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Mouthpiece Versus Facemask for Delivery of Nebulized Salbutamol in Exacerbated Childhood Asthma |
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| Authors: | Masaru Kishida Istuo Suzuki Hirohiko Kabayama Tatsuro Koshibu Masako Izawa Yukiko Takeshita Fumiko Kurita Mari Okada Noriaki Shinomiya Tsugutoshi Aoki |
| Institution: | a Second Department of Pediatrics, Toho University School of Medicine, Tokyo, Japan |
| Abstract: | We compared the bronchodilator response to salbutamol (albuterol) delivered by a compressed air nebulizer through a mouthpiece and via a facemask in 18 asthmatic children, to determine the most appropriate delivery method. Patients using a mouthpiece had significantly better mean percent increases in forced expiratory volume in 1 sec (FEV1) and in forced vital capacity (FVC) than those using a facemask 30 min after inhalation (FEV1: 56.4 ± 32.6 % vs. 28.9 ± 19.1%, FVC: 34.4 ± 26.4% vs. 7.5 ± 14.9%, respectively). Nebulized therapy plays an important role in the management of bronchial asthma in children and should be delivered by a mouthpiece whenever possible in cases of exacerbated asthma. |
| Keywords: | Bronchial asthma Children Facemask Inhalation Management Mouthpiece Nebulizer Salbutamol (albuterol) β Stimulant |
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