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.
Dean R Hess
Massachusetts General Hospital, Harvard Medical School, and Northeastern University in Boston, Massachusetts. He is also Managing Editor of R C.

References
- 1.↵
- Stein SW,
- Thiel CG
- 2.↵
- 3.↵
- Laube BL,
- Janssens HM,
- de Jong FHC,
- Devadason FG,
- Dhand R,
- Everhard ML,
- et al
- 4.↵
- Nahar K,
- Gupta N,
- Gauvin R,
- Absar S,
- Patel B,
- Gupta V,
- et al
- 5.↵
- Corcoran TE
- 6.↵
- Thompson RB,
- Finlay WH
- 7.↵
- Newman SP,
- Steed KP,
- Reader SJ
- 8.↵
- Kirby M,
- Mathew L,
- Heydarian M,
- McCormack DG,
- Etemad-Rezai R,
- Parraga G
- 9.↵
- Lipworth BJ
- 10.↵
- Mortensen NP,
- Hickey AJ
- 11.↵
- Lavorini F,
- Pedersen S,
- Usmani OS
- 12.↵
- Smyth HDC,
- Hickey AJ
- Olsson B,
- Bondesson E,
- Bongstrom L,
- Edsbäcker S,
- Eirefelt S,
- Ekelund K,
- Gustavsson L,
- Hegelund-Myrbäck T
- 13.↵
- 14.↵
- Labiris NR,
- Dolovich MB
- 15.↵
- Schamberger AC,
- Mise N,
- Jia J,
- Genoyer E,
- Yildirim AÖ,
- Meiners S,
- Eickelberg O
- 16.↵
- Roberts JK,
- Moore CD,
- Ward RM,
- Yost GM,
- Reilly CA
- 17.↵
- Hess DR
- 18.↵
- Dolovich MB,
- Ahrens RC,
- Hess DR,
- Anderson P,
- Dhand R,
- Ray JL,
- et al
- 19.↵
- Newman SP
- 20.↵
- Hou S,
- Wu J,
- Li X,
- Shu H
- 21.↵
- Ferguson G,
- Hickey AJ,
- Dwivedi S
- 22.↵
- Dalby RN,
- Eicher J,
- Zierneberg B
- 23.↵
- 24.↵
- 25.↵Spiriva Respimat Product Insert. Boehringer Ingelheim: Connnecticut; 2017.
- 26.↵
- Newman SP,
- Newhouse MT
- 27.↵
- Dissanayake S,
- Suggett J
- 28.↵
- Clark DJ,
- Lipworth BJ
- 29.↵
- Slator L,
- von Hollen D,
- Sandell D,
- Hatley RHM
- 30.↵
- Leach CL,
- Colice GL
- 31.↵
- 32.↵
- Anhoj J,
- Bisgaard H,
- Lipworth BJ
- 33.↵
- Wildhaber JH,
- Waterer GW,
- Hall GL,
- Summers QA
- 34.↵
- Dal Nagro RW
- 35.↵
- Mahler DA
- 36.↵
- Ghosh S,
- Ohar JA,
- Drummond MB
- 37.↵
- Kikidis D,
- Konstantinos V,
- Tzovaras D,
- Usmani OS
- 38.↵
- Carpenter DM,
- Roberts CA,
- Sage AJ,
- George J,
- Horne R
- 39.↵
- Kim MS,
- Henderson KA,
- Sickle DV
- 40.↵
- Fan VS,
- Gyly-Colwell I,
- Locke E,
- Sumino K,
- Ngyyen HQ,
- Thomas RM,
- Magzame S
- 41.↵
- Merchant RK,
- Inamdar R,
- Quade RC
- 42.↵
- Seheult JN,
- Costello S,
- Tee KC,
- et al
- 43.↵
- 44.↵
- Sulaiman I,
- Seheult J,
- Sadasivuni N,
- Bholah T,
- Al Bannai H,
- Sulaiman I,
- et al
- 45.↵
- Sulaiman I,
- Cushan B,
- Greene G,
- Seheult J,
- Seow D,
- Rawat F,
- et al
- 46.↵
- Sulaiman I,
- Greene G,
- MacHale E,
- Seheult J,
- Mokoka M,
- D'Arcy SD,
- et al
- 47.↵
- Everhard ML,
- Evans M,
- Milner AD
- 48.↵
- Malone RA,
- Hollie MC,
- Glynn-Barnhart A,
- Nelson HS
- 49.↵
- Hess D,
- Fisher D,
- Williams P,
- Pooler S,
- Kacmarek RM
- 50.↵
- 51.↵
- Waldrep JC,
- Keyhani K,
- Black M,
- Knight V
- 52.↵
- Awad SW,
- Berlinski A
- 53.↵
- Awad S,
- Williams DK,
- Berlinski A
- 54.↵
- Reisner C,
- Katial RK,
- Bartelson BB,
- Buchmeir A,
- Rosenwasser LJ,
- Nelson HS
- 55.↵
- 56.↵
- Everard ML,
- Hardy JG,
- Milner AD
- 57.↵
- 58.↵
- 59.↵
- Kohler E,
- Sollich V,
- Schuster-Wonka R,
- Huhnerbein J,
- Jorch G
- 60.↵
- 61.↵
- Bisquerra RA,
- Botz GH,
- Nates JL
- 62.
