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Inhalation therapy in children with asthma.

P L Brand1

  • 1Department of Paediatrics, Isala Klinieken/Weezenlanden Hospital, GM Zwolle, The Netherlands. P.L.P.Brand@isala.nl

Minerva Pediatrica
|July 6, 2000
PubMed
Summary

For children with asthma, metered dose inhaler (MDI)/spacer combinations are preferred over nebulizers for young children. Proper inhalation technique is crucial for effective asthma treatment in all children.

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Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Asthma Management

Background:

  • Current guidelines recommend inhalation therapy for all pediatric asthma patients.
  • Effective delivery of inhaled medications is critical for asthma control in children.
  • Various inhalation devices exist, each with specific technical and practical considerations.

Purpose of the Study:

  • To review published evidence on the technical and practical aspects of inhalation therapy in children with asthma.
  • To compare the efficacy and usability of different inhalation devices for pediatric asthma patients.
  • To provide guidance on device selection and technique optimization for children with asthma.

Main Methods:

  • Systematic review of published literature on inhalation therapy in pediatric asthma.
  • Analysis of studies comparing nebulizers, metered dose inhaler (MDI)/spacer combinations, and dry powder inhalers (DPIs).
  • Evaluation of factors such as device effectiveness, ease of use, and lung deposition.

Main Results:

  • Metered dose inhaler (MDI)/spacer combinations are as effective as nebulizers for bronchodilator delivery in young children and are easier to operate.
  • Plastic spacers can be improved by washing to reduce static charge, enhancing medication output.
  • Most children aged 6 years and older can reliably use dry powder inhalers (DPIs), with variations in lung deposition between devices like Turbuhaler and Diskus.
  • A significant number of children exhibit poor inhalation techniques, underscoring the need for proper training.

Conclusions:

  • Metered dose inhaler (MDI)/spacer combinations are the preferred choice for inhalation therapy in young children with asthma.
  • Dry powder inhalers (DPIs) are suitable for older children, but device-specific techniques must be mastered.
  • Consistent instruction and repeated assessment of inhalation technique are essential for successful asthma management in all pediatric patients.

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