Terapia inhalada. Teoría y práctica

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TERAPIA INHALADA. TEORÍA Y PRÁCTICA

º Se recomienda un volumen de llenado de 4 ml, la utilización de un flujo de gas de 6-8 l/min, inhalar por la boca y no utilizar mascarillas cuando se nebulizan glucocorticoides o anticolinérgicos (usar pieza bucal). º La nebulización continua de broncodilatadores puede resultar superior a la intermitente en aquellos pacientes con crisis graves de asma.

BIBLIOGRAFÍA 1. Dolovich MB, Fink JB. Aerosols and Devices. Resp Clin N America. 2001; 7: 131-73. 2. Hess DR. Nebulizers: Principles and performance. Respir Care. 2000: 45: 609-22. 3. Hess DR. Aerosol delivery devices in the treatment of asthma. Respir Care. 2008; 53: 699-723. 4. Hess DR, Myers TR, Rau JL. A guide to aerosol delivery devices. Irving TX: American Association for Respiratory Care; 2007. Disponible en http://www.aarc.org/education/aerosol_devices/aerosol_delivery_guide.pdf. Consultado el 20 de febrero de 2010). 5. MacNeish CF, Meisner D, Thibert R, Kelemen S, Vadas EB, Coates AL. A comparison of pulmonary availability between Ventolin (albuterol) nebules and Ventolin (albuterol) respirator solution. Chest. 1997; 111: 204-8. 6. Berlinski A, Waldrep JC. Nebulized drug admixtures: effect on aerosol characteristics and albuterol output. J Aerosol Med. 2006; 19: 484-90. 7. Reisner C, Katial RK, Bartelson BB, Buchmeir A, Rosenwasser LJ, Nelson HS. Characterization of aerosol output from various nebulizer/compressor combinations. Ann Allergy Asthma Immunol. 2001; 86: 566-74. 8. Everard ML. Evans M, Milner AD. Is tapping jet nebulizers worthwhile? Arch Dis Child. 1994: 70): 538-9. 9. Stapleton KW. Finlay WH. Determining solution concentration within aerosol droplets output by jet nebulizers. J Aerosol Sci. 1995; 26: 137-45. 10. Hess D, Fisher D, Williams P, Pooler S, Kacmarek RM. Medication nebulizer performance: effects of diluent volume, nebulizer flow and nebulizer brand. Chest. 1996; 110: 498-505. 11. Standaert TA, Morlin GL, Williams-Warren J, Joy P, Pepe MS,Weber A, Ramsey BW. Effects of repetitive use and cleaning techniques of disposable jet nebulizers on aerosol generation. Chest. 1998; 114: 577-86. 12. Hess DR, Acosia FL, Riiz RH, Kacmarek RM. Camargo CA Jr. The effect of heliox on nebulizer function using a beta-agonist bronchodilator. Chest. 1999: 115: 184-9. 13. Everard ML, Hardy JG, Milner AD. Comparison of nebulised aerosol deposition in the lungs of healthy adults following oral and nasal inhalation. Thorax. 1993; 48: 1045-6.

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