慢性阻塞性肺病患者所用吸入器的气溶胶羽流。

IF 2.3 Q2 RESPIRATORY SYSTEM

Pulmonary Therapy Pub Date : 2024-03-01 Epub Date: 2024-01-09 DOI:10.1007/s41030-023-00249-5

Herbert Wachtel, Rachel Emerson-Stadler, Peter Langguth, Jens M Hohlfeld, Jill Ohar

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引用次数: 0

摘要

简介：选择吸入器装置对慢性阻塞性肺病（COPD）至关重要，因为患者的吸入情况与吸入器气溶胶特性之间的相互作用会影响药物输送和肺部沉积。本研究评估了获准用于治疗慢性阻塞性肺病的吸入器设备的体外气溶胶特性，包括软雾吸入器（SMI）、加压计量吸入器（pMDIs）和干粉吸入器（DPIs）。方法：使用高速视频记录仪观察和测量九种不同吸入器（一种软雾吸入器、三种加压计量吸入器和五种干粉吸入器）的气溶胶速度和喷射持续时间，每种吸入器都含有长效毒蕈碱受体拮抗剂和长效β2-激动剂的双重或三重固定剂量组合，以及吸入或不吸入皮质类固醇。测量结果一式三份，实验流速分别为 30、60 和 90 升/分钟。最佳流速是根据药典测试要求确定的：对于 pMDIs 和 SMIs，最佳流速为 30 升/分钟；对于 DPIs，最佳流速为吸入器内部阻力达到 4 千帕压降。气溶胶羽流的比较基于最接近最佳流速的实验流速：与 pMDIs（速度：3.65-5.09 m/s；持续时间：227-270 ms）和 DPIs（速度：1.43-4.60 m/s；持续时间：60-757 ms）相比，Respimat SMI 的气溶胶羽流速度最慢（0.99 m/s），喷雾持续时间最长（1447 ms）。随着流速的增加，SMI 气溶胶持续时间不受影响，但速度增加（最大值为 2.63 米/秒）；pMDI 气溶胶速度和持续时间不受影响；DPI 气溶胶速度趋于增加，但对持续时间的影响变化较大：气溶胶特性（气溶胶羽流速度和持续时间）因吸入器类型而异。与 pMDIs 和 DPIs 相比，SMI 的羽流速度较低，喷雾持续时间较长。对于 DPI 和 SMI 而言，实验流速的增加与较快的羽流速度有关，但对羽流持续时间没有影响或影响不一，而 pMDI 的气溶胶速度和持续时间则不受流速增加的影响。

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Aerosol Plumes of Inhalers Used in COPD.

Introduction: The selection of inhaler device is of critical importance in chronic obstructive pulmonary disease (COPD) as the interaction between a patient's inhalation profile and the aerosol characteristics of an inhaler can affect drug delivery and lung deposition. This study assessed the in vitro aerosol characteristics of inhaler devices approved for the treatment of COPD, including a soft mist inhaler (SMI), pressurized metered-dose inhalers (pMDIs), and dry powder inhalers (DPIs).

Methods: High-speed video recording was used to visualize and measure aerosol velocity and spray duration for nine different inhalers (one SMI, three pMDIs, and five DPIs), each containing dual or triple fixed-dose combinations of long-acting muscarinic receptor antagonists and long-acting β₂-agonists, with or without an inhaled corticosteroid. Measurements were taken in triplicate at experimental flow rates of 30, 60, and 90 l/min. Optimal flow rates were defined based on pharmacopoeial testing requirements: 30 l/min for pMDIs and SMIs, and the rate achieving a 4-kPa pressure drop against internal inhaler resistance for DPIs. Comparison of aerosol plumes was based on the experimental flow rates closest to the optimal flow rates.

Results: The Respimat SMI had the slowest plume velocity (0.99 m/s) and longest spray duration (1447 ms) compared with pMDIs (velocity: 3.65-5.09 m/s; duration: 227-270 ms) and DPIs (velocity: 1.43-4.60 m/s; duration: 60-757 ms). With increasing flow rates, SMI aerosol duration was unaffected, but velocity increased (maximum 2.63 m/s), pMDI aerosol velocity and duration were unaffected, and DPI aerosol velocity tended to increase, with a more variable impact on duration.

Conclusions: Aerosol characteristics (velocity and duration of aerosol plume) vary by inhaler type. Plume velocity was lower and spray duration longer for the SMI compared with pMDIs and DPIs. Increasing experimental flow rate was associated with faster plume velocity for DPIs and the SMI, with no or variable impact on plume duration, whereas pMDI aerosol velocity and duration were unaffected by increasing flow rate.

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来源期刊

Pulmonary Therapy Medicine-Pulmonary and Respiratory Medicine

CiteScore

5.20

自引率

3.30%

发文量

审稿时长

6 weeks

期刊介绍： Aims and Scope Pulmonary Therapy is an international, open access, peer-reviewed (single-blind), and rapid publication journal. The scope of the journal is broad and will consider all scientifically sound research from pre-clinical, clinical (all phases), observational, real-world, and health outcomes research around the use of pulmonary therapies, devices, and surgical techniques. Areas of focus include, but are not limited to: asthma; chronic obstructive pulmonary disease; idiopathic pulmonary fibrosis; pulmonary hypertension; cystic fibrosis; lung cancer; respiratory tract disorders; allergic rhinitis and other respiratory allergies; influenza, pneumococcal infection, respiratory syncytial virus and other respiratory infections; and inhalers and other device therapies. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports/series, trial protocols and short communications such as commentaries and editorials. Pulmonary Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of quality research, which may be considered of insufficient interest by other journals. Rapid Publication The journal’s publication timelines aim for a rapid peer review of 2 weeks. If an article is accepted it will be published 3–4 weeks from acceptance. The rapid timelines are achieved through the combination of a dedicated in-house editorial team, who manage article workflow, and an extensive Editorial and Advisory Board who assist with peer review. This allows the journal to support the rapid dissemination of research, whilst still providing robust peer review. Combined with the journal’s open access model this allows for the rapid, efficient communication of the latest research and reviews, fostering the advancement of pulmonary therapies. Open Access All articles published by Pulmonary Therapy are open access. Personal Service The journal’s dedicated in-house editorial team offer a personal “concierge service” meaning authors will always have an editorial contact able to update them on the status of their manuscript. The editorial team check all manuscripts to ensure that articles conform to the most recent COPE, GPP and ICMJE publishing guidelines. This supports the publication of ethically sound and transparent research. 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