The use of the VC connector increased the delivery of albuterol sulfate and resulted in a PSD profile at the patient interface that is more consistent with the PSD profile of the selected nebulizer when compared with SoC. This VC connector may be a useful, new approach for the delivery of aerosolized medications to neonates requiring positive pressure ventilatory support.
Aerosol flow and deposition in the model of human oropharynx was studied theoretically and experimentally for two realistic inspiratory patterns. The three-dimensional (3D) airflow structure in the sample geometry was solved with the computational fluid dynamics (CFD) code (Fluent), used to calculate dynamic distribution of particle deposition (0.3-10 mum). Experiments were done for the same flow conditions using the silicone-rubber cast with the matching geometry. Nonsteady breathing flows were reproduced with the computer-controlled artificial lung apparatus. Results of computations show that particles smaller than 3 mum easily pass the oropharynx during inspiration, while particles with a size close to 10 mum are substantially deposited, preferentially in the region of the naso-pharyngeal bend. For particles in the submicrometer size range, the spatial and temporal deposition pattern is more complicated, and strongly depends on breathing dynamics. The experiments confirmed that the mass median diameter (MMD) of the aerosol that penetrates the oropharynx and flows to the tracheobronchial tree is reduced. Measured total mass efficiency of deposition of the tested aerosol was in the range of 35-60%, depending on the breathing pattern. These findings are consistent with the CFD results. The methods and the preliminary results enable a more realistic analysis of dynamic effects during the flow of inhaled particles through the complex geometry of the oropharynx. Such analysis is needed for estimation of toxic potential of aerosols, related to their local deposition in different parts of the respiratory tract.
Toxicity of diesel exhaust is related to the inhalation of nano-sized fractal-like aerosol aggregates. Their complex behavior (in comparison to spherical particles) should be taken into account in deposition modeling. The deposition of aerosol fractal-like aggregates in the model of a human nose was studied numerically for the flow rate corresponding to breathing conditions. The simplified geometry of the human nasal replica was implemented in the computational fluid dynamics (CFD) code (FLUENT) used for calculation of the three-dimensional airflow structure. A Brownian dynamic (BD) algorithm was applied for determination of the aggregates deposition in the nasal cavity during inhalation. These calculations were carried out for several populations of aggregates. The values of parameters used in the BD simulations for characterization of fractal-like aggregates, that is, fractal dimension (Df) and the radius of gyration (Rg), were in the range of 1.7-2.1 and 0.24-0.36 microm, respectively. These are the representative values for soot aggregates emitted from diesel engines. The results of computation show approximately 20% penetration of submicrometer aggregates through the nose and a weak dependence of deposition efficiency on Df and Rg values. The proposed methodology may lead to a more realistic description of deposition of nonspherical aerosol particles in the respiratory system. A more sophisticated approach for description of fractal-like aggregates dynamics is suggested for future studies.
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