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Aerosols in the Health Care Field

 

:: Section 5

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Advantages and Disadvantages

Why are we using a nebulizer in therapy? There are several advantages, including

  • Ability to aerosolize many drug solutions
  • Ability to aerosolize drug mixture (> 1 drug) with suitable testing of drug activity
  • Minimal coordination is required for inhalation
  • Useful in very young or very old, debilitated patients or those in acute distress
  • Effective with low inspiratory flows or volumes
  • An inspiratory pause (breath-hold) is not required for efficacy
  • Drug concentrations can be modified if desired
  • Newer nebulizer devices are more efficient

Meanwhile, there are also limitations and disadvantages of a nebulizer that we should be aware of

  • The equipment required for use is expensive and cumbersome
  • Treatment times are somewhat lengthy for traditional nebulizers compared with other aerosol devices and other routes of administration
  • Variability in performance characteristics among different brands
  • Contamination is possible with inadequate cleaning
  • A wet, cold spray occurs with mask delivery
  • Need for an external power source, either electricity or compressed gas