Navigation Links
Spacers Score Over Nebulizers in Childhood Asthma Treatment

Spacers and nebulizers-- two treatment methods for asthma attacks are found to be equal in staving off hospital admissions, a new review shows//. Spacer plays shorter stays in emergency departments usually for children.

The review authors, led by Christopher Cates, M.D., of the University of Alberta, in Edmonton, Canada, analyzed information from 25 studies of 2,066 children ages 2 years and older, and 614 adults with asthma. All used either spacers or nebulizers to deliver beta-2 agonists, medications that help ‘open’ the lungs to ease breathing in asthma attacks.

The review appears in the current issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.

A spacer is a holding chamber attached to devices for inhaling asthma medication. A nebulizer is an electrically powered machine that turns liquid medication into a mist breathed directly into the lungs through a face mask or mouthpiece. Nebulizers are the traditional method for treating asthma attacks, and are still used more often in hospitals.

The authors found that spacers and nebulizers work equally well for treating non–life-threatening asthma attacks, in terms of need for inpatient admission and the number of days in the hospital.

However, emergency room visits were almost one half-hour shorter for children who took their medication by spacers, and these children experienced fewer side effects, lower pulse rates and better oxygen delivery.

These advantages, along with ‘greater ease of use of spacers, together with hospital admission rates with spacers that are at best 60 percent lower than nebulizers and at worst 6 percent higher’ make the newer treatment ‘the recommended option for children,’ Cates sai d. He added that ‘nebulizers need a power supply, are less portable, require maintenance and are more difficult to clean than spacers.’

Carlos Camargo, Jr., M.D., Ph.D., of the Harvard School of Public Health, cautioned that the study results ‘apply to beta-agonist delivery only and not other agents, for example, inhaled corticosteroids.’ As for the most severely affected patients, ‘there are insufficient data on severe exacerbation to generalize to that high-risk group,’ Camargo said.

The authors conclude that the emergency- room results need to be replicated in a community setting. In the meantime, Cates said, the issue is ‘how to help people change practice from the familiar nebulization to using a spacer.’ He said that proper titration -- adjusting medication dose and timing according to symptoms -- is still ‘the key issue, whichever delivery method is used.’ An estimated 6.2 million U.S. children under age 18 years of age have asthma and 4 million of these had an asthma attack or episode in 2003, according to the American Lung Association. Asthma is the third leading cause of hospitalization in children under 15.

‘For adults seen and assessed for acute asthma, this review found no significant differences between the two delivery methods,’ the authors write. ‘Consequently, the choice of delivery method should reflect patient preference, practice situations and formal economic evaluation.’

Source: Eurekalert
'"/>




Related medicine news :

1. Scorecard to help in diabetic risk assessment of the Indian Population
2. Scorecard to help in diabetic risk assessment of the Indian Population
3. PET-CT Scores High On Precision for Diagnosing Ovarian Cancer Recurrence
4. Milk Chocolate, Cinnamon, And Peppermint Scores Good For Brain
5. Breathing Exercises Scores Over Inhalers
6. NHS Employees Score Over Other Private Staffs In Taking Leave
7. CE Sonography Score Over Others in Blunt Abdominal Trauma Assessment
8. Warm Watermelon Scores Over Cold In Nutritive Value
9. Can Giving More Homework Improve Test Scores For Children?
10. Younger Siblings of Children With Autism Spectrum Disorders Score Low
11. Focused Treatment For Childhood Cancer
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:12/6/2016)... ... 2016 , ... Just in time for the holiday season, the celebrated paleo ... for Honeyville’s new Organic Quinoa Flour product for sale at Costco stores throughout the ... , “I think it’s wonderful that a growing number of retailers such as ...
(Date:12/6/2016)... ... December 06, 2016 , ... ... SevenPoint2 released the much-anticipated HydroFX for Water®. This first-of-its-kind water-soluble powder supplement ... of the world’s most powerful antioxidants, molecular hydrogen, HydroFX for Water transforms ...
(Date:12/6/2016)... ... December 06, 2016 , ... ... of a powerful woman's story of sacrifice and enlightenment. , “Tatiana ... author, Carolyn Fryer. Always looking for creative outlets, Carolyn gravitated toward writing through ...
(Date:12/6/2016)... ... December 06, 2016 , ... The OSHA Training Center ... Education Center headquartered in Northern California, has announced the addition of a Public ... health training to public sector employees. , “The primary goal of the Public ...
(Date:12/5/2016)... ... 05, 2016 , ... What: Shriners Hospitals for Children, with the help of ... – using a video monitor and web-enabled camera. Santa visits with children through Dimension ... a Christmas Wonderland, which is where the video connection to the North Pole will ...
Breaking Medicine News(10 mins):
(Date:12/5/2016)... , Nov. 29, 2016 Several leading ... by Accera, Inc. at 11 a.m. EST ... International Conference on Clinical Trials for Alzheimer,s Disease (CTAD). ... metabolism in Alzheimer,s disease and therapeutic targets that address ... "Following the recent failure of another therapy targeting ...
(Date:12/5/2016)... DUBLIN , Dec 5, 2016 ... Blotting Market by Product (Instruments, Consumables), Application (Biomedical & Biochemical Research, ... Companies) - Global Forecasts to 2021" report to their offering. ... , , ... reach USD 730.7 Million in 2021 from USD 574.8 Million in ...
(Date:12/5/2016)... and PUNE, India , December 5, 2016 /PRNewswire/ ... titled, "Surgical Sutures Market by Product Type and by Application - Global Opportunity ... for $3,360 million in 2015, and is expected to reach $5,255 million by ... segment dominated the market in 2015 with more than four-fifths share. ... ...
Breaking Medicine Technology: