inhaler showing the internal components as well as an enlargement of the uniblock, which helps aerosolize the drug solution from the medication cartridge. From Reference 17.

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    Fig. 5.

    Spacer (top) and valved holding chamber (bottom). From Reference 17.

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    Fig. 6.

    Delivery of BDP as a small aerosol particle size (QVAR) and as a larger aerosol particle size (BDP) via a CFC inhaler with spacer as well as with a spacer and without a 2-s delay. QVAR = hydrofluoroalkane-beclomethasone dipropionate; CFC = chlorofluorocarbon; BDP = beclomethasone dipropionate. Data from Reference 29.

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    Fig. 7.

    Examples of dry powder inhalers. Handihaler (A); Ellipta (B).

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    Fig. 8.

    Drawing of the function of a pneumatic jet nebulizer. From Reference 17.

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    Fig. 9.

    Nebulizer designs. A: Jet nebulizer with reservoir tube. B: Nebulizer with aerosol collection bag. C: Breath-enhanced nebulizer. D: Breath-actuated nebulizer. In each case, the aerosol output of the device is indicated by the striped area. From Reference 17.

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    Fig. 10.

    Mesh nebulizer. Top: Principle of operation of the device. Bottom: Representative of commercially available devices. From Reference 17.

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    Fig. 11.

    Function of an ultrasonic nebulizer. From Reference 168.

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    Fig. 12.

    A schematic representation of flow and inspiration/expiration ratios of 4 different types of nebulizer. The drug available for inhalation is indicated by the dark shaded areas, whereas the lightly shaded areas indicate losses to the surrounding air.

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In this issue

Respiratory Care: 63 (6)
Respiratory Care
Vol. 63, Issue 6
1 Jun 2018
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Aerosol Delivery Devices for Obstructive Lung Diseases
Roy A Pleasants, Dean R Hess
Respiratory Care Jun 2018, 63 (6) 708-733; DOI: 10.4187/respcare.06290

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Aerosol Delivery Devices for Obstructive Lung Diseases
Roy A Pleasants, Dean R Hess
Respiratory Care Jun 2018, 63 (6) 708-733; DOI: 10.4187/respcare.06290
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Jump to section

  • Article
    • Abstract
    • Introduction
    • History of Modern Aerosol Devices
    • Definition of Terms
    • Methods to Measure Aerosol Delivery and Deposition
    • Aerosol Deposition in the Airways
    • Inhaler Devices
    • Nebulizers
    • Clinical Studies Supporting the Impact of Aerosols
    • Inhalation Device Selection
    • Patient Education
    • Proper Inhalation Techniques
    • Summary
    • Discussion
    • Footnotes
    • References
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

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Cited By...

Keywords

  • inhalational therapies
  • COPD
  • asthma
  • dry powder inhalers
  • metered-dose inhalers
  • nebulization
  • patient education
  • smart inhalers
  • lung deposition

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