title: Differential Medical Aerosol Device and Interface Selection in Patients during Spontaneous, Conventional Mechanical and Noninvasive Ventilation.
abstract: Many aerosol delivery devices are available on the market that have different features, characteristics, and operating requirements that need to be considered for the effective treatment of patients with pulmonary diseases. Device selection in aerosol medicine is largely patient dependent. Since there is no aerosol device that suits all patient populations, device selection and successful integration of the prescribed aerosol device to patients is essential. This article explores key issues in differential device selection in spontaneously breathing adults with or without artificial airways, as well as critically ill patients receiving invasive and noninvasive ventilation, with discussion of considerations for integration of aerosol devices to each of these patient populations.
authors.affiliation: Division of Respiratory Therapy, Georgia State University , Atlanta, Georgia .
authors.forename: Arzu
authors.initials: A
authors.lastname: Ari
authors.affiliation: Division of Respiratory Therapy, Georgia State University , Atlanta, Georgia .
authors.forename: James B
authors.initials: JB
authors.lastname: Fink
mesh_terms: D000280:Administration, Inhalation; D000336:Aerosols; D016638:Critical Illness; D004867:Equipment Design; D006801:Humans; D007442:Intubation, Intratracheal; D009330:Nebulizers and Vaporizers; D063087:Noninvasive Ventilation; D010349:Patient Compliance; D056888:Patient Positioning; D004364:Pharmaceutical Preparations / Q000008:administration & dosage* / Q000737:chemistry; D012119:Respiration; D012121:Respiration, Artificial / Q000379:methods*; D014139:Tracheostomy
chemical_list: D000336:Aerosols; D004364:Pharmaceutical Preparations
keywords: aerosols; critically ill patients; device selection; dry powder inhalers; mechanical ventilation; metered-dose inhalers; nebulizers; noninvasive ventilation; tracheostomy