Document Detail

Nebulizers versus pressurized metered-dose inhalers in preschool children with wheezing.
MedLine Citation:
PMID:  22734168     Owner:  NLM     Status:  MEDLINE    
QUESTION: 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.
Christine Smith; Ran D Goldman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Canadian family physician Médecin de famille canadien     Volume:  58     ISSN:  1715-5258     ISO Abbreviation:  Can Fam Physician     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-06-26     Completed Date:  2012-12-20     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  0120300     Medline TA:  Can Fam Physician     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  528-30     Citation Subset:  IM    
BC Children’s Hospital, Department of Pediatrics, Room K4-226, Ambulatory Care Bldg, 4480 Oak St, Vancouver, BC V6H 3V4, Canada.
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MeSH Terms
Administration, Inhalation
Asthma / drug therapy*,  physiopathology
Bronchodilator Agents / administration & dosage*
Child, Preschool
Equipment Design
Metered Dose Inhalers
Nebulizers and Vaporizers*
Respiratory Sounds / drug effects*
Reg. No./Substance:
0/Bronchodilator Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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