Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “AEROSOLS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,153 records · Page 64Linked to original sources
PubMed2005

Residence time of tropospheric aerosols in association with radioactive nuclides.

The residence time of atmospheric aerosol particles is a function of various removal processes, such as dry deposition by impaction, diffusion, sedimentation and resuspension as well as wet deposition by rain drops (precipitation scavenging). Estimation of the mean-residence time of atmospheric aerosols could be based on measurements of the activities and ratios of activities of cosmic-ray produced radionuclides, such as (7)Be and the radioactive decay products of radon-222 emanated from soil into the atmosphere, such as (210)Pb, (210)Bi and (210)Po. It was found that a mean value of about 8 days could be applied to aerosol particles in the lower atmosphere below precipitation cloud levels as resulted by the application of two different methods, i.e. the (7)Be-associated atmospheric aerosols and the radon decay product aerosols at two different locations, i.e. at Thessaloniki, Greece 40 degrees 38'N 22 degrees 58'E with dry (precipitation free) climate and at Oak Ridge, Tennessee, USA 35 degrees 58'N 84 degrees 17'W with high precipitation (wet climate), roughly at similar temperate latitudes, but the first one at East longitude and the other at West longitude, respectively.

Journal Article↗
PubMed2005

Method of measuring charge distribution of nanosized aerosols.

In this paper, we present the development of a method to accurately measure the positive and negative charge distribution of nanosized aerosols using a tandem differential mobility analyzer (TDMA) system. From the series of TDMA measurements, the charge fraction of nanosized aerosol particles was obtained as a function of equivalent mobility particle diameter ranging from 50 to 200 nm. The capability of this new approach was implemented by sampling from a laminar diffusion flame which provides a source of highly charged particles due to naturally occurring flame ionization process. The results from the TDMA measurement provide the charge distribution of nanosized aerosols which we found to be in reasonable agreement with Boltzmann equilibrium charge distribution theory and a theory based upon charge population balance equation (PBE) combined with Fuchs theory (N.A. Fuchs, Geofis. Pura Appl. 56 (1963) 185). The theoretically estimated charge distribution of aerosol particles based on the PBE provides insight into the charging processes of nanosized aerosols surrounded by bipolar ions and electrons, and agree well with the TDMA results.

Journal Article↗
PubMed1997

A collaborative European study of personal inhalable aerosol sampler performance.

Following the adoption of new international sampling conventions for inhalable, thoracic and respirable aerosol fractions, a working group of Comité Européen de Normalisation (CEN) drafted a standard for the performance of workplace aerosol sampling instruments. The present study was set up to verify the experimental, statistical and mathematical procedures recommended in the draft performance standard and to check that they could be applied to inhalable aerosol samplers. This was achieved by applying the tests to eight types of personal inhalable aerosol sampler commonly used for workplace monitoring throughout Europe. The study led to recommendations for revising the CEN draft standard, in order to simplify the tests and reduce their cost. However, some further work will be needed to develop simpler test facilities and methods. Several of the samplers tested were found to perform adequately with respect to the inhalable sampling convention, at least over a limited range of typical workplace conditions. In general the samplers were found to perform best in low external wind speeds, which are the test conditions thought to be closest to those normally found in indoor workplaces. The practical implementation of the CEN aerosol sampling conventions requires decisions on which sampling instruments to use, estimation of the likely impact that changing sampling methods could have on apparent exposures, and adjustment where necessary of exposure limit values. The sampler performance data obtained in this project were affected by large experimental errors, but are nevertheless a useful input to decisions on how to incorporate the CEN inhalable sampling convention into regulation, guidance and occupational hygiene practice.

Europe↗
PubMed1997

Aerosol particle transport and deaggregation phenomena in the mouth and throat.

