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I agree that MDIs can frequently do a great job in the ED and they have some
advantages over nebs.
However, remember MDIs don't deliver oxygen and oxygen itself improves the
situation by acting as a pulmonary vasodilator. This will increase pulmonary
blood flow to alveoli that have been ventilated but not perfused.
Bev Bauman MD, FAAP
Portland, Oregon

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From: Alan <[log in to unmask]>
To: [log in to unmask]
Subject: Re: MDI versus Nebulizer in Pediatric ED
Date: Thu, 9 Mar 2000 19:38:28 -0600

I have been using the MDI's with pediatric mask/spacer for about 6 months
with good results and good parent acceptance from ages 3 months on up.
Alan

Alan Clark, M.D.,FACEP
Section Chair
St. John's Emergency and Trauma Center
Springfield, Missouri

http://www.erworld.com
http://www.erworld.com/mindsharp


----- Original Message -----
From: Ready, Robert <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, March 09, 2000 12:21 PM
Subject: MDI versus Nebulizer in Pediatric ED


> How many of you out there are using MDI and spacers instead of Nebulizers
in
> ED ???  Can you give me any feedback on the pros and cons ?   Thanks, Bob
>
> For more information, send mail to [log in to unmask] with the
message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
>   http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html

For more information, send mail to [log in to unmask] with the
message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
  http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html

For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
  http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html