COMPARISON BETWEEN EFFICACY OF MDI+SPACER AND NEBULISER IN THE MANAGEMENT OF ACUTE ASTHMA IN CHILDREN

Mohammad Fayaz, Ambreen Sultan, Manzoor Elahi Rai

Abstract


Background: Due to changing evidence on efficacy of MDI+spacer as compared to nebuliser,
two types of managements were going on in our Day unit, depending on the presence of different
medical professionals. We wanted to find out the evidence of the best practice from within our
unit, and then to formulate guidelines based on it for the management of paediatric acute asthma.
Methods: We isolated 54 cases of children suffering from acute asthma attack from admissions
during Oct 2004–March 2005 within the age range of 3–14 yrs. We categorised them into four
classes of mild, moderate, severe and life threatening acute attack depending on its severity and
then separated them in two groups. Group I received salbutamol Via MDI+spacer and Group II
received salbutamol via nebuliser. Our outcome measure was time to clinical improvement and
duration of hospital stay. Results: We didn’t find any major difference between the two groups,
moreover MDI+spacer was better than nebuliser for the treatment of severe acute asthma attack in
children. Conclusion: Our study supported and confirmed the evidence that MDI+spacer is least
as effective as nebuliser in the management of acute asthma in children.
Keywords: MDI+spacer, Nebuliser, Juvenile Asthma, Salbutamol, Wheeze

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