Akut bronşiyolitli olguların acil servisteki tedavilerinde nebulizatör veya aracı tüp kullanımının etkinliğinin karşılaştırılması

Abstract

Acute bronchiolitis is one of the most common causes of lower respiratory tract infections in children. Nebulization of inhaled beta-2 agonists in emergency departments is time-consuming. In this study, effects of inhalation of appropriate dose of inhaled salbutamol by nebulization or by spacer are compared. Thirty-five patients between ages of 1-24 months old who were admitted in daytime to Ege University Faculty of Medicine Child Emergency Department for cough and/or wheezing and diagnosed as acute bronchiolitis were enrolled to the study. Patients were randomized into two groups; nebulization group (Group 1) and spacer group (Group 2). In Group 1, mean respiratory score before the treatment and mean decrease after the, treatment were 9.39±6 and 1.5±1.1; in Group 2, the scores were 10.2±8.4 and l.l±0.9, respectively (p>0.05). Efficacy of inhalation was about the same in both groups and only one of the patients in each group was hospitalized due to acute bronchiolitis. In management of acute bronchiolitis in emergency departments, usage of spacer for administration of inhaled salbutamol is apreferrable method for two reaseons; it is better for time saving, and has the same efficacy with nebulization.