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Emergency Medicine Journal : EMJ logoLink to Emergency Medicine Journal : EMJ
. 2005 Sep;22(9):641–642. doi: 10.1136/emj.2003.011296

Pressurised metered dose inhalers with spacers versus nebulisers for ß-agonist delivery in acute asthma in children in the emergency department

R Boyd 1, P Stuart 1
PMCID: PMC1726935  PMID: 16113185

Abstract

Methods: Children with a discharge diagnosis of asthma were identified over sequential 3 month time periods. In the first period, wet nebuliser treatment was routine and in the subsequent trial period pMDI-S treatment was instituted as routine. Admissions rates, total time in hospital, and total time in the ED were recorded for each group.

Results: Admission rates fell significantly from 31% to 20.6% after routine use of pMDI-S treatment. There was a non-significant trend to an increase in total ED and total hospital times.

Conclusion: Introduction of routine pMDI-S treatment in the paediatric ED results in a significant drop in admission rates but no significant change in total hospital times or total ED times.

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