Evidence map›Paper›PMID 12876173›Full record

Trial reportArchives of disease in childhood2003

Nebuliser hood compared to mask in wheezy infants: aerosol therapy without tears!

I Amirav, I Balanov, M Gorenberg, D Groshar, A S Luder

Open access · bronzeAbstract readClinical TrialComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Archives of disease in childhood, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 77 citations in OpenAlex.

  1. Hood versus mask nebulization in infants with evolving bronchopulmonary dysplasia in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2006
    Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Maybe there is no such thing as bronchiolitis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016
    Review
  8. Aerosol science and technology : the journal of the American Association for Aerosol Research · 2015
    Article
  9. Observational
  10. Review
  11. Guidelines for lung scintigraphy in children.European journal of nuclear medicine and molecular imaging · 2007
    Article
  12. Ethical aspects of using radiolabelling in aerosol research.Archives of disease in childhood · 2003
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

I AmiravPediatric Department, Sieff Hospital, Safed, Israel. amirav@012.net.il
I Balanov
M Gorenberg
D Groshar
A S Luder
Rebecca Sieff Hospital · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmall volume nebulisers (SVNs) with masks commonly provide aerosol therapy for infants with lung diseases. However, infants and toddlers are often disturbed by and thus reject masks.

aimsTo compare the lung deposition efficiency of the "usual" SVN aerosol mask and a prototype hood attached to an SVN. The advantage of the hood is that no mask is needed and medication can readily be administered during sleep.

methods99mTc salbutamol solution was administered at random by SVN plus mask or hood to 14 wheezy infants (mean age 8 (SD 5) months). The dose and distribution of salbutamol were evaluated using gamma scintigraphy. Clinical response, tolerability by the infants, and parent preference were also compared.

resultsMean total lung deposition was 2.6% with the hood and 2.4% with the mask (p > 0.05). Variability with the mask was greater than with the hood (coefficient of variation (CoV) 54% v 39%). Both treatments provided similar clinical benefit and side effects as reflected in improved oxygen saturation, reduced respiratory frequency, and increased heart rate. Infants accepted the hood better than the mask and there was a positive correlation between poor acceptance and upper airways and stomach deposition for both treatment modalities. Parents preferred the hood treatments.

conclusionsAerosol therapy by hood is as efficient as by mask but provides a better therapeutic index. It is much better tolerated by infants and preferred by parents. Hood nebulisation is a simple and patient friendly mode of aerosol therapy in wheezy infants.

Indexed as

MasksNebulizers and VaporizersAdministration, InhalationAerosolsAlbuterolAsthmaBronchodilator AgentsDrug Delivery SystemsFemaleHumansInfantLungMalePatient SatisfactionPilot ProjectsProspective StudiesAerosolsAlbuterolBronchodilator AgentsRadiopharmaceuticalsTechnetium Tc 99m Pentetate

Identifiers

PMID12876173
PMCPMC1719599
OpenAlexW2151175729

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.