COMPARISON BETWEEN EFFICACY OF MDI+SPACER AND NEBULISER IN THE MANAGEMENT OF ACUTE ASTHMA IN CHILDREN
AbstractBackground: 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 differentmedical professionals. We wanted to find out the evidence of the best practice from within ourunit, 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 admissionsduring Oct 2004–March 2005 within the age range of 3–14 yrs. We categorised them into fourclasses of mild, moderate, severe and life threatening acute attack depending on its severity andthen separated them in two groups. Group I received salbutamol Via MDI+spacer and Group IIreceived salbutamol via nebuliser. Our outcome measure was time to clinical improvement andduration 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 inchildren. Conclusion: Our study supported and confirmed the evidence that MDI+spacer is leastas effective as nebuliser in the management of acute asthma in children.Keywords: MDI+spacer, Nebuliser, Juvenile Asthma, Salbutamol, Wheeze
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