blog

Take a breath

Performance of mesh nebulizers

Treating patients with COPD effectively can be a challenge. With their ability to literally take a breath acutely impaired, how can we help them get the right dose of inhaled bronchodilators? What kinds of devices might work better?

Patients with severe COPD often don’t get the right dose of prescribed medications when they use pMDIs or DPIs. We also know their I:E ratios affect delivered doses from nebulizers, but what isn’t well documented is the impact of inspiratory flow. Given that a wide range of peak inspiratory flows is defined as suboptimal for DPI, we tested the consistency of dosing from a mesh nebulizer over a range of breathing patterns representing COPD patients with suboptimal peak inspiratory flow.


How the study was done


Six (6) breathing patterns were observed; five (5) covered a range of patients with severe COPD. The sixth was the test pattern specified in the European Committee for Standardization (CEN) EN 13544-1 nebulizer testing guideline, which was used for comparison of the results to standard test results. A Philips InnoSpire Go mesh nebulizer for this study.

temp-post-image

What the study suggested


Results were presented at this year’s Respiratory Drug Delivery conference in Tucson. We found that the dose delivered by the mesh nebulizer was reliably independent of peak inspiratory flows over the range of 10–65 L/min. This is in marked contrast to the relationship between flow and dose delivery for many DPI devices. This may have implications when considering treatment, especially for those with severe COPD who may struggle to achieve moderate to high inspiratory flows. The results for the CEN pattern provide a reference to standard nebulizer test methods and support the fact that delivered dose from constant output nebulizers is dependent upon the I:E ratio of the breathing pattern.

A conclusion

The dose delivered by the mesh nebulizer was relatively unaffected by peak inhalation flow when tested using simulated breathing patterns with an I:E ratio representative of patients with severe COPD.

What might this mean for your patients?

Prescribing a mesh nebulizer for certain acute COPD patients may help to ensure that they receive the dose of medication that has been deemed best for their condition.

Recap of the poster session

Poster presented at Respiratory Drug Delivery, April 22-26, Tucson, Arizona
Authors: John N. Pritchard, Richard Potter and Ross H. M. Hatley
Respironics Respiratory Drug Delivery (UK) Ltd., a business of Philips Electronics UK Limited.

 

In Partnership with Ergo Solutions

 


CALL US TODAY AT (888)886-1167


We are a residential service agency and we provide skilled-nursing home service care, durable medical equipment, oxygen services and physical therapy.

Most health insurance and financing plans are accepted.

Hours

Monday9:00AM - 5:00PM
Tuesday9:00AM - 5:00PM
Wednesday9:00AM - 5:00PM
Thursday9:00AM - 5:00PM
Friday9:00AM - 5:00PM
SaturdayCLOSED
SundayCLOSED

If You Are Looking For A Healthcare Provider,

PLEASE CONTACT OUR SALES TEAM!
FLORIDA OFFICE

4331 Veronica S. Shoemaker Blvd.,

Fort Myers, FL 33916

Phone. 888.886.1167

Email. info@standardmed.us

NEW YORK OFFICE

1463 Fifth Avenue,

Suite #100 1st Floor,

New York, NY 10035

Phone. 888.886.1167

Email. info@standardmed.us

MARYLAND OFFICE

8115 Maple Lawn Blvd.,

Suite #350 3rd Floor,

Fulton, MD 20759

Phone. 888.886.1167

Email. info@standardmed.us

NEW YORK OFFICE

1463 Fifth Avenue,

Suite #100 1st Floor,

New York, NY 10035

Phone. 888.886.1167

Email. info@standardmed.us

FLORIDA OFFICE

4331 Veronica S. Shoemaker Blvd.,

Fort Myers, FL 33916

Phone. 888.886.1167

Email. info@standardmed.us

MARYLAND OFFICE

8115 Maple Lawn Blvd.,

Suite #350 3rd Floor,

Fulton, MD 20759

Phone. 888.886.1167

Email. info@standardmed.us

Standard Medical Equipment Systems, LLC, Hospital Supplies, Fulton, MD