The results of recent numerical simulations of aerosol particle transport and deaggregation phenomena in the mouth and throat are summarized. These results are used to comment upon the roles played by important factors influencing extrathoracic particle deposition and deaggregation phenomena. The results also provide a basis for comparing the performance of in vitro systems presently used for testing dry powder inhaler devices. Total deposition of aerosol particles in a 'physiologically faithful' three-dimensional (3D) reconstruction of the human mouth and throat closely mimics in vivo deposition data. On the other hand, aerosol particle deposition in a 3D 90 degrees -bend geometry does not accurately simulate aerosol filtration in the human mouth and throat. The numerically predicted regional deposition of aerosol particles closely matches that measured experimentally, in vitro, using the oropharyngeal cast from which the numerical reconstruction was made. A relatively weak dependence of particle deposition on flow-rate is observed with both 90 degrees -bend and 'real' oropharyngeal geometries, inconsistent with extrathoracic deposition in vivo. Two dimensional numerical simulations do not, in general, accurately simulate the conditions in the associated three-dimensional system. Quantitative differences between flow in the 90 degrees -bend and 'real' oropharyngeal geometries are especially significant in regards to the ability of the airstream to break apart particle agglomerates. For both geometries, it is observed that increasingly small particle agglomerates may be separated as the airflow rate increases from 30 to 200 lmin(-1). At flow-rates exceeding 60 lmin(-1), aggregated particles less than approximately 10-µm diameter may be separated by the airflow.

Journal Article↗
PubMed1997

Flow early in the inspiratory manoeuvre affects the aerosol particle size distribution from a Turbuhaler.

Several in vitro and in vivo studies have emphasized the importance of generating a high inspiratory flow when using a dry powder inhaler. Little attention has been paid to the influence of the inspiratory flow profile on the particle size distribution contained in aerosols generated by these devices. The internal volume of a device such as the Turbuhaler is small compared with a vital capacity breath and it is possible that all the powder has been drawn from the device before peak inspiratory flow has been achieved, particularly if the time to peak inspiratory flow is prolonged. A series of experiments were performed to assess the effect of different flow profiles through the Turbuhaler, each with a peak flow of 60 1 min-1. A 400 microgram budesonide Turbuhaler was enclosed in a chamber allowing air to pass unimpeded through the dosing channels and entrainment ports. A large three-way tap was used to blow powder from the device across a Malvern Mastersizer laser particle sizer which produced a profile of the particle size distribution within the aerosol. The rate of increase in flow through the Turbuhaler was determined by the rate at which the three-way tap was turned, and recorded by means of a pneumotachograph. The rate of increase in flow was found to significantly affect the particle size-distribution within the aerosol. Failure to attain a flow of 30 1 min-1 before 150 ml of air had passed through the device resulted in the aerosol volume median diameter increasing from less than 6.6 microns to greater than 45.3 microns. These results indicate that flow during the initial part of the inspiratory effort may be important in determining the characteristics of the aerosol generated by a dry powder inhaler. With more sophisticated equipment, it might be possible to explore the relationship between flow profile and particle size distribution generated by dry powder devices in more detail.

Adult↗
PubMed2005

Analysis of sulfur in deposited aerosols by thermal decomposition and sulfur dioxide analyzer.

A thermal decomposition method that measures aerosol sulfur at the nanogram level directly from the collection substrate is described. A thermal decomposition apparatus was designed. A stainless steel strip was used as the aerosol collection substrate. A 0.1 mol/L MnCl2 solution was added as the thermal decomposition catalyst. Currents were passed through the strip where aerosol particles had been deposited. In this way, the strip was heated at 780 +/- 10 degrees C, and particulate sulfur was evaporated. A sulfur dioxide analyzer (SDA) with flame photometric detector (FPD) was used to detect gaseous sulfur. High sulfur recoveries from (NH4)2SO4 and other inorganic sulfates, such as NH4HSO4, K2SO4, MgSO4, and CaSO4, were obtained. From the sulfur blank and the calibration, a lower limited detection of 0.2 ng of sulfur and the determination range of 3.3-167 ng of sulfur were estimated. The method is effective for measuring the sulfate size distributions of urban aerosols in a small sample air volume of 50-60 L. The method is applicable to measuring the sulfur in aqueous extracts of size-segregated urban aerosols collected by impactor and comparing the results with the sulfate data measured by ion chromatography.

