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ASTHMA: Hans Bisgaard, Martin J. Price, Claire Maden, and Niels A. Olsen Cost-Effectiveness of Fluticasone Propionate Administered Via Metered-Dose Inhaler Plus BabyhalerTM Spacer in the Treatment of Asthma in Preschool-Aged Children Chest 2001; 120: 1835-1842 [Abstract] [Full text] [PDF]

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Cost-effectiveness of Spacer in bronchial asthma

Dr S K Agarwal   (28 January 2002)

Cost-effectiveness of Spacer in bronchial asthma 28 January 2002
Dr S K Agarwal, Head, Department of Chest Diseases,Institute of Medical Sciences, BHU, Varanasi , India Send letter to journal: Re: Cost-effectiveness of Spacer in bronchial asthma sk_agarwal{at}satyam.net.in Dr S K Agarwal	It's quite common to see asthmatics being prescribed metered dose inhaler without a spacer device. In younger children having bronchial asthma the use of babyhaler along with the inhaler increases the deposition of drug in the lung. Even in adults I do not prescribe metered dose inhaler without a spacer device.The pMDI to be used with the spacer should be shaken immediately before use and fixed upright in the appropriate aperture in the spacer. It is essential to be sure that the valves of the spacer are moving correctly- an audible click should be heard with the rigid plastic type and the parents should try to observe the flexible valve movement in those for infants. Priming the spacer with a few doses to coat the inside and reduce static loss of drug before using the spacer for the first time and not washing it quite often.