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Emergency treatment of obstructive bronchitis: change from nebulizers to metered dose inhalers with spacers.

AbstractAIM:
To evaluate how the change from drug nebulizers to metered dose inhalers (MDI) with spacers succeeded and influenced the hospitalization rate and the length of the emergency room (ER) and hospital stay in wheezing preschool-aged children.
METHODS:
After educating and training the nurses and physicians, the use of MDIs with spacers was started on 1 November 2006 in the ER and acute wards of our hospital. All of the 1-to-5-year-old patients admitted for bronchial obstruction from 1 November 2004 to 28 February 2005 and from 1 November 2006 to 28 February 2007 were included in this retrospective hospital chart review.
RESULTS:
In 2004-2005, 78% of the children were treated with salbutamol administered by nebulizers, and in 2006-2007, 84% with salbutamol administered by MDIs with spacers. The hospitalization rate was about 50% in both groups, and no difference was seen in the length of the hospital stay. The children treated with the MDIs with spacers stayed in the ER for a longer time.
CONCLUSION:
The change from drug nebulizers to MDIs with spacers in the treatment of acute bronchial obstruction in 1-to-5-year-old children was successful after the staff was educated and trained.
AuthorsMinna Mecklin, Marita Paassilta, Heidi Kainulainen, Matti Korppi
JournalActa paediatrica (Oslo, Norway : 1992) (Acta Paediatr) Vol. 100 Issue 9 Pg. 1226-9 (Sep 2011) ISSN: 1651-2227 [Electronic] Norway
PMID21401718 (Publication Type: Journal Article)
Copyright© 2011 The Author(s)/Acta Paediatrica © 2011 Foundation Acta Paediatrica.
Chemical References
  • Bronchodilator Agents
  • Albuterol
Topics
  • Age Factors
  • Albuterol (administration & dosage, therapeutic use)
  • Bronchitis (drug therapy, pathology)
  • Bronchodilator Agents (administration & dosage, therapeutic use)
  • Child, Preschool
  • Confidence Intervals
  • Emergency Treatment
  • Female
  • Humans
  • Infant
  • Inhalation Spacers
  • Male
  • Nebulizers and Vaporizers
  • Respiratory Sounds
  • Retrospective Studies

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