How to administer albuterol via MDI or aerogen nebulizer in patients requiring non-invasive or mechanical ventilation

To minimize potential aerosolization during administration of albuterol we are trying to utilize MDIs primarily.  For intubated patients or those requiring NIV you can administer albuterol MDIs via inline adapter.  Alternatively, the aerogen device also minimizes leak compared to the typical acorn nebulizers but it’s effect on droplet dispersal is unknown.

GUIDANCE OF ADMINISTRATION OF ALBUTEROL TO VENTILATED BIPAP EDIT

in-line MDI adapters and aerogen nebulizers are located on the respiratory cart behind the cardiac workstation, located on the same shelf as the VL blades.

Thank to Suzi Bentley for putting together the visual guide.