Factors influencing the rate of drug output during the course of wet nebulization

被引:21
作者
Coates, AL [1 ]
Macneish, CF [1 ]
Lands, LC [1 ]
Smountas, A [1 ]
Meisner, D [1 ]
Kelemen, S [1 ]
Vadas, EB [1 ]
机构
[1] Univ Toronto, Hosp Sick Children, Dept Resp Med, Toronto, ON M5G 1X8, Canada
来源
JOURNAL OF AEROSOL MEDICINE-DEPOSITION CLEARANCE AND EFFECTS IN THE LUNG | 1998年 / 11卷 / 02期
关键词
nebulization; aerosol; cystic fibrosis; tobramycin;
D O I
10.1089/jam.1998.11.101
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Jet nebulization in an unvented nebulizer is a complex phenomenon which includes the physical fracturing of a liquid-film into droplets of aerosol and the evaporative losses that accompany the interaction between the nebulizing gas and the nebulizer solution. The process of nebulization continues until a certain minimal residual volume (dead volume) is reached. This dead volume is determined by the loss of the liquid volume of the aerosol and the amount of evaporative losses, the latter partially determined by the relative humidity of the nebulizing gas. Evaporative losses are maximized if the nebulizing gas is free of water vapor and are minimized if it is met, as is usually the case when room air is compressed but not dried, In order to explain differences in nebulizer output between dry and met nebulizing gases, a mathematical model was developed that allows the calculation of the total output of drug, the liquid volume of aerosol, and the water loss due to evaporation, all with respect to time. The model was validated by comparing the actual output calculated from the initial nebulizer drug content minus that remaining in the nebulizer at specific points in time with that predicted by the model. The model demonstrated that the actual volume of liquid aerosol was dependent on the nebulizer type and the nebulizing flow but was independent of the water vapor content of the nebulizing gas. On the other hand, the evaporative losses were much greater when the nebulizing gas was dry was opposed to compressed room air, and the resultant drug output was less. This model allows the separation of the factors that govern aerosol output so that each can be studied individually.
引用
收藏
页码:101 / 111
页数:11
相关论文
共 9 条
[1]   The choice of jet nebulizer, nebulizing flow, and addition of albuterol affects the output of tobramycin aerosols [J].
Coates, AL ;
MacNeish, CF ;
Meisner, D ;
Kelemen, S ;
Thibert, R ;
MacDonald, J ;
Vadas, E .
CHEST, 1997, 111 (05) :1206-1212
[2]   IMPORTANCE OF EVAPORATIVE WATER LOSSES DURING STANDARDIZED NEBULIZED INHALATION PROVOCATION TESTS [J].
COCKCROFT, DW ;
HURST, TS ;
GORE, BP .
CHEST, 1989, 96 (03) :505-508
[3]  
COCKROFT DW, 1991, CLIN ALLERGY, V7, P235
[4]   The use of osmometry as a means of determining changes in drug concentration during jet nebulization [J].
Kwong, E ;
Macneish, CF ;
Meisner, D ;
Kelemen, S ;
Vadas, EB ;
Coates, AL .
JOURNAL OF AEROSOL MEDICINE-DEPOSITION CLEARANCE AND EFFECTS IN THE LUNG, 1998, 11 (02) :89-100
[5]   A comparison of pulmonary availability between ventolin (albuterol) nebules and ventolin (albuterol) respirator solution [J].
MacNeish, CF ;
Meisner, D ;
Thibert, R ;
Kelemen, S ;
Vadas, EB ;
Coates, AL .
CHEST, 1997, 111 (01) :204-208
[6]   THE QUANTITATIVE DISTRIBUTION OF NEBULIZED ANTIBIOTIC IN THE LUNG IN CYSTIC-FIBROSIS [J].
MUKHOPADHYAY, S ;
STADDON, GE ;
EASTMAN, C ;
PALMER, M ;
DAVIES, ER ;
CARSWELL, F .
RESPIRATORY MEDICINE, 1994, 88 (03) :203-211
[7]   EVALUATION OF JET NEBULIZERS FOR USE WITH GENTAMICIN SOLUTION [J].
NEWMAN, SP ;
PELLOW, PGD ;
CLAY, MM ;
CLARKE, SW .
THORAX, 1985, 40 (09) :671-676
[8]   DROPLETS PRODUCED BY MEDICAL NEBULIZERS - SOME FACTORS AFFECTING THEIR SIZE AND SOLUTE CONCENTRATION [J].
PHIPPS, PR ;
GONDA, I .
CHEST, 1990, 97 (06) :1327-1332
[9]   CHANGES IN SALBUTAMOL CONCENTRATION IN THE RESERVOIR SOLUTION OF A JET NEBULIZER [J].
WOOD, JA ;
WILSON, RSE ;
BRAY, C .
BRITISH JOURNAL OF DISEASES OF THE CHEST, 1986, 80 (02) :164-169