Journal Article↗
PubMed2005

In situ visualization and characterization of aerosol droplets in an inductively coupled plasma.

Laser-scattering techniques are utilized for the first time to visualize the aerosol droplets in an inductively coupled plasma (ICP) torch from the nebulizer tip to the site of analytical measurements. The resulting images provide key information about the spatial distribution of the aerosol introduced by direct injection and conventional sample introduction devices: (1) a direct injection high-efficiency nebulizer (DIHEN); (2) a large-bore DIHEN; and (3) a MicroFlow PFA nebulizer with a PFA Scott-type spray chamber. Moreover, particle image velocimetry is used to study the in situ behavior of the aerosol before interaction with the plasma, while the individual surviving droplets are explored by particle tracking velocimetry. Directly introduced aerosols are highly scattered across the plasma torch as a result of their radial motion, indicating less than optimum sample consumption efficiency for the current direct injection devices. Further, the velocity distribution of the surviving droplets demonstrates the importance of the initial droplet velocities in complete desolvation of the aerosol for optimum analytical performance in ICP spectrometries. These new observations are critical in the design of the next-generation direct injection devices for lower sample consumption, higher sensitivity, lower noise levels, suppressed matrix effects, and developing smart spectrometers.

Journal Article↗
PubMed2005

Aerosol chamber study of optical constants and N2O5 uptake on supercooled H2SO4/H2O/HNO3 solution droplets at polar stratospheric cloud temperatures.

The mechanism of the formation of supercooled ternary H(2)SO(4)/H(2)O/HNO(3) solution (STS) droplets in the polar winter stratosphere, i.e., the uptake of nitric acid and water onto background sulfate aerosols at T < 195 K, was successfully mimicked during a simulation experiment at the large coolable aerosol chamber AIDA of Forschungszentrum Karlsruhe. Supercooled sulfuric acid droplets, acting as background aerosol, were added to the cooled AIDA vessel at T = 193.6 K, followed by the addition of ozone and nitrogen dioxide. N(2)O(5), the product of the gas phase reaction between O(3) and NO(2), was then hydrolyzed in the liquid phase with an uptake coefficient gamma(N(2)O(5)). From this experiment, a series of FTIR extinction spectra of STS droplets was obtained, covering a broad range of different STS compositions. This infrared spectra sequence was used for a quantitative test of the accuracy of published infrared optical constants for STS aerosols, needed, for example, as input in remote sensing applications. The present findings indicate that the implementation of a mixing rule approach, i.e., calculating the refractive indices of ternary H(2)SO(4)/H(2)O/HNO(3) solution droplets based on accurate reference data sets for the two binary H(2)SO(4)/H(2)O and HNO(3)/H(2)O systems, is justified. Additional model calculations revealed that the uptake coefficient gamma(N(2)O(5)) on STS aerosols strongly decreases with increasing nitrate concentration in the particles, demonstrating that this so-called nitrate effect, already well-established from uptake experiments conducted at room temperature, is also dominant at stratospheric temperatures.

Journal Article↗
PubMed2006

In-flight kinetic measurements of the aerosol growth of carbon nanotubes by electrical mobility classification.

