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Reference List: Small Volume Nebulizers


Healthline Aerosol Medicine provides this list of references on the above named topic as a convenience to respiratory therapists, pulmonologists and medical aerosol scientists.  You may view or print the list or use "cut/copy/paste" commands to insert into documents. Great for students and researchers!  Disclaimer: Please note that this list is not guaranteed to be either exhaustive or completely up-to-date.  We encourage anyone who would like to update this list, or share their special list of references on any legitimate aerosol medicine, respiratory therapy or related subject to forward it to Healthline Aerosol Medicine by e-mail for posting at this web site.

Small Volume Nebulizers

American Association for Respiratory Care. Clinical practice guideline. Delivery of aerosols to the upper airway. Respir Care. 1994;39:803-7.

American Association for Respiratory Care. Clinical practice guideline. Selection of a device for delivery of aerosol to the lung parenchyma. Respir Care. 1996;41:647-653.

American Association for Respiratory Care. Clinical practice guideline. Selection of aerosol delivery device. Respir Care. 1992;37:891-897.

American Association for Respiratory Care. Clinical practice guideline. Selection of an aerosol delivery device for neonatal and pediatric patients. Respir Care. 1995;40:1325-1335.

Ariyananda PL, Agnew JE, Clarke SW, Iliffe S. Home nebuliser-compressors. Br J Hosp Med. 1995;54:489-93.

Assoufi BK, Hodson ME. High dose salbutamol in chronic airflow obstruction: comparison of nebulizer with Rotacaps. Respir Med. 1989;83:415-20.

Beasley CR, O'Donnell TV. Pear shaped spacer nebuhaler compared with nebulised solution for terbutaline administration in acute severe asthma. N Z Med J. 1985;98:854-5.

Berry RB, Shinto RA, Wong FH, et al. Nebulizer vs spacer for bronchodilator delivery in patients hospitalized for acute exacerbations of COPD. Chest. 1989;96:1241-6.

Birrell DJ, Clarke CW, May CS. Terbutaline sulphate nebulizer solution: a dose-response study. Med J Aust. 1978;2:231-2.

Blaiss MS. Aerosols and delivery devices in asthma management [editorial]. J Asthma. 1997;34:441-2.

Campbell IA, Colman SB, Mao JH, et al. An open, prospective comparison of beta 2 agonists given via nebuliser, Nebuhaler, or pressurised inhaler by ambulance crew as emergency treatment. Thorax. 1995;50:79-80.

Chan M, Lee-Pack LR, Favell K, Chan CK. Acute pulmonary effects of three nebulizers for administering aerosol pentamidine: comparison of Parineb to Fisoneb and Respirgard II. J Aerosol Med. 1996;9:521-526.

Chatburn RL, McPeck M.  A new system for understanding nebulizer performance.  Respir Care 2007;52(8):1037-1050.

Charoenratanakul S, Borrirukwanit K, Lekuthai S, et al. Is driving oxygen flow rate clinically important for nebulizer therapy in patients with COPD? J Med Assoc Thai. 1995;78:670-6.

Cissik JH, Bode FR, Smith JA. Double-blind crossover study of five bronchodilator medications and two delivery methods in stable asthma. Is there a best combination for use in the pulmonary laboratory? Chest. 1986;90:489-93.

Clay MM, Clarke SW. Wastage of drug from nebulisers: a review. J R Soc Med. 1987;80:38-9.

Coates AL, MacNeish CF, Meisner D, et al. The choice of jet nebulizer, nebulizing flow, and addition of albuterol affects the output of tobramycin aerosols. Chest. 1997;111:1206-12.

Colacone A, Afilalo M, Wolkove N, Kreisman H. A comparison of albuterol administered by metered dose inhaler (and holding chamber) or wet nebulizer in acute asthma. Chest. 1993;104:835-41.

Dennis JH, Hendrick DJ. Design characteristics for drug nebulizers. J Med Eng Technol. 1992;16:63-8.

