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  • Delivery of a β2 agonist by metered dose inhaler with a bottle spacer was equivalent to delivery by conventional spacer in young children with acute lower airway obstruction

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Delivery of a β2 agonist by metered dose inhaler with a bottle spacer was equivalent to delivery by conventional spacer in young children with acute lower airway obstruction

http://dx.doi.org/10.1136/ebn.10.3.74

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    Zar HJ, Streun S, Levin M, et al. Randomised controlled trial of the efficacy of a metered dose inhaler with bottle spacer for bronchodilator treatment in acute lower airway obstruction. Arch Dis Child 2007;92:142–6.OpenUrlAbstract/FREE Full Text

    Q In young children with acute lower airway obstruction, is response to bronchodilator treatment given using a metered dose inhaler (MDI) with a bottle spacer equivalent to that given using a conventional spacer?

    METHODS

    Embedded ImageDesign:

    randomised controlled equivalence trial.

    Embedded ImageAllocation:

    concealed.

    Embedded ImageBlinding:

    blinded ({healthcare providers, data collectors},* and clinical outcome assessors).

    Embedded ImageFollow up period:

    after completion of 3 bronchodilator treatments.

    Embedded ImageSetting:

    a children’s hospital in Cape Town, South Africa.

    Embedded ImagePatients:

    400 children aged 2 months to 5 years (median age 12 mo, 39% boys) who presented with clinical signs of acute lower airway obstruction (expiratory wheeze on auscultation or hyperinflation of the chest) and had cough or difficulty breathing within the previous 5 days. Exclusion criteria were bronchodilator use in the previous 4 hours, underlying cardiac or chronic pulmonary disease (other than asthma), stridor, or …

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    Footnotes

    • ↵* Information provided by author.

    • For correspondence: Professor H Zar, Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South Africa. hzar{at}ich.uct.ac.za

    • Sources of funding: World Health Organization and Allergy Society of South Africa.