1. Comparative performance study of paperboard disposable spacers versus commercial valved holding chambers for aerosol delivery.
- Author
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Eynaud E, Leclerc L, Moreau-Neidhardt M, and Pourchez J
- Subjects
- Administration, Inhalation, Equipment Design, Paper, Disposable Equipment, Bronchodilator Agents administration & dosage, Inhalation Spacers, Aerosols, Metered Dose Inhalers, Fluticasone administration & dosage, Particle Size, Drug Delivery Systems instrumentation
- Abstract
Purpose: The aim of this study is to evaluate and compare the performance, for the administration of fluticasone propionate with a pressurized metered-dose inhaler (pMDI), of two low-tech paperboard spacers versus two commercially available valved holding chambers (VHC)., Methods: According to the Canadian standard CAN/CSA-Z264.1-02, total emitted dose (TED) and aerodynamic size distribution were measured for the pMDI in combination with 4 different spacers: a homemade paper cup spacer, the DispozABLE® paperboard spacer, the AeroChamber Plus® plastic VHC, and the Vortex® aluminium VHC., Results: The two disposable paperboard spacers had a lower TED compared to the aluminium VHC, but delivered more than 2.5 times the dose of fluticasone than the commercial plastic VHC. The 3 antistatic devices (i.e. the aluminium VHC, the paperboard DispozABLE® spacer and the paper cup spacer) delivered a significantly higher dose of fine particles than the less antistatic plastic VHC. Their fine particle fraction was statistically similar to that obtained with pMDI without spacer. This respirable fraction ensures an optimal therapeutic effect. All spacers limited the flow of coarse particles, thus avoiding adverse effects on the trachea and oropharynx., Conclusion: We have shown that inexpensive and low-tech paperboard spacers are interesting alternatives for the administration of aerosols., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
- Published
- 2024
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