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.

Author Details

Anthony Heidtbrink, DNAP, CRNA

Sigma Membership

Non-member

Type

Other Graduate Paper

Format Type

Text-based Document

Study Design/Type

Literature Review

Research Approach

N/A

Keywords:

Metered Dose Inhaler, Endotracheal Intubation, Anesthesia Circuit

Advisor

Pecka, Shannon

Degree

Doctoral-Other

Degree Grantor

Bryan College of Health Sciences

Degree Year

2017

Rights Holder

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Review Type

Faculty Approved: Degree-based Submission

Acquisition

Proxy-submission

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