Dataset Information

Feasibility of aerosol drug delivery to sleeping infants: a prospective observational study.

ABSTRACT:

Objectives

Delivery of inhaled medications to infants is usually very demanding and is often associated with crying and mask rejection. It has been suggested that aerosol administration during sleep may be an attractive alternative. Previous studies in sleeping children were disappointing as most of the children awoke and rejected the treatment. The SootherMask (SM) is a new, gentle and innovative approach for delivering inhaled medication to infants and toddlers. The present pilot study describes the feasibility of administering inhaled medications during sleep using the SM.

Design

Prospective observational study.

Setting

Out patients.

Participants

13 sleeping infants with recurrent wheezing who regularly used pacifiers and were <12 months old.

Intervention

Participants inhaled technetium99mDTPA-labelled normal saline aerosol delivered via a Respimat Soft Mist Inhaler (SMI) (Boehringer-Ingelheim, Germany) and SM + InspiraChamber (IC; InspiRx Inc, New Jersey, USA).

Outcomes

The two major outcomes were the acceptability of the treatment and the lung deposition (per cent of emitted dose).

Results

All infants who fulfilled the inclusion criteria successfully received the SM treatment during sleep without difficulty. Mean lung deposition (±SD) averaged 1.6±0.5% in the right lung.

Conclusions

This study demonstrated that the combination of Respimat, IC and SM was able to administer aerosol therapy to all the sleeping infants who were regular pacifier users with good lung deposition. Administration of aerosols during sleep is advantageous since all the sleeping children accepted the mask and ensuing aerosol therapy under these conditions, in contrast to previous studies in which there was frequent mask rejection using currently available devices.

Clinical trial registry

NCT01120938.

SUBMITTER: Amirav I

PROVIDER: S-EPMC3975762 | biostudies-literature | 2014 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Feasibility of aerosol drug delivery to sleeping infants: a prospective observational study.

Amirav Israel I Newhouse Michael T MT Luder Anthony A Halamish Asaf A Omar Hamza H Gorenberg Miguel M

BMJ open 20140326 3

<h4>Objectives</h4>Delivery of inhaled medications to infants is usually very demanding and is often associated with crying and mask rejection. It has been suggested that aerosol administration during sleep may be an attractive alternative. Previous studies in sleeping children were disappointing as most of the children awoke and rejected the treatment. The SootherMask (SM) is a new, gentle and innovative approach for delivering inhaled medication to infants and toddlers. The present pilot study ...[more]

PMID: 24670428

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Dataset Information

Feasibility of aerosol drug delivery to sleeping infants: a prospective observational study.

Objectives

Design

Setting

Participants

Intervention

Outcomes

Results

Conclusions

Clinical trial registry

Publications

Feasibility of aerosol drug delivery to sleeping infants: a prospective observational study.

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