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Doody's Review ServiceReviewer: Alexander B. Adams, RRT (Regions Hospital)
Description: This book, volume 162 in the invaluable series, Lung Biology in Health and Disease, assembles experts in the complex area of aerosol/drug delivery to the lungs. In contrast to a previous volume on inhalational aerosols, this book emphasizes the care delivery aspects of aerosol therapy.
Purpose: This is a complete, updated review of the care delivery issues of aerosol therapy. Several points made throughout the book meet important objectives: in vitro testing must be viewed skeptically, new devices are becoming available that will improve compliance and delivery efficiency, and aerosol delivery has a promising (and currently unregulated) future.
Audience: The book is intended for clinicians, therapists, and nurses, that is, the care providers. It is scholarly reviews on a number of topics, yet several chapters are pertinent for practitioners — nebulization: the device and clinical considerations, new nebulizer technology, the metered-dose inhaler, spacer devices, and dry-powdered inhalers. The authors are credible authorities.
Features: Generally, the book provides background for the topic in a fascinating chapter on the history of aerosol therapy followed by chapters on particle behavior in the respiratory tract and lung structure/function. Subsequent chapters are on testing of devices (in vitro vs. in vivo) with whole chapters on metered dose and dry powdered inhalers. The last chapter is on the difficult issue of compliance when compliance may be a technique problem. This book's strength is the completeness of the reviews.
Assessment: The book is extremely high quality and it becomes an important reference in the area of aerosol medicine. Other books will devote a single chapter to this topic and none will cover the area to this depth. The chapters on history and compliance are enriching, entertaining, and unique.