Evidence map›Paper›PMID 21410327›Full record

ArticleJournal of aerosol medicine and pulmonary drug delivery2011

Improving the lung delivery of nasally administered aerosols during noninvasive ventilation-an application of enhanced condensational growth (ECG).

P Worth Longest, Geng Tian, Michael Hindle

Abstract read
In one paragraph

Article in Journal of aerosol medicine and pulmonary drug delivery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
  2. Influencing factors of particle deposition in the human nasal cavity.Laryngoscope investigative otolaryngology · 2024
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Devices for Improved Delivery of Nebulized Pharmaceutical Aerosols to the Lungs.Journal of aerosol medicine and pulmonary drug delivery · 2019
    Review
  8. Differences in Particle Deposition Between Members of Imaging-Based Asthma Clusters.Journal of aerosol medicine and pulmonary drug delivery · 2019
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Efficient Nose-to-Lung (N2L) Aerosol Delivery with a Dry Powder Inhaler.Journal of aerosol medicine and pulmonary drug delivery · 2015
    Article
  15. Variability in Nose-to-Lung Aerosol Delivery.Journal of aerosol science · 2014
    Article
  16. Article
  17. Targeted Lung Delivery of Nasally Administered Aerosols.Aerosol science and technology : the journal of the American Association for Aerosol Research · 2014
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

P Worth LongestDepartment of Mechanical Engineering, Virginia Commonwealth University, Richmond, 23284-3015, USA. pwlongest@vcu.edu
Geng Tian
Michael Hindle

Funding

Improved Lung Delivery of Medical Aerosols through Enhanced Condensation GrowthR21HL094991 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI LONGEST, P. WORTH · 2009 to 2010
$397k
NHLBI NIH HHS R21HL094991
6 · The paper itself

Abstract

backgroundAerosol drug delivery during noninvasive ventilation (NIV) is known to be inefficient due to high depositional losses. To improve drug delivery efficiency, the concept of enhanced condensational growth (ECG) was recently proposed in which a submicrometer or nanoaerosol reduces extrathoracic deposition and subsequent droplet size increase promotes lung retention. The objective of this study was to provide proof-of-concept that the ECG approach could improve lung delivery of nasally administered aerosols under conditions consistent with NIV.

methodsAerosol deposition and size increase were evaluated in an adult nose-mouth-throat (NMT) replica geometry using both in vitro experiments and CFD simulations. For the ECG delivery approach, separate streams of a submicrometer aerosol and warm (39°C) saturated air were generated and delivered to the right and left nostril inlets, respectively. A control case was also considered in which an aerosol with a mass median aerodynamic diameter (MMAD) of 4.67 μm was delivered to the model.

resultsIn vitro experiments showed that the ECG approach significantly reduced the drug deposition fraction in the NMT geometry compared with the control case [14.8 (1.83)%-ECG vs. 72.6 (3.7)%-control]. Aerosol size increased from an initial MMAD of 900 nm to a size of approximately 2 μm at the exit of the NMT geometry. Results of the CFD model were generally in good agreement with the experimental findings. Based on CFD predictions, increasing the delivery temperature of the aerosol stream from 21 to 35°C under ECG conditions further reduced the total NMT drug deposition to 5% and maintained aerosol growth by ECG to approximately 2 μm.

conclusionsApplication of the ECG approach may significantly improve the delivery of pharmaceutical aerosols during NIV and may open the door for using the nasal route to routinely deliver pulmonary medications.

Indexed as

Respiration, ArtificialAdministration, IntranasalAdultAerosolsHumansHumidityLungModels, AnatomicMolecular Dynamics SimulationNanoparticlesNasal MucosaNebulizers and VaporizersNoseParticle SizeRespiratory System AgentsRheologyAerosolsRespiratory System Agents

Identifiers

PMID21410327
PMCPMC3123840

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.