Aerosol delivery in intubated, mechanically ventilated patients.

Journal Article

To study the effects of respiratory failure and mechanical ventilation on aerosol delivery to the lungs, we performed nuclear scans after aerosolization of 5 to 9 mCi of Tc-99m diethylenetriamine pentaacetic acid in seven stable, intubated, and mechanically ventilated patients. The radioactivity reaching the lungs was 2.9 +/- .7% (mean +/- SD) of the administered dose, an amount significantly less than that in three healthy nonintubated subjects and also less than what would be expected in nonintubated subjects from other published reports. We then performed a subsequent study in 15 additional mechanically ventilated patients who were receiving aerosolized bronchodilators through their endotracheal tube. In these patients, heart rate and lung mechanical function values before and after treatment were not significantly different. We conclude from these studies that aerosol delivery in mechanically ventilated patients is significantly reduced and that this is probably due to a combination of suboptimal breathing pattern, intrinsic airway disease, and the endotracheal tube functioning as both a site for aerosol deposition through impaction as well as a barrier to gastrointestinal absorption.

Full Text

Duke Authors

Cited Authors

  • MacIntyre, NR; Silver, RM; Miller, CW; Schuler, F; Coleman, RE

Published Date

  • February 1985

Published In

Volume / Issue

  • 13 / 2

Start / End Page

  • 81 - 84

PubMed ID

  • 3967508

International Standard Serial Number (ISSN)

  • 0090-3493

Language

  • eng

Conference Location

  • United States