Effectiveness of Inhaled Albuterol Delivery Methods in Adult Intubated Patients: An Integrative Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/621675
Category:
Full-text
Format:
Text-based Document
Type:
Other Graduate Paper
Level of Evidence:
Literature Review
Research Approach:
N/A
Title:
Effectiveness of Inhaled Albuterol Delivery Methods in Adult Intubated Patients: An Integrative Review
Author(s):
Heidtbrink, Anthony
Additional Author Information:
Anthony Heidtbrink, DNAP, CRNA
Advisors:
Pecka, Shannon
Degree:
Doctoral – Other
Degree Year:
2017
Grantor:
Bryan College of Health Sciences
Abstract:

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.

Keywords:
Metered Dose Inhaler; endotracheal intubation; anesthesia circuit
CINAHL Headings:
Albuterol; Albuterol--Administration and Dosage; Nebulizers and Vaporizers; Nebulizers and Vaporizers--Evaluation; Intubation, Intratracheal; Anesthesia, Inhalation; Anesthesia, Inhalation--Methods
Repository Posting Date:
2017-07-06T14:30:29Z
Date of Publication:
2017-07-06

Full metadata record

DC FieldValue Language
dc.contributor.advisorPecka, Shannonen
dc.contributor.authorHeidtbrink, Anthonyen
dc.date.accessioned2017-07-06T14:30:29Z-
dc.date.available2017-07-06T14:30:29Z-
dc.date.issued2017-07-06-
dc.identifier.urihttp://hdl.handle.net/10755/621675-
dc.description.abstract<p>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.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectMetered Dose Inhaleren
dc.subjectendotracheal intubationen
dc.subjectanesthesia circuiten
dc.titleEffectiveness of Inhaled Albuterol Delivery Methods in Adult Intubated Patients: An Integrative Reviewen_US
dc.typeOther Graduate Paperen
thesis.degree.grantorBryan College of Health Sciencesen
thesis.degree.levelDoctoral – Otheren
dc.primary-author.detailsAnthony Heidtbrink, DNAP, CRNAen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelLiterature Reviewen
dc.research.approachN/Aen
dc.subject.cinahlAlbuterolen
dc.subject.cinahlAlbuterol--Administration and Dosageen
dc.subject.cinahlNebulizers and Vaporizersen
dc.subject.cinahlNebulizers and Vaporizers--Evaluationen
dc.subject.cinahlIntubation, Intratrachealen
dc.subject.cinahlAnesthesia, Inhalationen
dc.subject.cinahlAnesthesia, Inhalation--Methodsen
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