Microsoft powerpoint - posterats2012n3(combihaler).ppt [mode de compatibilité]
Study Of The Effectiveness Of A New Inhalation Chamber In Invasive Mechanical Ventilation
Nabile Boukhettala1,2, Patrice Diot1, Thierry Porée2 and Laurent Vecellio1,3
1 EA6305 Aérosolthérapie et biomédicaments à visée respiratoire, Bretonneau University Hospital, François Rabelais University, Tours, France2 Protec'Som Laboratory, Valognes, France3 Aerodrug, Faculty of Medicine, Tours, FranceIntroduction Materials
To administer aerosol medication in mechanical
In addition, three devices were compared for
After nebulization, the use of the new prototype
After the use of pMDI, the mass of salbutamol
ventilation, different devices can be used either
chamber increases the deposition of salbutamol
deposited on the filter was similar between the
nebulizers or pressurized metered dose inhaler
(pMDI). The pMDI is recommended to be used
with a spacer and nebulizer is used with a T-
-Inhalation chamber with a short cone (PX01)
adapter. A new chamber has been developped
-Inhalation chamber with a long cone (PX02)
inhalation was more effective than the PX02
aerosol generators and to increase aerosol
inhalation chamber (659.7 ± 224.6 µg vs 477.7
The aim of this study was to evaluate the in vitro
performance of two prototypes of inhalationchamber for both pressurized metered dose
-Salbutamol mass loaded in the nebulizer : 5
The mass of salbutamol deposited on the filter,
that is located after the endotracheal tube, was
twice higher with the PX01 inhalation chamber
-10 actuations of Ventolin (100 µg / dose) was
than the Aerogen T-adapter (659.7 ± 224.6 µg
conducted at the beginning of the inhalation
phase and we waited 10 breaths between eachactuation. Discussion
clinical conditions, assembly below including arespirator (Volume controlled, Vc = 450mL, f =
The results shown that an inhalation chamber
15/min, PEEP = 6, P max = 19, Ti / Ttot =
with a short cone was more effective than an
40/60) and a model of adult lung Dual TTL
inhalation chamber with a long cone during
model 5600i (Michigan Instruments) was used.
nebulization. However, after the use of pMDI,
A filter was placed after the endotracheal tube
the results showed that the length of the
to measure salbutamol by spectrophotometry
after nebulization and after aerosolization. Conclusion Materials
In conclusion, the new prototype of inhalation
In this study, three devices were compared for
chamber (PX01) allows the efficiency of aerosol
delivery for both pMDI and nebulizer in invasivemechanical ventilation.
Finally, the nebulization time was identical with
The use of the new prototype of inhalation
- Inhalation chamber with a short cone (PX01)
the spacer and the T-adapter. Thus the rate of
chamber increase by a factor 2 the aerosol
drug delivered with the inhalation chamber was
- Inhalation chamber with a long cone (PX02)
delivery by mesh nebulizer in comparison with
twice higher compared to the T-adapter.
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