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Randomised controlled trial of the efficacy of a metered dose inhaler with bottle spacer for bronchodilator treatment in acute lower airway obstruction
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  • Published on:
    Re: Coffee cup Spacers versus Bottle spacers for MDIs
    • Heather J Zar, paediatrician
    • Other Contributors:
      • Eugene G Weinberg

    Dear Editor,

    We thank Dr Speight for raising the possibility of using a coffee cup spacer to obviate the use of a face mask. In fact, we began the search for an effective homemade spacer by investigating the clinical efficacy of both a coffee cup spacer and a bottle spacer. Unfortunately, we found that the cup performed very poorly as a spacer. In aerosol deposition studies of children we found a polystyrene cup produ...

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    Conflict of Interest:
    None declared.
  • Published on:
    Coffee cup Spacers versus Bottle spacers for MDIs

    Dear Editor,

    Zar et al(1) are to be congratulated for their important paper regarding the efficacy of "bottle spacers" for delivering beta 2 agonists in acute asthma in the under 5s. Clearly this bit of intermediate technology will facilitate delivery of treatment to large numbers of asthmatic children in resource-poor countries, and is equally relevant to practice in more fortunate countries, none of whom have inf...

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    Conflict of Interest:
    None declared.