Devadason SG, Everard ML, Linto JM, Le Souef PN. Comparison of drug delivery from conventional versus &quotVenturi" nebulizers. Eur Respir J. 1997;10:2479-83.

Diot P, Morra L, Smaldone GC. Albuterol delivery in a model of mechanical ventilation. Comparison of metered-dose inhaler and nebulizer efficiency. Am J Respir Crit Care Med. 1995;152:1391-4.

Everard ML, Evans M, Milner AD. Is tapping jet nebulisers worthwhile? Arch Dis Child. 1994;70:538-9.

Faurisson F, Dessanges JF, Grimfeld A, et al. Nebulizer performance. Respiration. 1995;62 Suppl 1:13-8.

Gappa M, Gartner M, Poets CF, von der Hardt H. Effects of salbutamol delivery from a metered dose inhaler versus jet nebulizer on dynamic lung mechanics in very preterm infants with chronic lung disease. Pediatr Pulmonol. 1997;23:442-8.

Harvey CJ, O'Doherty MJ, Page CJ, et al. Effect of a spacer on pulmonary aerosol deposition from a jet nebuliser during mechanical ventilation. Thorax. 1995;50:50-3.

Hess D; Aerosol therapy. In: Dantzker DR, MacIntyre NR, Bakow ED, Eds. Comprehensive Respiratory Care. Philadelphia: WB Saunders; 1995.

Hess D. Aerosol therapy. Respir Care Clin North Am. 1995;1:235-263.

Hess D, Fisher D, Williams P. Medication nebulizer performance. Effects of diluent volume, nebulizer flow, and nebulizer brand. Chest. 1996;110:498-505.

Hess D, Horney D, Snyder T. Medication-delivery performance of eight small-volume, hand-held nebulizers: effects of diluent volume, gas flowrate, and nebulizer model. Respir Care. 1989;34:717-23.

Hoffmann L, Smithline H. Comparison of Circulaire(TM) to conventional small volume nebulizer for the treatment of bronchospasm in the emergency department. Respir Care. 1997;42:1170-1174.

Hughes JM, Saez J. Effects of nebulizer mode and position in a mechanical ventilator circuit on dose efficiency. Respir Care. 1987;32:1131-5.

Hung JC, Hambleton G, Super M. Evaluation of two commercial jet nebulisers and three compressors for the nebulisation of antibiotics. Arch Dis Child. 1994;71:335-8.

Hunke WA, Yu AB. Particle-size distribution of bitolterol mesylate solution delivered by four compressed-air nebulizer devices. Am J Hosp Pharm. 1987;44:1392-6.

Hurley PK, Smye SW, Cunliffe H. Assessment of antibiotic aerosol generation using commercial jet nebulizers. J Aerosol Med. 1994;7:217-28.

Idris AH, McDermott MF, Raucci JC, et al. Emergency department treatment of severe asthma. Metered-dose inhaler plus holding chamber is equivalent in effectiveness to nebulizer. Chest. 1993;103:665-72.

Isaac PA, Barry JE, Vaughan RS, et al. A jet nebuliser for delivery of topical anesthesia to the respiratory tract. A comparison with cricothyroid puncture and direct spraying for fibreoptic bronchoscopy. Anaesthesia. 1990;45:46-8.

Johnson CE. Principles of nebulizer-delivered drug therapy for asthma. Am J Hosp Pharm. 1989;46:1845-55.

Kendrick AH, Smith EC, Wilson RS. Selecting and using nebuliser equipment. Thorax. 1997;52 Suppl 2:S92-101.

Kerem E, Levison H, Schuh S, et al. Efficacy of albuterol administered by nebulizer versus spacer device in children with acute asthma. J Pediatr. 1993;123:313-7.

Kim CS, Garcia L, Wanner A. Actual pentamidine dose delivered by Respigard II nebulizer. Eur Respir J. 1995;8:2178-81.

