Management of Pediatric Asthma

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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Question
Which one is preferable in management of pediatric a asthma- valveless or valved spacer device & why? Which is the better choice- anatomical shaped mask or round shaped face mask along with spacer device and why ?
Answer
In a comparative trial of seven different spacer devices published in Thorax, (1996;51:835-40) researchers found that, one device could deliver 124% of the dose recovered using a metered dose inhaler alone, whereas another may deliver as little as 21% of the same drug. Overall, large volume spacers perform appreciably better than the smaller spacers tested with sodium cromoglycate and salbutamol. A valved chamber with exhalation ports is useful to prevent exhalation into the chamber and allow inhalation of drug remaining in the chamber after the first breath in. A space mask that fits snugly on the nose is what is preferred be it a round mask or anatomical mask. Ref: BMJ 1996;313:320 (10 August) Back to All Questions

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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

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