Nebulized bronchodilators instead of metered-dose inhalers for obstructive pulmonary symptoms.
نویسندگان
چکیده
The “Things We Do for No Reason” (TWDFNR) series reviews practices which have become common parts of hospital care but which may provide little value to our patients. Practices reviewed in the TWDFNR series do not represent “black and white” conclusions or clinical practice standards, but are meant as a starting place for research and active discussions among hospitalists and patients. We invite you to be part of that discussion.
منابع مشابه
A review of nebulized drug delivery in COPD
Current guidelines recommend inhaled pharmacologic therapy as the preferred route of administration for treating COPD. Bronchodilators (β2-agonists and antimuscarinics) are the mainstay of pharmacologic therapy in patients with COPD, with long-acting agents recommended for patients with moderate to severe symptoms or those who are at a higher risk for COPD exacerbations. Dry powder inhalers and...
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OBJECTIVE To determine the clinical effectiveness of pressurised metered dose inhalers (with or without spacer) compared with other hand held inhaler devices for the delivery of corticosteroids in stable asthma. DESIGN Systematic review of randomised controlled trials. DATA SOURCES Cochrane Airways Group trials database (Medline, Embase, Cochrane controlled clinical trials register, and han...
متن کاملNebulizers vs metered-dose inhalers with spacers for bronchodilator therapy to treat wheezing in children aged 2 to 24 months in a pediatric emergency department.
OBJECTIVE To determine if administration of albuterol by a metered-dose inhaler with a spacer device is as efficacious as administration of albuterol by nebulizer to treat wheezing in children aged 2 years and younger. DESIGN Double-blind, randomized, placebo-controlled clinical trial. SETTING Pediatric emergency department. PATIENTS From a convenience sample of wheezing children aged 2 t...
متن کاملAnticholinergic Medications for the Treatment of Chronic Obstructive Pulmonary Disease
burden of COPD and that they address any demographic disparities in patients’ use of resources. These data would help clinicians and other health care professionals in developing disease-management programs that best suit a specific population. Bronchodilators are the mainstay for managing the symptoms of COPD. They may be prescribed on an as-needed basis at early stages of disease, but typical...
متن کاملCost-effectiveness of metered-dose inhalers for asthma exacerbations in the pediatric emergency department.
OBJECTIVE To compare the incremental cost and effects (averted admission) of using a metered-dose inhaler (MDI) against wet nebulization to deliver bronchodilators for the treatment of mild to moderately severe asthma in pediatric emergency departments (EDs). METHODS We measured the incremental cost-effectiveness from the perspective of the hospital, by creating a model using outcome characte...
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عنوان ژورنال:
- Journal of hospital medicine
دوره 11 4 شماره
صفحات -
تاریخ انتشار 2015