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1 Respiratory Division, Academic Hospital, Vrije Universiteit Brussel, 1090 Brussels; 2 Department of Medicine, University of California, San Diego, California 92093-0931; and 3 Laboratoire de Physique Biomédicale, Université Libre de Bruxelles, 1070 Brussels, Belgium
We examined the
measurement error in inhaled and exhaled aerosol concentration
resulting from the bolus delivery system when small volumes of
monodisperse aerosols are inspired to different lung depths. A laser
photometer that illuminated ~75% of the breathing path cross section
recorded low inhaled bolus half-widths (42 ml) and negative deposition
values for shallow bolus inhalation when the inhalation path of a 60-ml
aerosol was straight and unobstructed. We attributed these results to
incomplete mixing of the inhaled aerosol bolus over the breathing path
cross section, on the basis of simultaneous recordings of the
photometer with a particle-counter sampling from either the center or
the edge of the breathing path. Inserting a 90° bend into the
inhaled bolus path increased the photometer measurement of inhaled
bolus half-width to 57 ml and yielded positive deposition values.
Dispersion, which is predominantly affected by exhaled bolus
half-width, was not significantly altered by the 90° bend. We
conclude that aerosol bolus-delivery systems should ensure adequate
mixing of the inhaled bolus to avoid error in measurement of bolus deposition.
inspired bolus characteristics; aerosol deposition; photometer; particle counter
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