Inhaled medications are the mainstay of therapy for many pediatric pulmonary diseases. Device and delivery technique selection is key to improving lung deposition of inhaled drugs. This paper will review the subject in relationship to several pediatric clinical situations: acute pediatric asthma, transnasal aerosol delivery, delivery through tracheostomies, and delivery during noninvasive and invasive mechanical ventilation. This review will focus on the pediatric age group and will not include neonates.
Keywords: HFNC; NIV; albuterol; children; mechanical ventilation; metered dose inhaler; nasal cannula; nasal delivery; nebulizer; noninvasive ventilation; valved holding chamber.
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