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Published in: European Journal of Pediatrics 4/2011

Open Access 01-04-2011 | Review

Aerosol delivery to ventilated newborn infants: historical challenges and new directions

Authors: Jan Mazela, Richard A. Polin

Published in: European Journal of Pediatrics | Issue 4/2011

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Abstract

There are several aerosolized drugs which have been used in the treatment of neonatal respiratory illnesses, such as bronchodilators, diuretics, and surfactants. Preclinical in vitro and in vivo studies identified a number of variables that affect aerosol efficiency, including particle size, aerosol flows, nebulizer choice, and placement. Nevertheless, an optimized aerosol drug delivery system for mechanically ventilated infants still does not exist. Increasing interest in this form of drug delivery requires more controlled and focused research of drug/device combinations appropriate for the neonatal population. In the present article, we review the research that has been conducted thus far and discuss the next steps in developing the optimal aerosol delivery system for use in mechanically ventilated neonates.
Literature
1.
go back to reference Ahrens R, Ries R, Popendorf W, Wiese J (1986) The delivery of therapeutic aerosols through endotracheal tubes. Pediatr Pulmonol 2:19–26PubMedCrossRef Ahrens R, Ries R, Popendorf W, Wiese J (1986) The delivery of therapeutic aerosols through endotracheal tubes. Pediatr Pulmonol 2:19–26PubMedCrossRef
2.
go back to reference Amirav I, Balanov I, Gorenberg M, Groshar D, Luder A (2003) Nebulizer hood compared to mask in wheezy infants: aerosol therapy without tears! Arch Dis Child 88:719–723PubMedCrossRef Amirav I, Balanov I, Gorenberg M, Groshar D, Luder A (2003) Nebulizer hood compared to mask in wheezy infants: aerosol therapy without tears! Arch Dis Child 88:719–723PubMedCrossRef
3.
go back to reference Andersen J, Klausen N (1982) A new mode of administration of nebulized bronchodilator in severe bronchospasm. Eur J Respir Dis 119(Suppl):97–100 Andersen J, Klausen N (1982) A new mode of administration of nebulized bronchodilator in severe bronchospasm. Eur J Respir Dis 119(Suppl):97–100
4.
go back to reference Ari A, Atalay O, Harwood R, Sheard M, Aljamhan E, Fink J (2010) Influence of nebulizer type, position, and bias flow on aerosol drug delivery in simulated pediatric and adult lung models during mechanical ventilation. Respir Care 55(7):845–851PubMed Ari A, Atalay O, Harwood R, Sheard M, Aljamhan E, Fink J (2010) Influence of nebulizer type, position, and bias flow on aerosol drug delivery in simulated pediatric and adult lung models during mechanical ventilation. Respir Care 55(7):845–851PubMed
5.
go back to reference Arroe M, Pedersen-Bjergaard L, Albertsen P, Bode S, Greisen G, Jonsbo F et al (1998) Inhalation of aerosolized surfactant (Exosurf®) to neonates treated with nasal continuous positive airway pressure. Prenat Neonatal Med 3:346–352 Arroe M, Pedersen-Bjergaard L, Albertsen P, Bode S, Greisen G, Jonsbo F et al (1998) Inhalation of aerosolized surfactant (Exosurf®) to neonates treated with nasal continuous positive airway pressure. Prenat Neonatal Med 3:346–352
6.
go back to reference Ballard J, Lugo RA, Salyer JW (2002) A survey of albuterol administration practices in intubated patients in the neonatal intensive care unit. Respir Care 47(1):31–37PubMed Ballard J, Lugo RA, Salyer JW (2002) A survey of albuterol administration practices in intubated patients in the neonatal intensive care unit. Respir Care 47(1):31–37PubMed
7.
go back to reference Becquemin M, Swift D, Bouchikhi A, Roy M, Teillac A (1991) Particle deposition and resistance in the nose of adults and children. Eur Respir J 4:694–702PubMed Becquemin M, Swift D, Bouchikhi A, Roy M, Teillac A (1991) Particle deposition and resistance in the nose of adults and children. Eur Respir J 4:694–702PubMed
8.