We describe an on-the-fly kinetic study of gas-phase growth of multiwalled carbon nanotubes. The methodology employs electrical mobility classification of the CNT, which enables a direct measure of CNT length distribution in an aerosol reactor. The specific experiment employs two mobility classification steps. In the first step we mobility classify the catalyst particle, in this case Ni, created by pulsed laser ablation, to generate a stream of monodisperse particles. This then determined the diameter of the CNT, when a hydrocarbon/H2 mix is added in a heated aerosol reactor. A second electrical mobility classification step allows us to determine the length distribution of the CNTs. We found that CNT growth from ethylene required the addition of small amounts of water vapor, whereas growth from acetylene did not. We show that acetylene, which always has small amounts of acetone present when purchased, can provide the oxygen source to prevent catalyst coking. By varying the temperature of the growth, we were able to extract Arrhenius growth parameters. We found an activation energy for growth approximately 80 kJ mol(-1) from both acetylene and ethylene, which is considerably lower than previous works for substrate-grown CNTs (E(a) = 110-150 kJ mol(-1)). Furthermore, we observed that our aerosol CNT growth rates were about 2 orders of magnitude higher than those for substrate-grown CNTs. The dominant growth mechanism of CNT previously proposed is based upon bulk diffusion of carbon through nickel particles. However, on the basis of the lower activation energy found in this work, we proposed that the possible mechanism of gas-phase growth of CNT is correlated with both surface (E(a) = 29 kJ mol(-1)) and bulk diffusion (E(a) = 145 kJ mol(-1)) of carbon on nickel aerosol particles. Finally, the experimental approach described in this work should be amenable to other nanowire systems grown in the aerosol phase.

Journal Article↗
PubMed2003

Lung deposition and pharmacokinetics of cyclosporine after aerosolization in lung transplant patients.

PURPOSE: Aerosolized cyclosporine (aCsA) has proven to be an effective therapy for refractory acute and chronic rejection in lung transplant (LTx) patients. The objective of this study is to evaluate the lung deposition and systemic absorption of aCsA after aerosolized cyclosporine administration in LTx patients in the immediate postoperative period. METHOD: Cyclosporine (CsA) was administered intravenously (1.0 mg/kg) to eight LTx patients, and multiple blood samples were collected over 24 h. At least 24 h later, aCsA (300 mg in propylene glycol) was administered to the same patients using nebulization and multiple blood samples were obtained again. Five patients had an additional inhalational gamma scintigraphy study with aCsA and 99MTc-labeled albumin to measure drug deposition. RESULTS: Peak blood concentrations of CsA after aerosol administration ranged from 119-402 ng/ml, and concentrations at 24 h ranged from 9-48 ng/ml. The rate of decline in drug concentration in blood in the apparent elimination phase was notably slower after administration of aCsA than after IV infusion. Terminal disposition half life (t 1/2 lambda(z)) values ranged from 4.1-9.9 h (mean 6.5 h) following IV administration and from 23.1 to 65.2 h (mean 40.7 h) following pulmonary administration, suggesting that drug absorption occurred throughout the 24-h sampling period following pulmonary administration. Deconvolution analysis indicated biphasic absorption of CsA from the lung in all patients, characterized by rapid initial absorption (absorption half-life 0.73 +/- 0.38 h) over the first 4 to 6 h followed by slower, sustained absorption throughout the remainder of the sampling period (absorption half-life 16.2 +/- 13.2 h). The absolute bioavailability of CsA after aerosol administration ranged from 5.4-11.2% (mean 8.2%) of the dose placed in the nebulizer. The total dose delivered to the lung estimated from scintigraphy ranged from 17.8-39.3 mg, and was in approximate agreement with the amount of drug absorbed, estimated using deconvolution. Essentially all drug deposited in the lungs was systemically absorbed. CONCLUSIONS: This study documents that cyclosporine can be effectively delivered by aerosolization to the lung of transplant patients in the early postoperative period. Part of the cyclosporine deposited in the lung is absorbed rapidly into systemic circulation and a portion is absorbed slowly but completely over a prolonged period.

Administration, Inhalation↗
PubMed2004

The impact of humidity above stratiform clouds on indirect aerosol climate forcing.

