Sheri Lynette Shelton
Victoria College Abstract
The different delivery devices used in the administration of aerosol medications for asthma, and other pulmonary disease processes for adults and children were researched. The small volume nebulizer, pressurized metered dose inhaler (pMDI), and the dry powdered inhaler (DPI) were reviewed to find areas that needed improvement with each device to maximize patient efficacy and patient adherence. The studies revealed both advantages and disadvantages of each device, the current advances in aerosol delivery and gave healthcare professionals a glimpse of what one can expect in the future in regards to these devices and emerging pulmonary therapy. …show more content…
Ari, A., & Restrepo, R. D. (2012). Aerosol delivery device selection for spontaneously breathing patients: 2012. Respiratory Care, 57(4), 613-626. Retrieved from http://rc.rcjournal.com/content/57/4/613.full. In this article Ari and Restrepo reviewed published literature on aerosol device selection in spontaneously breathings with a natural airway in accordance with the American Association for Respiratory Care (AARC) Clinical Practice Guidelines (CPG). Aerosol devices used in the selection process for the patient were the small-volume nebulizer (SVN), large-volume nebulizer (LVN), pressurized metered-dose inhaler (pMDI), and the dry-powder inhaler (DPI) in conjunction with a mask, hood, mouthpiece, valved holding chamber (VHC) or spacer with select devices. The Jet, mesh, and ultrasonic nebulizers were the three types of small volume nebulizers studied. They looked at how the particles were inhaled by the patient or if assistance was needed by positive pressure breaths. When reviewing the data, the authors looked at the areas of focus defined in the CPGs in