Spacers in asthma
In recent years, there has been growing evidence that aerosols, used with spacers, are as effective as nebulization for the treatment of diseases such as asthma, both in its acute and preventive management.
The best known of the spacers is the Aerochamber® with face mask. There are others that have a mouthpiece, and others that look like an accordion.
All these methods have their advantages and disadvantages. Ask your pediatrician which is the most appropriate for the treatment of your children.
Tips for using the SPACER with a mask.
INSTRUCTIONS.
1. Shake the inhaler well (salbutamol, budesonide, fluticasone, salmeterol ...) and remove the cap.
2. Place the inhaler mouthpiece in the opening of the Aerochamber, with the inhaler container facing up.
3. Place the mask on the child's face, so that it covers the nose and mouth, and produce a good seal to prevent air leakage.
4. Press the inhaler to insert the first shot of the medication into the chamber.
5. Let the child breathe 4-6 times with the mask on.
6. Remove the mask and wait 30-60 seconds for the next shot.
7. To increase the bronchodilator effect during an asthma attack, wait a minute between shots of rescue medications such as salbutamol.
CLEANING.
Clean all parts of the Aerochamber with warm water and a mild liquid soap:
Fill a container with warm water and soap.
Submerge the Aerochamber and shake gently.
Rinse with clean water and let dry outdoors.
HELPING THE CHILD TO ACCUSTOMIZE THE MASK.
At first, young children may resist wearing the mask. However, they will get used to it, after a few days of consistent use.
Remember that the child's cooperation is not necessary for this type of spacer to be effective. If the mask is kept making a good seal on the child's face, he will inhale the medication even if he is crying (crying causes the child to take deeper breaths). Leave the mask on until the child has breathed several times.
To improve your child's cooperation, follow these instructions:
1. Tell your child that it is time to take their medicine.
2. Ask him if he wants to hold the mask himself or if he wants you to do it. (Either way, it is necessary to help sustain it to maintain a good seal).
3. The decision must be made within 30 seconds and the treatment initiated, even when the child does not appear cooperative at first.
Do not waste time trying to convince the child to put on the mask or telling him it will not hurt, etc. That negotiation will only delay the treatment. As you continue to wear the mask, the child will understand that there is nothing to fear and that it causes relief.
After the shots are given, motivate your child by saying "well done!" Or "every time you take your medicine better!" To continue your efforts. Using this method consistently will ensure that the child gets used to and cooperate for their treatments, and that they do not take much time to administer.
TIP Inhalers have a limit of shots. When the medication is finished, it seems that the inhaler continues to work well, however, it only expels compressed air and not medication. Keep an account of how many shots you have used. Most aerosols are 100 or 200 shots
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