Some of the global warming from anthropogenic greenhouse gases is offset by increased reflection of solar radiation by clouds with smaller droplets that form in air polluted with aerosol particles that serve as cloud condensation nuclei. The resulting cooling tendency, termed the indirect aerosol forcing, is thought to be comparable in magnitude to the forcing by anthropogenic CO2, but it is difficult to estimate because the physical processes that determine global aerosol and cloud populations are poorly understood. Smaller cloud droplets not only reflect sunlight more effectively, but also inhibit precipitation, which is expected to result in increased cloud water. Such an increase in cloud water would result in even more reflective clouds, further increasing the indirect forcing. Marine boundary-layer clouds polluted by aerosol particles, however, are not generally observed to hold more water. Here we simulate stratocumulus clouds with a fluid dynamics model that includes detailed treatments of cloud microphysics and radiative transfer. Our simulations show that the response of cloud water to suppression of precipitation from increased droplet concentrations is determined by a competition between moistening from decreased surface precipitation and drying from increased entrainment of overlying air. Only when the overlying air is humid or droplet concentrations are very low does sufficient precipitation reach the surface to allow cloud water to increase with droplet concentrations. Otherwise, the response of cloud water to aerosol-induced suppression of precipitation is dominated by enhanced entrainment of overlying dry air. In this scenario, cloud water is reduced as droplet concentrations increase, which diminishes the indirect climate forcing.

Journal Article↗
PubMed2006

Controlling and characterizing the coagulation of liquid aerosol droplets.

We demonstrate that optical tweezers can be used to control and characterize the coagulation and mixing state of aerosols. Liquid aerosol droplets of 2-14 mum in diameter are optically trapped and characterized by spontaneous and stimulated Raman scatterings, which together provide a unique signature of droplet size and composition. From the conventional bright field image, the size of the trapped droplet can be estimated and compared with that determined from stimulated Raman scattering, and the motion of the particle within the trapping plane can be recorded. A maximum of four droplets can be manipulated in tandem by forming multiple optical traps through rapid beam steering. The coagulation of two droplets can be studied directly by controlling two droplets. The limiting conditions under which optical forces and capillary forces dominate the aerosol coagulation event are explored by varying the relative optical trap strengths and characterizing the coagulation of different droplet sizes. Finally, we demonstrate that the coagulation of different aerosol components can be compared and the mixing state of the final coagulated droplet can be investigated. In particular, we compare the outcome of the coagulation of an aqueous sodium chloride aerosol droplet with a second aqueous droplet, with an ethanol droplet or with a decane droplet.

Journal Article↗
PubMed1999

Airborne minerals and related aerosol particles: effects on climate and the environment.

Aerosol particles are ubiquitous in the troposphere and exert an important influence on global climate and the environment. They affect climate through scattering, transmission, and absorption of radiation as well as by acting as nuclei for cloud formation. A significant fraction of the aerosol particle burden consists of minerals, and most of the remainder- whether natural or anthropogenic-consists of materials that can be studied by the same methods as are used for fine-grained minerals. Our emphasis is on the study and character of the individual particles. Sulfate particles are the main cooling agents among aerosols; we found that in the remote oceanic atmosphere a significant fraction is aggregated with soot, a material that can diminish the cooling effect of sulfate. Our results suggest oxidization of SO2 may have occurred on soot surfaces, implying that even in the remote marine troposphere soot provided nuclei for heterogeneous sulfate formation. Sea salt is the dominant aerosol species (by mass) above the oceans. In addition to being important light scatterers and contributors to cloud condensation nuclei, sea-salt particles also provide large surface areas for heterogeneous atmospheric reactions. Minerals comprise the dominant mass fraction of the atmospheric aerosol burden. As all geologists know, they are a highly heterogeneous mixture. However, among atmospheric scientists they are commonly treated as a fairly uniform group, and one whose interaction with radiation is widely assumed to be unpredictable. Given their abundances, large total surface areas, and reactivities, their role in influencing climate will require increased attention as climate models are refined.

Journal Article↗
PubMed1998

The efficacy of alternative spacer devices for delivery of aerosol therapy to children with asthma.