go back to reference Berggren E, Liljedahl M, Winbladh B, Andreasson B, Cursted T, Robertson B et al (2000) Pilot study of nebulized surfactant therapy for neonatal respiratory distress syndrome. Acta Paediatr 89(4):460–464PubMedCrossRef Berggren E, Liljedahl M, Winbladh B, Andreasson B, Cursted T, Robertson B et al (2000) Pilot study of nebulized surfactant therapy for neonatal respiratory distress syndrome. Acta Paediatr 89(4):460–464PubMedCrossRef
9.
go back to reference Bhutani V, Sivieri E (2003) Pulmonary function and graphics. In: Goldsmith J, Karotkin E (eds) Assisted ventilation of the neonate, 4th edn. Saunders, Philadelphia, pp 293–309 Bhutani V, Sivieri E (2003) Pulmonary function and graphics. In: Goldsmith J, Karotkin E (eds) Assisted ventilation of the neonate, 4th edn. Saunders, Philadelphia, pp 293–309
10.
go back to reference Bindl L, Fahnenstich H, Peukert U (1994) Aerosolized prostacyclin for pulmonary hypertension in neonates. Arch Dis Child 71:F214–F216 Bindl L, Fahnenstich H, Peukert U (1994) Aerosolized prostacyclin for pulmonary hypertension in neonates. Arch Dis Child 71:F214–F216
11.
go back to reference Brion L, Primhak R, Yong W (2006) Aerosolized diuretics for preterm infants with (or developing) chronic lung disease. Cochrane Library (3):Art. No. CD001694 Brion L, Primhak R, Yong W (2006) Aerosolized diuretics for preterm infants with (or developing) chronic lung disease. Cochrane Library (3):Art. No. CD001694
12.
go back to reference Carroll C, Backer C, Mavroudis C, Cook K, Goodman D (2005) Inhaled prostacyclin following surgical repair of congenital heart disease—a pilot study. J Card Surg 20:436–439PubMedCrossRef Carroll C, Backer C, Mavroudis C, Cook K, Goodman D (2005) Inhaled prostacyclin following surgical repair of congenital heart disease—a pilot study. J Card Surg 20:436–439PubMedCrossRef
13.
go back to reference Chu J, Clements J, Cotton E, Klaus M, Sweet A, Thomas M et al (1965) Preliminary report: the pulmonary hypoperfusion syndrome. Pediatrics 35:733–742PubMed Chu J, Clements J, Cotton E, Klaus M, Sweet A, Thomas M et al (1965) Preliminary report: the pulmonary hypoperfusion syndrome. Pediatrics 35:733–742PubMed
14.
go back to reference Clark A, Borgstrom L (2002) In vitro testing of pharmaceutical aerosols and predicting lung deposition from in vitro mesurements. In: Bisgaard H, O'Callaghan C, Smaldone G (eds) Drug delivery to the lung (Vol. 162). Marcel Dekker, New York Clark A, Borgstrom L (2002) In vitro testing of pharmaceutical aerosols and predicting lung deposition from in vitro mesurements. In: Bisgaard H, O'Callaghan C, Smaldone G (eds) Drug delivery to the lung (Vol. 162). Marcel Dekker, New York
15.
go back to reference Cole C (2000) Special problems in aerosol delivery: neonatal and pediatric considerations. Respir Care 45(6):646–651PubMed Cole C (2000) Special problems in aerosol delivery: neonatal and pediatric considerations. Respir Care 45(6):646–651PubMed
16.
go back to reference Coleman D, Kelly H, McWilliams B (1996) Determinants of aerosolized albuterol delivery to mechanically ventilated infants. Chest 109(6):1607–1613PubMedCrossRef Coleman D, Kelly H, McWilliams B (1996) Determinants of aerosolized albuterol delivery to mechanically ventilated infants. Chest 109(6):1607–1613PubMedCrossRef
17.
