Using a Spacer and Mask with an MDI

Younger children with asthma are often prescribed a nebulizer, since they usually aren't able to use a metered dose inhaler.

A nebulizer has many disadvantages though. In addition to taking almost 10 minutes to complete a breathing treatment, many younger children cry if they have to wear a mask to deliver the nebulized treatment. Nebulizers also aren't as convenient or portable as an inhaler.

Instead of a nebulizer, you might ask your Pediatrician if your child can use a metered dose inhaler with a spacer and mask. A popular spacer includes the Aerochamber Plus Valved Holding Chamber, which can be purchased with a small, medium, or large mask, for children of all ages.

To use a spacer and mask, simply:

• put the inhaler mouthpiece into the spacer
• shake the inhaler and spacer
• hold the mask over your child's nose and mouth and create a good seal
• press the inhaler
• have your child breath in and out at least six times to be sure that he gets all of the medicine
• remove the mask and repeat if more than one puff was prescribed

While your younger child may not like the spacer and mask being held over his mouth and nose, it will go much quicker than if you had to use a nebulizer.

Keep in mind that while many experts believe that an MDI with a spacer is as good as a nebulized treatment, some parents prefer a nebulizer.

These tips were submitted by Vincent Iannelli, MD from Dallas, Texas.