Spacer devices are important aids for use with metered dose inhalers in children with asthma. However, expense and unavailability of commercially produced spacers in developing countries have limited their use. Home-made spacers in the form of cups or bottles are widely used despite a lack of data confirming their efficacy. We investigated the relative efficacy of three spacers (a commercially available spacer, a modified 500-ml cold drink bottle and a polystyrene cup) for delivery of aerosolized drugs to asthmatic children older than 5 years. We also investigated the effect of leaks in the delivery system by comparing delivery via a sealed and an unsealed cold drink bottle. Lung deposition of aerosolized Tc-99m DTPA inhaled via spacer was measured in 30 patients. The median aerosol deposition in the lungs was significantly greater for the conventional spacer than for the cup (31.5% vs 9.5%; Z = -2.8, p = 0.005). Median aerosol deposition for the conventional spacer and sealed bottle were equivalent (40.5% vs 44%). Aerosol deposition from the sealed and unsealed bottle was significantly different (43.5% vs 24%; Z = -2.54, p = 0.01); however, the unsealed bottle was more efficient than the cup. We conclude that a modified 500-ml cold drink bottle is an efficient spacer. Leaks in this system are a major factor affecting the amount of drug deposited. The modified polystyrene cup is not an efficient spacer, delivering between a third and a fifth of the dose that other spacers were capable of delivering.

Administration, Inhalation↗
PubMed2001

Aerosol and lobar administration of a recombinant adenovirus to individuals with cystic fibrosis. II. Transfection efficiency in airway epithelium.

A phase I clinical trial was conducted in which recombinant adenovirus containing the cystic fibrosis trans-membrane regulator (CFTR) (Ad2/CFTR) was administered by bronchoscopic instillation or aerosolization to the lungs of cystic fibrosis (CF) patients. In this paper, we evaluate the efficiency of Ad2/CFTR-mediated transduction of bronchial airway cells. The ability of an Ad2/CFTR vector to transduce airway cells was first evaluated in patients to whom the vector was administered by bronchoscopic instillation. Cells at the administration site were collected 2 days after treatment by bronchoscopic brushing. Ad2-specific CFTR DNA was detected in four of five individuals by PCR, and Ad2-specific CFTR RNA was detected in three of five individuals by RT-PCR. Ad2/CFTR-mediated transduction of airway epithelial cells was then determined in CF individuals receiving this vector by aerosol inhalation. Ad2-specific CFTR DNA was detected in 13 of 13 individuals 2 days after aerosolization, and in 3 of 5 individuals 7 days after aerosolization. Ad2-specific RNA was detected in 4 of 13 individuals on day 2, but was not detected in the 5 individuals tested on day 7. The percentage of airway epithelial cells containing nuclear-localized vector DNA was < or =2.4% as determined by fluorescence in situ hybridization (FISH). However, in some cases, a high percentage of nonepithelial mononuclear cells or squamous metaplastic epithelial cells was infected with the adenoviral vector. In conclusion, aerosol administration is a feasible means to distribute adenoviral vectors throughout the conducting airways, but improvements in adenovirus-mediated transduction of airway epithelial cells are necessary before gene therapy for CF will be effective.

Adenoviridae↗
PubMed1992

Trimethoprim-sulphamethoxazole appears more effective than aerosolized pentamidine as secondary prophylaxis against Pneumocystis carinii pneumonia in patients with AIDS.