go back to reference Crogan S, Bishop M (1989) Delivery efficiency of metered dose aerosols given via endotracheal tubes. Anesthesiology 70:1008–1010PubMedCrossRef Crogan S, Bishop M (1989) Delivery efficiency of metered dose aerosols given via endotracheal tubes. Anesthesiology 70:1008–1010PubMedCrossRef
18.
go back to reference Dhand R (2000) Special problems in aerosol delivery: artificial airways. Respir Care 45(6):636–645PubMed Dhand R (2000) Special problems in aerosol delivery: artificial airways. Respir Care 45(6):636–645PubMed
19.
go back to reference Dhand R (2008) Aerosol delivery during mechanical ventilation: from basic techniques to new devices. J Aerosol Med Pulm Drug Del 21(1):45–60CrossRef Dhand R (2008) Aerosol delivery during mechanical ventilation: from basic techniques to new devices. J Aerosol Med Pulm Drug Del 21(1):45–60CrossRef
20.
go back to reference Dolovich M (1989) Physical principles underlying aerosol therapy. J Aerosol Med 2:171CrossRef Dolovich M (1989) Physical principles underlying aerosol therapy. J Aerosol Med 2:171CrossRef
21.
go back to reference Dolovich M (2000) Influence of inspiratory flow rate, particle size, and airway caliber on aerosolized drug delivery to the lung. Respir Care 45(6):597–608PubMed Dolovich M (2000) Influence of inspiratory flow rate, particle size, and airway caliber on aerosolized drug delivery to the lung. Respir Care 45(6):597–608PubMed
22.
go back to reference Duarte AG, Fink JB, Dhand R (2001) Inhalation therapy during mechanical ventilation. Respir Care Clin N Am 7(2):233–260PubMedCrossRef Duarte AG, Fink JB, Dhand R (2001) Inhalation therapy during mechanical ventilation. Respir Care Clin N Am 7(2):233–260PubMedCrossRef
23.
go back to reference Dubus J, Vecellio L, de Monte M, Fink J, Grimbert D, Montharu J et al (2005) Aerosol deposition in neonatal ventilation. Pediatr Res 58(1):10–14PubMedCrossRef Dubus J, Vecellio L, de Monte M, Fink J, Grimbert D, Montharu J et al (2005) Aerosol deposition in neonatal ventilation. Pediatr Res 58(1):10–14PubMedCrossRef
24.
go back to reference Everard M (2003) Ethical aspects of using radiolabeling in aerosol research. Arch Dis Child 88:659–661PubMedCrossRef Everard M (2003) Ethical aspects of using radiolabeling in aerosol research. Arch Dis Child 88:659–661PubMedCrossRef
25.
go back to reference Everard M, Stammers J, Hardy J, Milner A (1992) New aerosol delivery system for neonatal ventilator circuits. Arch Dis Child 67:826–830PubMedCrossRef Everard M, Stammers J, Hardy J, Milner A (1992) New aerosol delivery system for neonatal ventilator circuits. Arch Dis Child 67:826–830PubMedCrossRef
26.
go back to reference Finer N, Merritt T, Bernstein G, Job L, Mazela J, Segal R (2010) An open label, pilot study of Aerosurf combined with nCPAP to prevent RDS in preterm neonates. J Aerosol Med Pulm Drug Del 23:1–7CrossRef Finer N, Merritt T, Bernstein G, Job L, Mazela J, Segal R (2010) An open label, pilot study of Aerosurf combined with nCPAP to prevent RDS in preterm neonates. J Aerosol Med Pulm Drug Del 23:1–7CrossRef
27.
go back to reference Fink JB, Dhand R, Duarte AG, Jenne JW, Tobin MJ (1996) Aerosol delivery from a metered-dose inhaler during mechanical ventilation. An in vitro model. Am J Respir Crit Care Med 154:382–387PubMed Fink JB, Dhand R, Duarte AG, Jenne JW, Tobin MJ (1996) Aerosol delivery from a metered-dose inhaler during mechanical ventilation. An in vitro model. Am J Respir Crit Care Med 154:382–387PubMed
28.
