Effectiveness of Inhaled Albuterol Delivery Methods in Adult Intubated Patients: An Integrative Review
Anthony Heidtbrink, DNAP, CRNA
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The purpose of this integrative review is to critically appraise the available literature related to effectiveness of albuterol delivery methods for the intubated patient undergoing general anesthesia and to make recommendations for practice. Methods of albuterol delivery commonly utilized by anesthesia providers, such as attaching a metered dose inhaler to an endotracheal tube adapter, have not been proven to reliably deliver albuterol to target tissues. The use of an in-line chambered spacer in conjunction with a metered dose inhaler improves the anesthetist’s ability to reliably deliver albuterol to target tissues and achieve measurable reductions in airway resistance. Additionally, a novel method of albuterol delivery, the endotracheal liquid bolus, shows promise as an effective delivery method, especially when tidal volumes are limited. Anesthetists should utilize an evidence based approach rather than relying on convention or personal anecdotes when deciding how to administer needed medications.
|Type||Other Graduate Paper|
|Review Type||Faculty Approved: Degree-based Submission|
|Evidence Level||Literature Review|
|Keywords||Metered Dose Inhaler;
Albuterol--Administration and Dosage;
Nebulizers and Vaporizers;
Nebulizers and Vaporizers--Evaluation;
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