- Brodie T,
- Adalat S
- 63.
- Erzinger S,
- Schueepp KG,
- Brooks-Wildhaber J,
- Devadason SG,
- Wildhaber JH
- 64.
- Hayden JT,
- Smith N,
- Woolf DA,
- Barry PW,
- O'Callaghan C
- 65.↵
- Sangwan S,
- Gurses BK,
- Smaldone GC
- 66.↵
- Smaldone GC,
- Sangwan S,
- Shah A
- 67.↵
- Janssens HM,
- Tiddens HA
- 68.↵
- Rubin BK
- 69.↵
- Pisut FM
- 70.↵
- Pitance L,
- Reychler G,
- Leal T,
- Reychler H,
- Liistro G,
- Montharu J,
- et al
- 71.↵
- Corcoran TE,
- Dauber JH,
- Chigier N,
- Iacono AT
- 72.
- Hoffman L,
- Smithline H
- 73.
- Mason JW,
- Miller WC
- 74.
- Mason JW,
- Miller WC,
- Small S
- 75.
- 76.↵
- Rau JL,
- Ari A,
- Restrepo RD
- 77.↵
- Devadason SG,
- Everard M,
- Linto JM,
- Le Souef PN
- 78.
- Ho SL,
- Kwong WT,
- O'Drowsky L,
- Coates AL
- 79.↵
- Lin HL,
- Fang TP,
- Cho HS,
- Wan GH,
- Hsieh MJ,
- Fink JB
- 80.↵
- 81.
- 82.↵
- Newnham DM,
- Lipworth BJ
- 83.↵
- 84.↵
- 85.
- 86.↵
- Arunthari V,
- Bruinsma RS,
- Lee AS,
- Johnson MM
- 87.↵
- Sabato K,
- Ward P,
- Hawk W,
- Gildengorin V,
- Asselin JM
- 88.↵
- 89.
- 90.↵
- 91.↵
- Ari A
- 92.↵
- Gowda AA,
- Cuccia AD,
- Smaldone GC
- 93.↵
- 94.↵
- 95.↵
- Hill NS,
- Preston IR,
- Roberts KE
- 96.↵
- Nikander K,
- Turpeinen M,
- Wollmer P
- 97.↵
- Singh S,
- Kanbar-Agha F,
- Sharafkhaneh A
- 98.↵
- 99.↵
- Denyer J,
- Dyche T
- 100.
- Byrne NM,
- Keavey PM,
- Perry JD,
- Gould FK,
- Spencer DA
- 101.
- 102.
- 103.↵
- Van Dyke RE,
- Nikander K
- 104.↵
- 105.↵
- Salo D,
- Tuel M,
- Lavery RF,
- Reischel U,
- Lebowitz J,
- Moore T
- 106.↵
- Camargo CA Jr.,
- Spooner CH,
- Rowe BH
- 107.↵
- Hess DR,
- Fink JB,
- Venkataraman ST,
- Kim IK,
- Myers TR,
- Tano BD
- 108.↵
- Rodrigo GJ,
- Castro-Rodriguez JA
- 109.↵
- Hess DR,
- Acosta FL,
- Ritz RH,
- Kacmarek RM,
- Camargo CA Jr.
- 110.↵
- Corcoran TE,
- Gamard S
- 111.↵
- 112.↵
- Burchett DK,
- Darko W,
- Zahra J,
- Noviasky J,
- Probst L,
- Smith A
- 113.↵
- 114.↵
- Dhand R
- 115.↵
- Hess DR
- 116.↵
- Berlinski A,
- Ari A,
- Davies P,
- Fink J,
- Majaesic C,
- Reychler G,
- et al
- 117.↵
- 118.↵
- 119.↵
- Mahler DA,
- Waterman LA,
- Ward J,
- Gifford AH
- 120.↵
- 121.
