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The British Thoracic Society/Scottish Intercollegiate Guidelines Network and other asthma guidelines recommend the use of a spacer when children and young people (CYP) use a pressurised metered dose inhaler (pMDI) to manage their asthma.1 2 Adult patients are similarly advised to use a spacer with high-dose inhaled corticosteroids and when using beta-2-agonists for acute asthma.1 Incorrect inhaler technique is contributory to morbidity and mortality in asthma.2 A personal observation from paediatric asthma clinics is that CYP frequently stop using spacers despite repeated medical advice to do so. This is often linked to a deterioration in asthma control3 or a precursor …
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