OBJECTIVE: We compared the efficacies of low-dose trimethoprim-sulphamethoxazole (TMP-SMX; one tablet: TMP, 160 mg, SMX, 800 mg, twice daily, twice a week) and aerosolized pentamidine (300 mg every 4 weeks) as secondary prophylaxis against Pneumocystis carinii pneumonia (PCP) in patients with HIV infection. DESIGN: A retrospective controlled study. SETTING: The study was performed at St Vincent's Hospital, Sydney, Australia, which is a tertiary referral university hospital. PATIENTS, PARTICIPANTS: Over a 4-year period, following primary episodes of PCP, 60 patients received TMP-SMX and 73 aerosolized pentamidine. Thirty-eight patients who received no secondary prophylaxis served as historical controls. MAIN OUTCOME MEASURES: The rate of and time to PCP relapse was recorded for patients receiving low-dose TMP-SMX, aerosolized pentamidine, or no prophylaxis. RESULTS: Only one (1.7%) patient in the TMP-SMX-treated group relapsed, compared with 31 (42.5%) of those in the aerosolized pentamidine group and 21 (55.1%) of those in the control group (P less than 0.0001). Median PCP-free survival times were greater than 1153 days in the TMP-SMX group, 496 days in the pentamidine group, and 265 days in the control group (P less than 0.0001 between all groups). The rate of or time to relapse was not influenced by CD4+ lymphocyte count at the start of prophylaxis, primary therapy of PCP, history of allergy to TMP-SMX, or zidovudine therapy during the period of secondary prophylaxis in any patient group. Both therapies were well tolerated, with three (5%) of those receiving TMP-SMX and four (5%) of those receiving pentamidine discontinuing therapy as a result of side-effects. CONCLUSIONS: Low-dose TMP-SMX appears to be more effective compared with aerosolized pentamidine as secondary prophylaxis against PCP in HIV-infected patients. Zidovudine was well tolerated by both groups, but did not influence the rate of or time to relapse.

Acquired Immunodeficiency Syndrome↗
PubMed2005

Long-term treatment of plastic bronchitis with aerosolized tissue plasminogen activator in a Fontan patient.

OBJECTIVE: To report the successful treatment of plastic bronchitis with aerosolized tissue plasminogen activator. DESIGN: Case report. PATIENTS: A 4-yr-old boy with congenital heart disease, who developed plastic bronchitis 33 months after a Fontan operation INTERVENTIONS: Long-term treatment with aerosolized tissue plasminogen activator. MEASUREMENTS AND MAIN RESULTS: We describe the case of a boy who developed recurrent episodes of life-threatening airway obstruction secondary to plastic bronchitis. Following the failure of multiple therapeutic interventions, his condition improved significantly with aerosolized tissue plasminogen activator. Several attempts to wean him off this treatment resulted in clinical deterioration. He has remained on long-term aerosolized tissue plasminogen activator. CONCLUSION: Treatment of plastic bronchitis with aerosolized tissue plasminogen activator may benefit patients in whom other therapies have failed.

Administration, Inhalation↗
PubMed1996

Use of a hand-held, metered-dose aerosol delivery device to administer pirbuterol acetate to horses with 'heaves'.

Aerosol administration of bronchodilators to horses is recommended for treatment of certain airway diseases such as 'heaves'. We have developed a novel, hand-held, metered-dose inhaler and we sought to determine the bronchodilator efficacy of the beta 2 adrenoceptor agonist pirbuterol delivered by this device to horses affected with 'heaves'. To induce airway obstruction, 6 heaves-susceptible horses were stabled, bedded on straw and fed hay. When the maximum change in pleural pressure during tidal breathing (delta Pplmax) was greater than 20 cmH2O on 2 consecutive days, pulmonary function was measured before and 5, 10 and 30 min, as well as 1, 2, 3, 4, 5, 6 and 7 h after administration of aerosol pirbuterol. Pirbuterol was administered using a metered canister and the hand-held delivery device that was inserted into the left nostril. Either vehicle or pirbuterol acetate (400, 600, 800, 1200 or 1600 micrograms) was administered to each horse. Relief of airway obstruction indicated by changes in pulmonary function was observed within 5 min after administration of both vehicle and pirbuterol. Significant decreases in delta Pplmax and pulmonary resistance (RL) and an increase in dynamic compliance (Cdyn) persisted for the 7 h duration of the experiment. Comparison of the effect of vehicle and pirbuterol at each time period showed that pirbuterol decreased RL and delta Pplmax significantly for up to 1 h. The optimal dose was determined to be 600 micrograms. Immediate response to treatment, magnitude of drug effect and lack of side effects indicated that aerosol pirbuterol is an effective and safe bronchodilator in horses with 'heaves'. The hand-held, metered-dose aerosol delivery device was very convenient and extremely effective and is, therefore, recommended for delivery of therapeutic aerosols to horses.

Administration, Inhalation↗