Five Questions About Children Nebulization
Nebulized medicine can directly reach target organ, with fast onset, less dosage, and less side effects. This treatment is more and more clinically used, especially in the treatment of pediatric respiratory diseases, which plays a pivotal role. So how to perform nebulization treatment for children correctly? Let's take a look!
Question 1: Why budesonide is chosen as the hormone for inhalation?
Budesonide suspension is currently the only inhaled hormone approved by the US FDA for children over 4 years old. From the view of its pharmacological properties, budesonide receptor has high affinity and high deposition rate in lung, high concentration in airway mucus, and high elimination rate.
Question 2: Why children’s dose of nebulization treatment doesn’t need to reduce?
Young and small children has lower tidal volume, inspiratory flow rate and deposited medicine amount in lungs. Most of children are crying during treatment, which will affect the inhalation of medicine, waste liquid medicine, so there is no need to reduce medicine amount.
Question 3: Should they use mouthpiece or face mask?
Since the caliber of nasal cavity is smaller than oral cavity, and mucosal turbinate is curved, the nebulized particles tend to settle as they pass, the amount of wasted medicine is large, only small number of particles can reach alveoli, which cannot achieve the desired therapeutic effect. Normally speaking, children should use mouthpiece when taking nebulization treatment. However, those children who are too young to use mouthpiece, they should use face masks instead. Elder children are recommended to use mouthpiece.
Question 4: When is the best time to do nebulization treatment, sleeping or crying?
Most children cry a lot when they first take nebulization treatment. Some people say that crying when nebulizing will cause greater lung activity, which will bring more liquid medicine into the lungs, makes greater effect. In fact, this is wrong. When baby is crying, he can't fully ventilate, reducing the absorption and utilization of medicine.
Question 5: What is a good household nebulizer?
A good household nebulizer
proportion of nebulized particles smaller than 5um is more than 50%. The larger the ratio, the better medicine absorption effect, the better the performance of the nebulizer. Children nebulization have higher requirements for atomized particles. The noise of good quality nebulizer is generally lower than 65 decibels. Also, the lifespan of nebulizer should be long. The lower amount of medicine residue, the higher the utilization rate of nebulizer for medicine solution. The residual medicine of a good nebulizer should be less than 0.5ml.
A good household nebulizer must has good portability, convenient for user to use at anytime anywhere.
Finally, safety, overvoltage protection, temperature control protection, leakage current detection, high voltage resistance detection, etc., are all essential to ensure safety.