STUDY OBJECTIVES A proportion of patients with chronic airflow limitation (CAL) have a raised resting energy expenditure (REE). The mechanism underlying this is not known. The question of whether the increased REE seen in some patients with CAL is due to beta2-agonist therapy has arisen, and the aim of this study was to examine REE, body composition, and peripheral muscle strength in patients b...

CONTEXT Asthma is a major cause of morbidity in the United States. Self-management of asthma requires access to appropriate equipment. Clinical experience in an inner-city practice suggests that families encounter difficulties in filling prescriptions for spacers/holding chambers, peak flow (PF) meters, and nebulizer machines. OBJECTIVES To determine whether Bronx, NY, pharmacies (1) carry sp...

Nebulizer is one of the electro medic devices that serve to provide therapy for patients who experience abnormalities or disorders respiratory tract. system works using piezo electronic device produces high frequency vibration. With this vibration drug liquid molecules breaks down become fumes, thus it can easily inhale patient even children. Unfortunately like other aerosol delivery system, op...

HYPOTHESIS We hypothesized that aerosol distribution in the lungs of patients with cystic fibrosis changes with positive expiratory pressure (PEP). METHODS Eight patients were randomized to one of 2 conditions. On one study day, patients inhaled saline aerosol containing 99mtechnetium generated by a Pari LC Plus nebulizer and exhaled through a Pari PEP device. On another day, the same patient...

Figure 1: Diagram of SUN 145 (from product instruction manual) Ultrasonic nebulizers (USNs) generate aerosols without changing ventilator volumes or alarms. However, USN output varies with gas flow, is position dependent and generates heat. We wanted to determine whether the AeronebTM Professional Nebulizer System (Aeroneb Pro; Aerogen, Inc., Sunnyvale, CA)* has similar limitations. METHODS: We...

UNLABELLED Aerosol therapy via small-volume nebulizer (SVN) accounts for a large proportion of the respiratory care workload. Treatment time is mostly nebulization time, which is highly variable, depending on SVN design. We studied the workload effect of adopting a faster nebulizer. We hypothesized that time saved by faster SVN treatment can be used by respiratory therapists for other patient-c...