go back to reference Fink JB, Dhand R, Navin D, Fahey P, Tobin M (1997) Heliox improves aerosol delivery from MDI during mechanical ventilation: an in vitro model. Am J Respir Crit Care Med 155:A770 Fink JB, Dhand R, Navin D, Fahey P, Tobin M (1997) Heliox improves aerosol delivery from MDI during mechanical ventilation: an in vitro model. Am J Respir Crit Care Med 155:A770
29.
go back to reference Fink JB, Dunne P, MacLoughlin R, O’Sullivan GO (2005) Can high efficiency aerosol delivery continue after extubation. Crit Care 9(Suppl1):129CrossRef Fink JB, Dunne P, MacLoughlin R, O’Sullivan GO (2005) Can high efficiency aerosol delivery continue after extubation. Crit Care 9(Suppl1):129CrossRef
31.
go back to reference Fok T, Monkman S, Dolovich M, Gray S, Coates G, Paes B et al (1996) Efficiency of aerosol medication delivery from a metered dose inhaler versus jet nebulizer in infants with bronchopulmonary dysplasia. Pediatr Pulmonol 21:301–309PubMedCrossRef Fok T, Monkman S, Dolovich M, Gray S, Coates G, Paes B et al (1996) Efficiency of aerosol medication delivery from a metered dose inhaler versus jet nebulizer in infants with bronchopulmonary dysplasia. Pediatr Pulmonol 21:301–309PubMedCrossRef
32.
go back to reference Fuller H, Dolovich M, Chambers C, Newhouse M (1992) Aerosol delivery during mechanical ventilation: a predictive in vitro lung model. J Aerosol Med 5:251–259CrossRef Fuller H, Dolovich M, Chambers C, Newhouse M (1992) Aerosol delivery during mechanical ventilation: a predictive in vitro lung model. J Aerosol Med 5:251–259CrossRef
33.
go back to reference Grigg J, Arnon S, Jones T, Clarke A, Silverman M (1992) Delivery of therapeutic aerosols to intubated babies. Arch Dis Child 67(1 Spec No):25–30PubMedCrossRef Grigg J, Arnon S, Jones T, Clarke A, Silverman M (1992) Delivery of therapeutic aerosols to intubated babies. Arch Dis Child 67(1 Spec No):25–30PubMedCrossRef
34.
go back to reference Hass C, Weg J, Kettell C, Caldwell E, Zaccardelli D, Brown D (1993) Effects of dense, high-volume, artificial surfactant aerosol on a heated exhalation filter system. Crit Care Med 21:125–130CrossRef Hass C, Weg J, Kettell C, Caldwell E, Zaccardelli D, Brown D (1993) Effects of dense, high-volume, artificial surfactant aerosol on a heated exhalation filter system. Crit Care Med 21:125–130CrossRef
35.
go back to reference Hess D (2008) Aerosol devices in the treatment of asthma. Respir Care 53(6):699–723PubMed Hess D (2008) Aerosol devices in the treatment of asthma. Respir Care 53(6):699–723PubMed
36.
go back to reference Hess D, Dillman C, Kacmarek R (2003) In vitro evaluation of aerosol bronchodilator delivery during mechanical ventilation: pressure-control vs. volume control ventilation. Intensive Care Med 29(7):1145–1150PubMedCrossRef Hess D, Dillman C, Kacmarek R (2003) In vitro evaluation of aerosol bronchodilator delivery during mechanical ventilation: pressure-control vs. volume control ventilation. Intensive Care Med 29(7):1145–1150PubMedCrossRef
37.
go back to reference Heyder J, Gebhart J, Stahlhofen W (1980) Inhalation of aerosols: particle deposition and retention. In: Willeke K (ed) Generation of aerosols. Ann Arbor Science, Ann Arbor, pp 65–103 Heyder J, Gebhart J, Stahlhofen W (1980) Inhalation of aerosols: particle deposition and retention. In: Willeke K (ed) Generation of aerosols. Ann Arbor Science, Ann Arbor, pp 65–103
38.
