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  • Title: Mouthpiece versus facemask for delivery of nebulized salbutamol in exacerbated childhood asthma.
    Author: Kishida M, Suzuki I, Kabayama H, Koshibu T, Izawa M, Takeshita Y, Kurita F, Okada M, Shinomiya N, Aoki T.
    Journal: J Asthma; 2002 Jun; 39(4):337-9. PubMed ID: 12095184.
    Abstract:
    We compared the bronchodilator response to salbutamol (albuterol) delivered by a compressed air nebulizer through a mouthpiece and via a facemask in 18 asthmatic children, to determine the most appropriate delivery method. Patients using a mouthpiece had significantly better mean percent increases in forced expiratory volume in 1 sec (FEV1) and in forced vital capacity (FVC) than those using a facemask 30 min after inhalation (FEV1, 56.4 +/- 32.6% vs. 28.9 +/- 19.1%, FVC: 34.4 +/- 26.4% vs. 7.5 +/- 14.9%, respectively). Nebulized therapy plays an important role in the management of bronchial asthma in children and should be delivered by a mouthpiece whenever possible in cases of exacerbated asthma.
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