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Nebulizers versus pressurized metered-dose inhalers in preschool children with wheezing.

AbstractQUESTION:
In my office, I frequently encounter children with wheezing. When I prescribe inhaled bronchodilators for preschool children, what is the recommended method of delivery--a nebulizer or a spacer?
ANSWER:
The pressurized metered-dose inhaler with a spacer is an effective method of delivering inhaled drugs to young children. Children younger than 5 years of age will require the additional use of a face mask. It is best to give aerosolized medications when a child is awake. Efforts to optimize the child's cooperation with medication administration by using a spacer with an appropriate mouthpiece or face mask will also improve drug delivery.
AuthorsChristine Smith, Ran D Goldman
JournalCanadian family physician Medecin de famille canadien (Can Fam Physician) Vol. 58 Issue 5 Pg. 528-30 (May 2012) ISSN: 1715-5258 [Electronic] Canada
PMID22734168 (Publication Type: Journal Article, Review)
Chemical References
  • Bronchodilator Agents
Topics
  • Administration, Inhalation
  • Asthma (drug therapy, physiopathology)
  • Bronchodilator Agents (administration & dosage)
  • Child, Preschool
  • Equipment Design
  • Humans
  • Metered Dose Inhalers
  • Nebulizers and Vaporizers
  • Respiratory Sounds (drug effects)

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