Document Detail


Respiratory deposition patterns of salbutamol pMDI with CFC and HFA-134a formulations in a human airway replica.
MedLine Citation:
PMID:  11681657     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper describes a technique that uses a well-defined human airway replica and gamma counting as a standard method for evaluating and comparing the performance of medical inhalers and spacers. High-fidelity replicas reproduced as needed from master casts made from human cadavers include the oropharyngeal cavity, larynx, trachea, and five to nine generations of bronchi. Deposition in the small airways and alveoli region of the cast is simulated by material that passes through the upstream airways and is collected on foam filters. Deposition patterns in the respiratory tract replica were obtained by using radiolabel in the medical inhaler and by gamma scintigraphy. This technique was used to determine respiratory deposition patterns of salbutamol in a pressurized metered dose inhaler (pMDI) with chlorofluorocarbon (CFC, in-house formulation) and HFA-134 formulations (Proventil hydrofluoroalkane [HFA]). At an inspiration flow of 30 L/min, patterns in the salbutamol/CFC formula showed a high deposition in the oropharyngeal airway (78%) and a 16% deposition in the lung, similar to in vivo measurements reported in the literature. However, the salbutamol/HFA formula showed lower oral deposition (56%) but higher lung deposition (24%). The difference in the oral deposition patterns may be attributed to lower initial spray velocity, initial droplet evaporation rate, and possibly initial droplet sizes of Proventil HFA. The small orifice diameter (0.25 mm) of the Proventil HFA actuator produced a softer plume with a smaller impact force, resulting in lower oropharyngeal deposition. Cascade impactor measurements showed similar aerodynamic particle size distribution of the CFC and HFA formulations. We also showed that using spacers in the Proventil HFA resulted in a lower oropharyngeal deposition and higher lung deposition, indicating beneficial effects. Comparison of oropharyngeal deposition and those predicted by artificial throats used in the impactor measurements showed that, in general, the artificial throat predicted a lower deposition.
Authors:
Y S Cheng; C S Fu; D Yazzie; Y Zhou
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Validation Studies    
Journal Detail:
Title:  Journal of aerosol medicine : the official journal of the International Society for Aerosols in Medicine     Volume:  14     ISSN:  0894-2684     ISO Abbreviation:  J Aerosol Med     Publication Date:  2001  
Date Detail:
Created Date:  2001-10-29     Completed Date:  2001-12-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8809251     Medline TA:  J Aerosol Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  255-66     Citation Subset:  T    
Affiliation:
Lovelace Respiratory Research Institute, Albuquerque, New Mexico 87185, USA. ycheng@lrri.org
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MeSH Terms
Descriptor/Qualifier:
Administration, Inhalation
Adult
Aerosols
Albuterol / administration & dosage*,  chemistry,  pharmacokinetics*
Bronchodilator Agents / administration & dosage*,  chemistry,  pharmacokinetics*
Chemistry, Pharmaceutical
Chlorofluorocarbons / administration & dosage*,  chemistry,  pharmacokinetics*
Drug Evaluation, Preclinical / instrumentation*,  standards
Humans
Hydrocarbons, Fluorinated / administration & dosage*,  chemistry,  pharmacokinetics*
Lung / drug effects*,  radionuclide imaging*
Male
Models, Anatomic*
Nebulizers and Vaporizers*
Oropharynx / drug effects*,  radionuclide imaging*
Particle Size
Technetium / administration & dosage*,  chemistry,  pharmacokinetics*
Tissue Distribution
Chemical
Reg. No./Substance:
0/Aerosols; 0/Bronchodilator Agents; 0/Chlorofluorocarbons; 0/Hydrocarbons, Fluorinated; 18559-94-9/Albuterol; 431-89-0/HFA 134a; 7440-26-8/Technetium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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