A patient respiratory interface for use in an aerosol delivery system is disclosed. The interface may provide a mechanism for introducing an aerosolized medicament to infants without the need for invasive intubation when treating issues in infants such as infant respiratory distress syndrome. The interface may include an outer body formed in the shape of a pacifier where the insertion portion of the pacifier may be hollow and have an opening to guide a catheter or other tubing that may be passed through a flange and the insertion portion of the interface. The catheter may be recessed from or extend slightly out of the tip of the insertion portion so that a flow of nebulized medicament may be delivered to the patient's oropharynx in aerosol form.