go back to reference Hughes J, Saez J (1987) Effects of nebulizer mode and position in a mechanical ventilator circuit on dose efficiency. Respir Care 32:1131–1135 Hughes J, Saez J (1987) Effects of nebulizer mode and position in a mechanical ventilator circuit on dose efficiency. Respir Care 32:1131–1135
39.
go back to reference Ivey H, Roth S, Kattwinkel J (1977) Nebulization of sonicated phospholipids (PL) for treatment of respiratory distress syndrome (RDS) in infancy. Pediatr Res 12:573CrossRef Ivey H, Roth S, Kattwinkel J (1977) Nebulization of sonicated phospholipids (PL) for treatment of respiratory distress syndrome (RDS) in infancy. Pediatr Res 12:573CrossRef
40.
go back to reference John J, Bjorklund L, Svenningsen N, Jonson B (1994) Airway and body surface sensors for triggering in neonatal ventilation. Acta Paediatr 83(9):903–909PubMedCrossRef John J, Bjorklund L, Svenningsen N, Jonson B (1994) Airway and body surface sensors for triggering in neonatal ventilation. Acta Paediatr 83(9):903–909PubMedCrossRef
41.
go back to reference Jonsson B, Eriksson M, Soder O, Broberger U, Lagercrantz H (2000) Budesonide delivered by dosimetric jet nebulization to preterm very low birthweight infants at high risk for development of chronic lung disease. Acta Paediatr 89(12):1449–1455PubMedCrossRef Jonsson B, Eriksson M, Soder O, Broberger U, Lagercrantz H (2000) Budesonide delivered by dosimetric jet nebulization to preterm very low birthweight infants at high risk for development of chronic lung disease. Acta Paediatr 89(12):1449–1455PubMedCrossRef
42.
go back to reference Jorch G, Hartl H, Roth B, Kribs A, Gortner L, Schaible T et al (1997) To the editor: surfactant aerosol treatment of respiratory distress syndrome in spontaneously breathing premature infants. Pediatr Pulmonol 24:222–224PubMedCrossRef Jorch G, Hartl H, Roth B, Kribs A, Gortner L, Schaible T et al (1997) To the editor: surfactant aerosol treatment of respiratory distress syndrome in spontaneously breathing premature infants. Pediatr Pulmonol 24:222–224PubMedCrossRef
43.
go back to reference Kelly L, Porta N, Goodman D, Carroll C, Steinhorn R (2002) Inhaled prostacyclin for term infants with persistent pulmonary hypertension refractory to inhaled nitric oxide. J Pediatr 141:830–832PubMedCrossRef Kelly L, Porta N, Goodman D, Carroll C, Steinhorn R (2002) Inhaled prostacyclin for term infants with persistent pulmonary hypertension refractory to inhaled nitric oxide. J Pediatr 141:830–832PubMedCrossRef
44.
go back to reference Kohler E, Jilg G, Avenarius S, Jorch G (2008) Lung deposition after inhalation with various nebulizers in preterm infants. Arch Dis Child Fetal Neonatal Ed 93:275–279CrossRef Kohler E, Jilg G, Avenarius S, Jorch G (2008) Lung deposition after inhalation with various nebulizers in preterm infants. Arch Dis Child Fetal Neonatal Ed 93:275–279CrossRef
45.
go back to reference Kwong J, Ho S, Coates A (2000) Comparison of nebulized particle size distribution with Malvern laser diffraction analyzer versus Andersen cascade impactor and low-flow marple personal cascade impactor. J Aerosol Med 13(4):303–314PubMedCrossRef Kwong J, Ho S, Coates A (2000) Comparison of nebulized particle size distribution with Malvern laser diffraction analyzer versus Andersen cascade impactor and low-flow marple personal cascade impactor. J Aerosol Med 13(4):303–314PubMedCrossRef
46.
go back to reference Marcinkowski A, Garoff S, Tilton R, Pilewski J, Corcoran T (2008) Postdeposition dispersion of aerosol medications using surfactant carriers. J Aerosol Med Pulm Drug Del 21(4):1–9 Marcinkowski A, Garoff S, Tilton R, Pilewski J, Corcoran T (2008) Postdeposition dispersion of aerosol medications using surfactant carriers. J Aerosol Med Pulm Drug Del 21(4):1–9
47.
