Here is some readings that you might want to go look up. There are many others but you might start with these. The SVN vs MDI inline with a vent is a interesting topic that from what I know dose effect is not really a question. Most of what I have seen is that the MDI is just as effective in drug delivery. The question becomes which one provides a lower risk (infection) for the patient and how many puffs do you give.
1) Dhand R. Duarte AG. Jubran A. Jenne JW. Fink JB. Fahey PJ. Tobin MJ. Dose-response to bronchodilator delivered by metered-dose inhaler in ventilator-supported patients. [Comparative Study. Journal Article. Research Support, U.S. Gov't, Non-P.H.S.] American Journal of Respiratory & Critical Care Medicine. 154(2 Pt 1):388-93, 1996 Aug.
2) Chatmongkolchart S. Schettino GP. Dillman C. Kacmarek RM. Hess DR. In vitro evaluation of aerosol bronchodilator delivery during noninvasive positive pressure ventilation: effect of ventilator settings and nebulizer position. [Evaluation Studies. In Vitro. Journal Article. Research Support, Non-U.S. Gov't] Critical Care Medicine. 30(11):2515-9, 2002 Nov.
3) O'Doherty MJ. Thomas SH. Page CJ. Treacher DF. Nunan TO. Delivery of a nebulized aerosol to a lung model during mechanical ventilation. Effect of ventilator settings and nebulizer type, position, and volume of fill. [Journal Article. Research Support, Non-U.S. Gov't] American Review of Respiratory Disease. 146(2):383-8, 1992 Aug.
4) Wildhaber JH. Hayden MJ. Dore ND. Devadason SG. LeSouef PN. Salbutamol delivery from a hydrofluoroalkane pressurized metered-dose inhaler in pediatric ventilator circuits: an in vitro study. [Comparative Study. Journal Article] Chest. 113(1):186-91, 1998 Jan.
5)Dhand R. Jubran A. Tobin MJ. Bronchodilator delivery by metered-dose inhaler in ventilator-supported patients. [Journal Article. Research Support, U.S. Gov't, Non-P.H.S.] American Journal of Respiratory & Critical Care Medicine. 151(6):1827-33, 1995 Jun.
34 years, last 18 in the classroom
glad to see u,
I hope have apartment with u some next day
thank for everthink http://www.reviewoursite.net/d...ventworld.infopop.cc
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