Figure 3: Options for the delivery of inhaled medications to intubated children. A: Metered dose inhaler (MDI) actuated inside a 60 ml syringe and connected to the gas-sampling port of the circuit elbow. B: Delivery via a 19G intravenous catheter advanced out of the end of the endotracheal tube. C: Valved MDI spacer positioned between the circuit “Y” and the endotracheal tube. D: Jet nebulizer positioned in the inspiratory limb of an intensive care unit ventilator circuit. Used with permission [69].
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