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Answer -- Yes, you
can attach a large volume continuous nebulizer to the
Medicator manifold to enhance aerosol delivery during CNT. CNT
is a time saver but not very efficient with respect to aerosol
delivery. In a recent study,
continuous nebulization using a specific brand of large volume
device was found, upon bench testing, to be fairly
inefficient. Using a 20 mg/hour dosing scenario, the
actual albuterol delivery was only 3.48 mg/hour for an adult
breathing pattern and 1.83 mg/hour for a pediatric breathing
pattern. Maybe
we can improve upon that. Because
the Medicator stores the aerosol generated during patient
exhalation in its reservoir bag, so it can be inhaled on the
following inspiration, the Medicator will enhance the aerosol
delivery during continuous nebulization, just as it does with SVNs.
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