48.
go back to reference Migliori C, Gancia P, Garzoli E, Spinoni V, Chirico G (2009) The effects of helium/oxygen mixture (Heliox) before and after extubation in long-term mechanically ventilated very low birth weight infants. Pediatrics 123(6):1524–1528PubMedCrossRef Migliori C, Gancia P, Garzoli E, Spinoni V, Chirico G (2009) The effects of helium/oxygen mixture (Heliox) before and after extubation in long-term mechanically ventilated very low birth weight infants. Pediatrics 123(6):1524–1528PubMedCrossRef
49.
go back to reference Miller D, Amin M, Palmer L, Shah A, Smaldone G (2003) Aerosol delivery and modern mechanical ventilation: in vitro/in vivo evaluation. Am J Respir Crit Care Med 168(10):1205–1209PubMedCrossRef Miller D, Amin M, Palmer L, Shah A, Smaldone G (2003) Aerosol delivery and modern mechanical ventilation: in vitro/in vivo evaluation. Am J Respir Crit Care Med 168(10):1205–1209PubMedCrossRef
50.
go back to reference Minocchieri S, Bachmann M, Burren J, Kaeser R, Wildhaber J, Nelle M (2006) How small is small enough? Determination of the optimal aerosol particle size for inhalation therapy in preterm infants in vitro. Paper presented at the Europaediatrics, Barcelona Minocchieri S, Bachmann M, Burren J, Kaeser R, Wildhaber J, Nelle M (2006) How small is small enough? Determination of the optimal aerosol particle size for inhalation therapy in preterm infants in vitro. Paper presented at the Europaediatrics, Barcelona
51.
go back to reference Minocchieri S, Burren J, Bachmann M, Stern G, Wildhaber J, Boub S et al (2008) Development of the premature infant nose throat-model (PrINT-Model)—an upper airway replica of a premature neonate for the study of aerosol delivery. Pediatr Res 64(2):141–146PubMedCrossRef Minocchieri S, Burren J, Bachmann M, Stern G, Wildhaber J, Boub S et al (2008) Development of the premature infant nose throat-model (PrINT-Model)—an upper airway replica of a premature neonate for the study of aerosol delivery. Pediatr Res 64(2):141–146PubMedCrossRef
52.
go back to reference Morley C, Davis P, Lex W, Prion L, Hascoet J, Carlin J (2008) Nasal CPAP or intubation at birth for very preterm infants. N Engl J Med 358:700–708PubMedCrossRef Morley C, Davis P, Lex W, Prion L, Hascoet J, Carlin J (2008) Nasal CPAP or intubation at birth for very preterm infants. N Engl J Med 358:700–708PubMedCrossRef
53.
go back to reference Ng G, daSilva O (2006) Bronchodilators for the prevention and treatment of chronic lung disease in preterm infants. Cochrane Library(1). Ng G, daSilva O (2006) Bronchodilators for the prevention and treatment of chronic lung disease in preterm infants. Cochrane Library(1).
