The objective of this review is to analyze whether spacer inhaler is more beneficial than a nebuliser for asthmatic children who are below the age of 5 years. While nebulisers have an historic record as having been used in acute asthma exacerbations , meta- analysis of trials…
The recent British thoracic Society Guidelines (20) support the use of spacer inhaler over the nebulizer. The possible advantages that accrue include reduced cost of acquisition and operation, greater potential convenience and reduced incidence of infection. It is therefore very important to asses whether spacer inhalers are beneficial in children with with extremely asthmatic episodes. The above clinical question and the suggested intervention measures are relevant in clinical practice of our modern society.
C- Comparison interest: indicate that nebuliser too can offer convenience depending on the prevailing situational circumstance in relation to time, cost and available staff training and level of professionalism.
Search for the articles relevant for this research review was computer based. Article database search was based on the PubMed directory. An updated PubMed search (8 April 2013), with the key terms “asthma” “ spacer”, “nebuliser verses spacer inhaler”, “asthma spacer inhaler”, “spacer nebuliser comparison”, “acute asthmatic children”, “or asthma with the key term limit of meta analysis, human, all children 0-5 years. This led to acquisition of 15 citations which included two systematic reviews.
First search was done based in the key terms that reflect the clinical problem “asthmatic children, nebuliser verses spacer inhaler”, “acute asthmatic” and “asthma”. This directed the search towards the acquisition of many other incidences which are prevalent to the problem in question. By reading the abstracts and key terms of the first acquired article, other terms like “juvenile asthma” and “asthma spacer nebulizer”. This gave out a new dimension of the review. The new article obtained from the secondary search show a considerable compliance and correlation of the primary sources. They ...
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