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Mdi with spacer vs. Nebs: how do we know any meds are even getting in? One of my trachees breathes shallow, my 4yo blows into spacer mask- tried model

2 doctors weighed in
Dr. James Ferguson
Pediatrics
1 doctor agrees

In brief: HHI Vs nebs

I find the use of either method is really kid dependent.
The coordination required for proper mdi use with or without a spacer is beyond some kids until school age or later. The brief mdi delivery leaves little margin for error than the longer neb rx. I defer mdi use until the parents are comfortable that the kid is using it correctly with obvious effect.

In brief: HHI Vs nebs

I find the use of either method is really kid dependent.
The coordination required for proper mdi use with or without a spacer is beyond some kids until school age or later. The brief mdi delivery leaves little margin for error than the longer neb rx. I defer mdi use until the parents are comfortable that the kid is using it correctly with obvious effect.
Dr. James Ferguson
Dr. James Ferguson
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