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Comparing mesh and compressor nebulizers in pulmonary function test in pediatric asthma attacks: A double-blind
Berker Okay1, Halil Ugur Hatipoglu1, Zeynep Uze Okay1
1University of Health Sciences, Haseki Training and Research Hospital, Department of Pediatrics, Sultangazi, Istanbul, Turkey.
Mesh nebulizers (MNs) offer better improvements in respiratory rate and lung function for pediatric asthma attacks compared to compressor nebulizers (CNs). MNs may be preferred for more effective asthma treatment in children.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Medical Device Technology
Background:
- Asthma is a widespread respiratory condition affecting many children globally.
- Choosing the right nebulizer is crucial for effective asthma management in pediatric patients.
Purpose of the Study:
- To compare the efficacy of mesh nebulizers (MNs) versus compressor nebulizers (CNs) in treating pediatric asthma attacks.
- To evaluate the impact of different nebulizer types on spirometry test results in children with asthma.
Main Methods:
- A prospective, double-blind, randomized study involving children aged 7-15 with asthma attacks.
- Patients were randomized to receive salbutamol via either CNs or MNs.
- Pulmonary function tests were conducted before and after treatment to assess changes.
Main Results:
- Mesh nebulizers showed a statistically significant improvement in reducing respiratory rate (RR) and increasing forced expiratory volume in 1 second (FEV1).
- Significant improvements were also noted in forced expiratory flow at 25%-75% of FVC (FEF25-75) with mesh nebulizers.
- While not statistically significant, mesh nebulizers trended towards greater increases in peripheral oxygen saturation and heart rate.
Conclusions:
- Mesh nebulizers demonstrate superior efficacy in improving key respiratory parameters like RR, FEV1, and FEF25-75 in pediatric asthma attacks.
- Despite a potential increase in heart rate, mesh nebulizers may be the preferred choice for enhanced treatment outcomes in children.
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