Frequently Asked Questions
Common Misconceptions About Nebulizers
The size and the noise level of the nebulizers are dependent on the technology it was developed with. According to the European Respiratory Society (ERS) guidelines4, particle size, aerosol output and aerosol output rate are the key performance indicators.
#2 The More Mist Produced, The More Effective The Treatment.
Visibility of the aerosol produced is dependent on the particle size. Higher mist visibility suggests larger particle size, which is suitable for upper airway treatment. Whereas, most asthma medication targets the lower airways. Look for nebulizers that produce the right sized particles (MMAD) for the most effective treatment.
#3 One Nebulizer Can Treat Both Airways
Not every nebulizer comes with the capability to target both airways. Some nebulizer models have the added feature to adjust the particle size produced. Select your nebulizer based on your target treatment area.
What is a nebulizer?
A nebulizer is a drug delivery machine which converts liquid medicine into aerosol droplets that can easily be inhaled through a mouthpiece or mask.
Nebulizers are primarily used in the treatment of asthma, COPD, and other breathing problems. However, it is also used for severe cases of nasal and chest congestion as it provides immediate relief by the opening of airways.
Reference: Boe J et al (2001). European Respiratory Society Guidelines on the use of nebulizers. Eur Respir J. 18(1):228-42.
Click here to find out more about Omron’s nebulizers.
What is a nebulizer used for?
A nebulizer can be used in the treatment of 1) middle & lower respiratory conditions, as well as 2) upper airway conditions.
Examples of such conditions include
Middle & Lower Airways:
- Chronic Obstructive Pulmonary Disease (COPD)
- Bronchitis & Bronchiolitis Pneumonia
- Cough & cold
- Common flu
- Blocked nose
The suitability of the nebulizer in treating the different conditions depends on the particle sizes produced by the nebulizer (median mass aerodynamic diameter or MMAD), as well as the accessories that come with the nebulizer.
Why choose home nebulization as part of your treatment?
- Delivers medication directly to where it is needed.
- Direct action of the drug on the target organ.
- Immediate effect after inhalation.
- Same effects as oral medication, but with lower dosage.
- Minimisation of possible systemic adverse effect risks.
- Patients can inhale medication with no coordination1 needed.
- Possible to mix different medications from prescription2.
- Some devices can be used for treating upper and lower airway diseases with one device.
Reference: (1) Laube BL et al (2011). What a pulmonologist should know about the new inhalation therapies. Eur Respir J. 37(6):1308-31. (2) Gardenshire D et al (2013). A guide to aerosol therapy for respiratory therapists - 3rd ed. American Association for Respiratory Care , p. 10.
Can distilled water or purified water be used for nebulization?
Distilled water or purified water cannot be used alone as a drug solution for nebulization.
What are the different types of nebulizers?
Different Types Of Nebulizers for various uses
- Easy to use, also suitable for children
- Almost all types of medication is supported
- Very reliable
- Cleaning of many parts
- Can be noisy
- Require power outlet
2. Mesh Nebulizers
- Operates at all angles
- Simple one-button operation
- Relative high costs
- Thorough cleaning is required, especially the mesh element
3. Ultrasonic Nebulizers
- Quiet and easy operation
- High output (‘nebulization rate’) ~ up to 10 times as compared to Compressor Nebulizer
- More expensive than a Compressor Nebulizer
- Not possible to nebulize suspensions (e.g. Pulmicort) and medications with higher viscosity
- Some medications (e.g. antibiotics), may change in quality, due to high ultrasonic energy
- Requires AC power
- In addition to the medication, water is required for cooling
What are the key features of a nebulizer?
1. Median Mass Aerodynamic Diameter (MMAD µm)
Nebulizers create aerosol droplets with a range of particle size diameters, and MMAD is the diameter that divides the mass of an aerosol in half. MMAD is one of the recommended parameter from European Respiratory Society for measuring nebulizer performance.
Chronic – Allergic Rhinitis (Hay Fever)
Infections – Rhinitis (Common Cold), Sinusitis, Laryngitis
Chronic – Asthma, COPD
Infections – Bronchitis, Bronchiolitis, Pneumonia
Higher nebulization rate = Shorter treatment time
Nebulization rate is the amount of nebulized medication in ml coming out of the nebulizer per minute.
3. Aerosol Output
Amount of medication deposited in the lungs. It is measured using a breath simulator pump connected to a filter (chemical analysis of NaF in the filter)
It is a key parameter of Nebulizer efficiency.
4. Noise Level
Babies and children may be fearful of the noise generated by compressor type nebulizers therefore a mesh or ultrasonic nebulizer may be more ideal.
Recommended for cases where on the go treatment is needed.
What To Look For When Choosing A Nebulizer?
Questions that need to be addressed when getting your nebulizer.
1. Who will be using the nebulizer?
Adults or Babies or Children
2. What is the condition?
Upper Airways or Lower Airways
Depending on the treatment area, the nebulizer should produce particle size to reach the targeted organ.
3. Where will the nebulizer be used?
At Home or On-The-Go
Compact and lighter nebulizers make it easy to have discreet treatments anywhere
Click here to find out more about Omron’s nebulizers.