- Jones R,
- Martin J,
- Thomas V,
- Skinner D,
- Marshall J,
- Slagno D,
- et al
- 122.↵
- Dekhuijzen PNR,
- Batsiou M,
- Bjermer L,
- Bosnic-Anticevich S,
- Chrystyn H,
- Papi A,
- et al
- 123.↵
- Goldin JG,
- Tashkin DP,
- Kleerup EC,
- Greaser LE,
- Haywood UM,
- et al
- 124.↵
- 125.↵
- Loh CH,
- Peters SP,
- Lovings TM,
- Ohar JA
- 126.↵
- Sharma G,
- Mayorga VM,
- Deering KL,
- Harshaw Q,
- Ganapathy V
- 127.↵
- Stevenson NJ,
- Walker PP,
- Costello RW,
- Calverley PMA
- 128.↵
- Broeders ME,
- Molema J,
- Hop WC,
- Vermue NA,
- Folgering HT
- 129.↵
- 130.↵
- Derom E,
- Van De Velde V,
- Marissens S,
- Engelstätter R,
- Vincken W,
- Pauwels R
- 131.↵
- Derom E,
- Louis R,
- Tiesler C,
- Engelstätter R,
- Kaufman JM,
- Joos GF
- 132.
- 133.↵
- 134.
- Papi A,
- Paggiaro P,
- Nicolini G,
- Vignola AM,
- Fabbri LM
- 135.↵
- Postma DS,
- Roche N,
- Colice G,
- Israel E,
- Martin RJ,
- van Aalderen WM,
- et al
- 136.↵
- Usmani OS,
- Biddiscombe MF,
- Barnes PJ
- 137.↵
- Zanen P,
- Go LT,
- Lammers JW
- 138.↵
- 139.↵
- 140.↵
- 141.↵
- 142.
- 143.↵
- Prime D,
- de Backer W,
- Hamilton M,
- Cahn A,
- Preece A,
- Kelleher D,
- et al
- 144.↵
- Buttini F,
- Brambilla G,
- Copella D,
- et al
- 145.↵
- 146.↵
- Mahler DA,
- Waterman LA,
- Gifford AH
- 147.↵
- Janssens W,
- VandenBrande P,
- Hardeman E,
- De Langhe E,
- Philps T,
- Troosters T,
- Decramer M,
- et al
- 148.↵
- Jordanaglou J,
- Pride NB
- 149.↵
- Wade OL,
- Gilson JC
- 150.↵
- 151.↵
- Sa RC,
- Zeman KL,
- Bennett WD,
- Prisk GK,
- Darquenne C
- 152.↵
- Pleasants RA
- 153.↵
- 154.↵
- Janson C,
- Loof T,
- Telg G,
- Stratelis G,
- Nilsson F
- 155.↵Breo Ellipta package insert. Research Triangle Park, NC: GlaxoSmithKline.
- 156.↵Seretide Accuhaler package insert. Hertfordshire, UK: GlaxoSmithKline.
- 157.↵Spiriva Handihaler package insert. Ridgefield, CT: Boehringer Ingelheim Pharmaceuticals, Inc.
- 158.↵
- Normansell R,
- Kew KM,
- Mathioudakis AG
- 159.↵
- Goodwin R,
- Chander T,
- Shah N,
- Tomlin S
- 160.↵
- Bosnic-Anticevich SZ,
- Sinha H,
- So S,
- Reddel HK
- 161.↵
- Takaku Y,
- Kurashima K,
- Ohta C,
- Ishiguro T,
- Kagiyama N,
- Yanagisawa T,
- Takayanagi N
- 162.↵
- Chrystyn H,
- van der Palen J,
- Sharma R,
- Barnes N,
- Delafont B,
- et al
- 163.↵
- 164.↵National Jewish Health. Instructional videos. Available at: https://www.nationaljewish.org/treatment-programs/medications/asthma-medications/devices/instructional-videos. Accessed May 2, 2018.
- 165.↵
- Mulhall AM,
- Zafar MA,
- Record S,
- Channell H,
- Panos RJ
- 166.↵
- 167.↵
- Gardenhire DS,
- Burnett D,
- Strickland S,
- Myers TR
- 168.↵
- Hess DR,
- Myers TR,
- Rau JL
In this issue
Respiratory Care
Vol. 63, Issue 6
1 Jun 2018
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
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