54.
go back to reference Nikander K, Turpeinen M, Wollmer P (2000) Evaluation of pulsed and breath-synchronized nebulization of budesonide as a means of reducing nebulizer wastage of drug. Pediatr Pulmonol 29:120–126PubMedCrossRef Nikander K, Turpeinen M, Wollmer P (2000) Evaluation of pulsed and breath-synchronized nebulization of budesonide as a means of reducing nebulizer wastage of drug. Pediatr Pulmonol 29:120–126PubMedCrossRef
55.
go back to reference O’Doherty M, Thomas S, Page C, Treacher D, Nunan T (1992) Delivery of a nebulized aerosol to a lung model during mechanical ventilation. Effect of ventilator settings and nebulizer type, position, and volume of fill. Am Rev Respir Dis 146(2):383–388PubMed O’Doherty M, Thomas S, Page C, Treacher D, Nunan T (1992) Delivery of a nebulized aerosol to a lung model during mechanical ventilation. Effect of ventilator settings and nebulizer type, position, and volume of fill. Am Rev Respir Dis 146(2):383–388PubMed
56.
go back to reference O’Riordan T, Palmer L, Smaldone G (1994) Aerosol deposition in mechanically ventilated patients. Optimizing nebulizer delivery. Am J Respir Crit Care Med 149(1):214–219PubMed O’Riordan T, Palmer L, Smaldone G (1994) Aerosol deposition in mechanically ventilated patients. Optimizing nebulizer delivery. Am J Respir Crit Care Med 149(1):214–219PubMed
57.
go back to reference Pilcer G, Vanderbist F, Amighi K (2008) Correlations between cascade impactor analysis and laser diffraction techniques for the determination of the particle size of aerosolised powder formulations. Intern J Pharm 358(2):75–81CrossRef Pilcer G, Vanderbist F, Amighi K (2008) Correlations between cascade impactor analysis and laser diffraction techniques for the determination of the particle size of aerosolised powder formulations. Intern J Pharm 358(2):75–81CrossRef
58.
go back to reference Rau J, Harwood R, Groff J (1992) Evaluation of a reservoir device for metered-dose bronchodilator delivery to intubated adults: an in vitro study. Chest 102(3):924–930PubMedCrossRef Rau J, Harwood R, Groff J (1992) Evaluation of a reservoir device for metered-dose bronchodilator delivery to intubated adults: an in vitro study. Chest 102(3):924–930PubMedCrossRef
59.
go back to reference Robillard E, Alarie Y, Dagenais-Perusse P, Baril E, Guilbeault A (1964) Micro-aerosol administration of synthetic dipalmityol lecithin in the respiratory distress syndrome: a preliminary report. Can Med Assoc J 90:55–57PubMed Robillard E, Alarie Y, Dagenais-Perusse P, Baril E, Guilbeault A (1964) Micro-aerosol administration of synthetic dipalmityol lecithin in the respiratory distress syndrome: a preliminary report. Can Med Assoc J 90:55–57PubMed
60.
go back to reference Ryan S, Rankin N, Meyer E, Williams R (2002) Energy balance in the intubated human airway is an indicator of optimal gas conditioning. Crit Care Med 30(2):355–361PubMedCrossRef Ryan S, Rankin N, Meyer E, Williams R (2002) Energy balance in the intubated human airway is an indicator of optimal gas conditioning. Crit Care Med 30(2):355–361PubMedCrossRef
61.
go back to reference Salmon B, Wilson N, Silverman M (1989) How much aerosol reaches the lungs of wheezy infants and toddlers. Arch Dis Child 65:401–403CrossRef Salmon B, Wilson N, Silverman M (1989) How much aerosol reaches the lungs of wheezy infants and toddlers. Arch Dis Child 65:401–403CrossRef
62.
go back to reference Schulze A (2002) Respiratory gas conditioning in infants with an artificial airway. Semin Neonatol 7(5):369–377PubMedCrossRef Schulze A (2002) Respiratory gas conditioning in infants with an artificial airway. Semin Neonatol 7(5):369–377PubMedCrossRef
63.
go back to reference Shah V, Ohlson A, Halliday H, Dunn M (2007) Early administration of inhaled corticosteroids for preventing chronic lung disease in ventilated very low birth weight preterm neonates. Cochrane Library(3):Art. No. CD001969 Shah V, Ohlson A, Halliday H, Dunn M (2007) Early administration of inhaled corticosteroids for preventing chronic lung disease in ventilated very low birth weight preterm neonates. Cochrane Library(3):Art. No. CD001969
64.