Klassen TP, Watters LK, Feldman ME, et al. The efficacy of nebulized budesonide in dexamethasone-treated outpatients with croup. Pediatrics. 1996;97:463-6.

Knoch M, Wunderlich E, Geldner S. A nebulizer system for highly reproducible aerosol delivery. J Aerosol Med. 1994;7:229-37.

Kradjan WA, Lakshminarayan S. Efficiency of air compressor-driven nebulizers. Chest. 1985;87:512-6.

Lin YZ, Hsieh KH. Metered dose inhaler and nebuliser in acute asthma. Arch Dis Child. 1995;72:214-8.

Loffert DT, Ikle D, Nelson HS. A comparison of commercial jet nebulizers. Chest. 1994;106:1788-92.

Maguire GP, Newman T, DeLorenzo LJ, et al. Comparison of a hand-held nebulizer with a metered dose inhaler- spacer combination in acute obstructive pulmonary disease. Chest. 1991;100:1300-5.

Manthous CA, Hall JB, Schmidt GA, Wood LD. Metered-dose inhaler versus nebulized albuterol in mechanically ventilated patients. Am Rev Respir Dis. 1993;148:1567-70.

Mason JW, Miller WC. Comparison of aerosol delivery via Circulaire nebulizer system versus a disposable nebulizer in COPD patients. Respir Care. 1996;41:1006-1008.

Mason JW, Miller WC, Small S. Comparison of aerosol delivery via Circulaire system vs conventional small volume nebulizer. Respir Care. 1994;39:1157-1161.

Mestitz H, Copland JM, McDonald CF. Comparison of outpatient nebulized vs metered dose inhaler terbutaline in chronic airflow obstruction. Chest. 1989;96:1237-40.

Morley TF, Marozsan E, Zappasodi SJ, et al. Comparison of beta-adrenergic agents delivered by nebulizer vs metered dose inhaler with InspirEase in hospitalized asthmatic patients. Chest. 1988;94:1205-10.

Nerbrink O, Dahlback M, Hansson HC. Why do medical nebulizers differ in their output and particle size characteristics? J Aerosol Med. 1994;7:259-76.

Newhouse MT, Fuller HD. Rose is a rose is a rose? Aerosol therapy in ventilated patients: nebulizers versus metered dose inhalers--a continuing controversy [editorial; comment]. Am Rev Respir Dis. 1993;148:1444-6.

Newman SP, Pitcairn GR, Hooper G, Knoch M. Efficient drug delivery to the lungs from a continuously operated open-vent nebulizer and low pressure compressor system. Eur Respir J. 1994;7:1177-81.

O'Callaghan C, Barry PW. The science of nebulised drug delivery. Thorax. 1997;52 Suppl 2:S31-44.

O'Doherty MJ, Thomas S, Page C, et al. Differences in relative efficiency of nebulisers for pentamidine administration. Lancet. 1988;2:1283-6.

O'Donohue WJ Jr. Guidelines for the use of nebulizers in the home and at domiciliary sites. Report of a consensus conference. National Association for Medical Direction of Respiratory Care (NAMDRC) Consensus Group. Chest. 1996;109:814-20.

O'Riordan TG, Amram JC. Effect of nebulizer configuration on delivery of aerosolized tobramycin. J Aerosol Med. 1997;10:13-23.

Op't Holt TB; Aerosol generators and humidifiers. In: Barnes TA, Ed. Core Textbook of Respiratory Care Practice. 2 ed. St. Louis: Mosby-Year Book; 1994.

Pallares DE, Pilarski BR, Rodriguez JL, Leickly FE. A comparison of bronchodilator responses to albuterol delivered by ultrasonic versus jet nebulization in moderate to severe asthma. Ann Allergy Asthma Immunol. 1996;77:292-7.

Parkin PC, Saunders NR, Diamond SA, et al. Randomised trial spacer v nebuliser for acute asthma. Arch Dis Child. 1995;72:239-40.

Pauwels R. Inhalation device, pulmonary deposition and clinical effects of inhaled therapy. J Aerosol Med. 1997;10 Suppl 1:S17-21.

