Talk:Nebulizer

What's the Difference Between a Nebulizer and an Inhaler?

Inhalers and nebulizers are two different devices used to deliver rescue or controller asthma medications directly into your lungs.

• Nebulizers are electric- or battery-powered machines that turn liquid asthma medicine into a fine mist that's inhaled into the lungs. The child breathes in the mist through a mouthpiece or face mask (a plastic cup that covers the child's mouth and nose). Nebulizers vary in size and shape, but they can be somewhat bulky and noisy and may need to be plugged in.
• Inhalers are portable, hand-held devices that are available in two types:
  • Metered dose inhalers (MDI) are the most commonly prescribed. Like mini-aerosol cans, these devices push out a pre-measured spray of medicine.
  • Dry powder inhalers deliver medicine in powder form, but it doesn't spray out. The User must do more of the work, by inhaling the powdered medicine quickly and quite forcefully (which is often difficult for very young children).

Source: Nebulizers

Aczen (talk) 18:06, 12 January 2009 (UTC)

I disagree with the much too narrow "Inhaler" definition given above. According to various hard copy dictionaries, an inhaler is more broadly defined as:

A device delivering a substance converted to gas/smoke/aerosols, into the mouth and lungs.

If this definition is accepted and used, a nebulizer actualy is a special type of inhaler, and decided by technical terms we have the following 6 type of inhalers:

1) Gas inhalers (sometimes also refered to as breathing apparatus), which are used to deliver.......................................................: Inhalable gas without any solid/liquid particles.

2) Combustional inhalers (also refered to as smoking devices), which combust a solid substance into..........................................: Inhalable smoke.

3) Dry powder inhalers, which dispense a solid dry powder substance into.................................................................................: Inhalable aerosols of solid particles + air.

4) Pressurized Metered Dose Inhalers, use a liquefied gas (stored under pressure in a canister) to dispense a liquid medicine into: Inhalable aerosols of liquid particles + gas.

5) Vaporizers, using heating means -or no means at all for a volatile liquid- to vaporize the liquid into a mist, and thereby deliver......: Inhalable aerosols of liquid particles + air.

6) Nebulizers, using various means to dispense a liquid into fine drops, and thereby deliver a nebulized mist of..............................: Inhalable aerosols of liquid particles + air.

Danish Expert (talk) 20:09, 7 April 2010 (UTC)

Technology

This article needs a section on the technology. How exactly does it work? I came here because we have a compressor-driven home nebulizer. It's a very interesting-looking device. I'm curious how it does what it does.--Srleffler 02:56, 26 September 2007 (UTC)

Alcohol

Though it's not the intended use of a nebulizer, perhaps this article would benefit from a section covering the use of the device in drinking culture. It's fairly common to put liquor in a nebulizer and inhale it in order to get drunk without putting the liquid into your stomach. A section on the benefits, risks, etc. should probably be written. --Lord Galen 14:09, 12 October 2007 (UTC)

That probably should not be added unless there are citations to support it.--Srleffler (talk) 23:25, 12 April 2008 (UTC)

Vaporizer?

Is vaporizer seriously in the "see also" section of this article? —Preceding unsigned comment added by Rsage (talk • contribs) 18:17, 30 October 2009 (UTC)

History

After reading a few articles about the history of nebulizers, I got inspired to write and upload a short history chapter for the wikipedia article. In this new chapter, I also chose to mention the pressurized Metered Dose Inhaler (pMDI) that were invented and sold for the first time in March 1956. Eventhough pMDI is not a nebulizer in technical terms, I found it appropriate also to briefly mention this product, as being the most significant competitor against the use of nebulizers. Some other relevant info, that I now hope some of you can find and add to the history chapter, would be how big a market share the competing medical inhalers (pMDI/nebulizers/vaporizers/dry powder inhalers/combustible inhalers), had for some of the specific epochs during the last 200 years.

So far I havent succeeded to find a source to show/explain the general historic market shares. The kind of "market shares" I am looking for, are some quantitative/qualitative shares for either a "special medicine"/"treament of disease" (i.e Asthma). One idea could perhaps also be, to present this info outside the history chapter, in the form of a short list to show "current usage" for each type of inhaler (to show in which categories of medicines/treatments they currently dominate). For the "history chapter", it would be good enough just to write some short lines to mention the specific medicines/treatments, where the nebulizers historicaly were used (and prefered compared to the other type of inhalers).

When having a look at the historic market shares, its of course important to remember that "combustible inhalers" (to convert a solid substance into smoke) and vaporizers (to convert a liquid into inhalable aerosols) both have been known and used for as long as minimum 3500 years. While the 4 other competing type of inhalers are relatively new inventions. The first "gas inhaler" (or breathing apparatus) was invented and designed by James Watt in 1793. The first nebulizer was invented and designed by Sales-Girons in 1858. The first dry powder inhaler was invented by Newton in 1864. And finaly the pressurized Metered Dose Inhaler (pMDI) only was launched in March 1956 as the last type of inhaler. For the treatment of asthma all the 6 type of inhalers have historicaly been used (at least to some extent). In the treatment of asthma, the use of gas inhalers were in the form of "Oxygen therapy", and the use of combustible inhalers were in the form of "asthma cigarettes" (launched in 1890s). If we only look at the historic market shares for the treatment of Asthma, then it would most likely turn out, that we have a prehistoric epoch dominated by vaporizers, which were followed by an epoch dominated by nebulizers, and then the current epoch starting from 1956 with pMDI's being dominant. But of course we now need a good reliable source, before any such speculations can be added for the wikipedia article.

If some of you can dig up some sourced info about "historic market share for nebulizers", it would definately add some extra value to the chapter. Other history related questions, that also could be interesting to find an answer for are:

• "Historic use of nebulizers by hospitals": In the introduction of the Wikipedia article it has been mentioned that jet nebulizers are still prefered to be used at hospitals, in those cases where patients are not able to use an pMDI by their own. It would be interesting to learn, if hospitals today also use nebulizers in other situations than to treat a "pacified" patient? And to what extend the hospitals historic use of nebulizers has changed?
• "Technological improvement of nebulizers": How did the invention of new improved nebulizer technologies impact on the historic use of nebulizers? In particular to what extend the more portable "Ultrasonic Wave nebulizer" invented in 1964, improved the market position of nebulizers? And how big the impact on the market position was, with the newest type of impoved "Soft Mist Inhalers" (launched for sale in Jan.2004) and "Vibrating Mesh nebulizers" (launched for sale in 2005)?

Danish Expert (talk) 15:04, 7 April 2010 (UTC)

HISTORY - Electronic Cigarette

The entire paragraph mentioning the electronic cigarette does not belong here. The paragraph diverts from the subject of the Nebulizer page and goes into some detail about how eCigs work. A Brief mention that Nebulizer technology was used in the first eCigs is all that is necessary with a link to an eCig page. The Paragraph should be moved to a page more suited to it's Nature.

BuBuSpidecky (talk) 22:37, 18 June 2012 (UTC) Cheers, BuBu

Safety of Home Made Apparatus

Because this article primary deals with the medical use of a Nebulizer I really think connecting bicycle pumps to bottles and adding non specific volatile liquids could give people silly ideas and they may think it's a medicinal solution rather than simply an example of the basic principle. Sterility is a major concern also.