go back to reference Shannon D, Bunnell J (1976) Dipalmitoyl lecithin aerosol in RDS. Pediatr Res 1:467 Shannon D, Bunnell J (1976) Dipalmitoyl lecithin aerosol in RDS. Pediatr Res 1:467
65.
go back to reference Sinderby C, Navalesi P, Beck J, Skrobic J, Comtois N, Friberg S et al (1999) Neural control of mechanical ventilation. Nat Med 5:1433–1436PubMedCrossRef Sinderby C, Navalesi P, Beck J, Skrobic J, Comtois N, Friberg S et al (1999) Neural control of mechanical ventilation. Nat Med 5:1433–1436PubMedCrossRef
66.
go back to reference Sood B, Delanley-Black V, Aranda J, Shankaran S (2004) Aerosolized PGE1: a selective pulmonary vasodilator in neonatal hypoxemic respiratory failure results of a phase I/II open label clinical trial. Pediatr Res 56:579–585PubMedCrossRef Sood B, Delanley-Black V, Aranda J, Shankaran S (2004) Aerosolized PGE1: a selective pulmonary vasodilator in neonatal hypoxemic respiratory failure results of a phase I/II open label clinical trial. Pediatr Res 56:579–585PubMedCrossRef
67.
go back to reference te Pas A, Walther F (2007) A randomized controlled trial of delivery-room respiratory management in very preterm infants. Pediatrics 120(2):322–329CrossRef te Pas A, Walther F (2007) A randomized controlled trial of delivery-room respiratory management in very preterm infants. Pediatrics 120(2):322–329CrossRef
68.
go back to reference Title III—Pediatric Medical Device Safety and Improvement Act of 2007. One hundred tenth Congress of The United States of America, pp 37–44 (2007) Title III—Pediatric Medical Device Safety and Improvement Act of 2007. One hundred tenth Congress of The United States of America, pp 37–44 (2007)
69.
go back to reference Turpeinen M, Nikander K (2001) Nebulization of a suspension of budesonide and a solution of terbutaline into a neonatal ventilator circuit. Respir Care 46(1):43–48PubMed Turpeinen M, Nikander K (2001) Nebulization of a suspension of budesonide and a solution of terbutaline into a neonatal ventilator circuit. Respir Care 46(1):43–48PubMed
70.
go back to reference Wagner M, Amthauer H, Sonntag J, Drenk F, Eichstadt H, Obladen M (2000) Endotracheal surfactant atomization: an alternative to bolus instillation? Crit Care Med 28(7):2540–2544PubMedCrossRef Wagner M, Amthauer H, Sonntag J, Drenk F, Eichstadt H, Obladen M (2000) Endotracheal surfactant atomization: an alternative to bolus instillation? Crit Care Med 28(7):2540–2544PubMedCrossRef
71.
go back to reference Watterberg K, Clark A, Kelly H, Murphy S (1991) Delivery of aerosolized medication to intubated babies. Pediatr Pulmonol 10(2):136–141PubMedCrossRef Watterberg K, Clark A, Kelly H, Murphy S (1991) Delivery of aerosolized medication to intubated babies. Pediatr Pulmonol 10(2):136–141PubMedCrossRef
72.
go back to reference Wildhaber J, Devadason S, Eber E, Hayden M, Everard M, Summers Q et al (1996) Effect of electrostatic charge, flow, delay and multiple actuations on the in vitro delivery of salbutamol from different small volume spacers for infants. Thorax 51:985–988PubMedCrossRef Wildhaber J, Devadason S, Eber E, Hayden M, Everard M, Summers Q et al (1996) Effect of electrostatic charge, flow, delay and multiple actuations on the in vitro delivery of salbutamol from different small volume spacers for infants. Thorax 51:985–988PubMedCrossRef
Metadata
Title
Aerosol delivery to ventilated newborn infants: historical challenges and new directions
Authors
Jan Mazela
Richard A. Polin
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
European Journal of Pediatrics / Issue 4/2011
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-010-1292-6

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