Pedersen S. Delivery options for inhaled therapy in children over the age of 6 years. J Aerosol Med. 1997;10 Suppl 1:S41-4.

Pedersen S. Inhalers and nebulizers: which to choose and why. Respir Med. 1996;90:69-77.

Pendergast J, Hopkins J, Timms B, Van Asperen PP. Comparative efficacy of terbutaline administered by Nebuhaler and by nebulizer in young children with acute asthma. Med J Aust. 1989;151:406-8.

Pisut FM. Comparison of medication delivery by T-nebulizer with inspiratory and expiratory reservoir. Respir Care. 1989;34:985-8.

Raimondi AC, Schottlender J, Lombardi D, Molfino NA. Treatment of acute severe asthma with inhaled albuterol delivered via jet nebulizer, metered dose inhaler with spacer, or dry powder. Chest. 1997;112:24-8.

Reggio S, Bustacchini S, Pistelli R, Valente S. Equivalence of pharmacokinetic characteristics and bronchodilating effect between two combined formulations of nedocromil sodium and salbutamol: MDI and nebulizer solution. Int J Clin Pharmacol Res. 1996;16:19-27.

Rottman SJ, Robinson NE, Birnbaum ML. Comparison of inhaled metaproterenol via metered-dose and hand-held nebulization in prehospital treatment of bronchospasm. Prehospital Disaster Med. 1996;11:280-4.

Saccar CL. Comparative evaluation of therapeutic response to antiasthma drugs: dry powder vs. conventional aerosol delivery systems. J Aerosol Med. 1996;9:89-94.

Salmeron S, Brochard L, Mal H, et al. Nebulized versus intravenous albuterol in hypercapnic acute asthma. A multicenter, double-blind, randomized study. Am J Respir Crit Care Med. 1994;149:1466-70.

Salzman GA, Pyszczynski DR. A comparison of two delivery methods for aerosolized metaproterenol sulfate. J Asthma. 1986;23:297-301.

Shah PL, Scott SF, Geddes DM, et al. An evaluation of two aerosol delivery systems for rhDNase. Eur Respir J. 1997;10:1261-6.

Shim CS, Williams MH Jr. Effect of bronchodilator therapy administered by canister versus jet nebulizer. J Allergy Clin Immunol. 1984;73:387-90.

Smith EC, Denyer J, Kendrick AH. Comparison of twenty three nebulizer/compressor combinations for domiciliary use. Eur Respir J. 1995;8:1214-21.

Stapleton KW, Finlay WH, Zuberbuhler P. An in vitro method for determining regional dosages delivered by jet nebulizers. J Aerosol Med. 1994;7:325-44.

Summer W, Elston R, Tharpe L, Nelson S, Haponik EF. Aerosol bronchodilator delivery methods. Relative impact on pulmonary function and cost of respiratory care. Arch Intern Med. 1989;149:618-23.

Thomas SH, O'Doherty MJ, Fidler HM, et al. Pulmonary deposition of a nebulised aerosol during mechanical ventilation. Thorax. 1993;48:154-9.

Turner MO, Gafni A, Swan D, FitzGerald JM. A review and economic evaluation of bronchodilator delivery methods in hospitalized patients. Arch Intern Med. 1996;156:2113-8.

Veterans Administration Medical Center. Using Your Aerosol Machine at Home. Seattle, WA: Seattle Veterans Administration Medical Center; 1986.

Watterberg KL, Clark AR, Kelly HW, Murphy S. Delivery of aerosolized medication to intubated babies. Pediatr Pulmonol. 1991;10:136-41.

Weber A, Morlin G, Cohen M, et al. Effect of nebulizer type and antibiotic concentration on device performance. Pediatr Pulmonol. 1997;23:249-60.

Yuksel B, Greenough A. Comparison of the effects on lung function of two methods of bronchodilator administration. Respir Med. 1994;88:229-33.


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