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Successful implementation of spacer treatment guideline for acute asthma


AIMS To develop and implement an evidence based guideline for the treatment of acute asthma using a metered dose inhaler and spacer combination.

METHODS Defined strategies were used for the development and implementation of a guideline, assessed by a prospective, descriptive, study using notes review, and patient, nursing, and medical staff telephone contact. The setting was a tertiary referral hospital in Victoria, Australia with 25 000 yearly admissions, and asthma accounting for about 7% of total. The first 200 children and families to use the guideline after its introduction were evaluated.

RESULTS A total of 191 (95.5%) children were treated according to the guideline. Six (3.0%) children were given nebulisers appropriately based on severity; five (2.5%) were given nebulisers at parental or child choice; and four (2.0 %) who did not have severe asthma, received nebulised treatment inappropriately.

CONCLUSIONS Successful implementation of a new evidence based guideline can be achieved using specific strategies for promoting the application of research findings in the clinical arena.

  • acute asthma
  • spacers
  • evidence based guideline
  • change in practice

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