Those of you who work peds ER or peds respiratory floor. What is your opinion/practice standard for the youngest age to use the facemask with an MDI for albuterol delivery? Just curious because I've always used nebulizers on little ones and MDI's with spacers on age 6 and up.
My niece at age 2.5 was just given an MDI with spacer and mask. I think she is too young. Wondering if I'm wrong.
I'm not an ER or pedi pulmo nurse but a PD/HH nurse that works with medically complex/fragile children. My one patient and his brother are not yet 2. Current evidence shows MDI & one-way valved spacer and mask is just as effective for patients of that age as per the pulmonologist at one of the top ranked pediatric hospitals in the US. In fact MDI plus spacer results in greater patient/parent compliance with the treatment regimen, plus less stress for patient/parent because the treatment takes less time than a nebulized treatment. Also studies now show that more drug is delivered and less drug is wasted into the air, provided a good seal is maintained between face and mask.
Here are some quick articles I found: http://www.ers4kids.com/nebs.pdf
Last edit by JustBeachyNurse on Aug 7, '12
: Reason: clarification