Managing Childhood Asthma: A Guide to Using a Spacer

Childhood asthma is a common respiratory condition that affects millions of children worldwide. According to Asthma Canada, approximately 1 in 5 Canadian children live with asthma, making it one of the most prevalent chronic diseases in this age group. Fortunately, with proper management and education, children with asthma can lead active and healthy lives. One crucial tool in managing asthma symptoms is a spacer, also known as a holding chamber. In this blog post, we will explore childhood asthma, its challenges, and how to use a spacer effectively to ensure your child's respiratory health. Lastly, we will go over how to care for your child's spacer. 

Understanding Childhood Asthma

Childhood asthma is a chronic condition characterized by inflamed airways, leading to symptoms such as wheezing, coughing, chest tightness, and shortness of breath. These symptoms can vary in severity and frequency, making asthma management essential for improving a child's quality of life.

The American Lung Association states that the majority of children experience their first asthma symptoms before the age of 5. However, diagnosing asthma in young children can be particularly challenging because these symptoms often resemble those of other childhood illnesses. Children naturally have smaller airways compared to adults, and when they fall ill, their airways can become inflamed and narrower, leading to symptoms like wheezing, breathing difficulties, and coughing. The tests to confirm an asthma diagnosis can be difficult to administer in very young children. Therefore this leads to a diagnosis when children are a bit older.

Since individuals with asthma have inflamed airways they are more susceptible to common irritants than others. Those irritants are often referred to as triggers. Common asthma triggers include allergies, viral infections, exposure to smoke, air pollution, and other environmental factors such as perfumes, fumes, mold, etc. It's very important to learn what particular triggers cause your child to react to prevent future flare-ups.

Managing asthma typically involves a combination of medication and lifestyle adjustments. One of the primary medications used in asthma treatment is an inhaler, and for many children, using a spacer with their inhaler can significantly enhance the effectiveness of the treatment. Spacers are used to support children taking their inhalers as it can be a little more challenging for young kids.

If you'd like some kid friend sheets to help teach kids about asthma check out this link CDC Asthma in Children

The Importance of Using a Spacer

A spacer is a device that attaches to an inhaler and helps children receive the full dose of medication. It achieves this by holding the medication in a chamber, allowing the child to inhale at their own pace, reducing the risk of improper technique or medication wastage. There are several variations of spacers. Some variations come with a mask attachment, usually used for younger children. The mask fully covers their mouth and mouth. Another variation has a mouthpiece used when the older child can place their mouth over the mouthpiece. Regardless of which type of spacer your child is using, you can follow the steps below.

Here's how to use a spacer correctly:

Step 1: Prepare the Inhaler and Spacer

Before using the spacer, ensure that both the inhaler and spacer are clean and in good condition. Shake the inhaler as directed by your healthcare provider to mix the medication properly.

Step 2: Insert the Inhaler

Insert the inhaler's mouthpiece into the open end of the spacer. Ensure it fits securely to prevent medication leaks.

Step 3: Breathe Normally

Instruct your child to breathe out gently to empty their lungs, then place the spacer's mouthpiece in their mouth, forming a tight seal with their lips, or place the mask over the mouth and ensure there is a tight seal.

Step 4: Administer Medication

Press down on the inhaler to release one puff of medication into the spacer. If using a corticosteroid inhaler, have your child rinse their mouth after using it to prevent potential side effects like oral thrush.

Step 5: Inhale Slowly

Instruct your child to inhale slowly and deeply through the spacer. This allows the medication to reach the lungs effectively. Take around 10 breaths to ensure all the medicine gets into the lungs.

Step 6: Hold Breath

After inhaling the medication, your child should hold their breath for about 10 seconds to ensure the medication reaches deep into the airways.

Step 7: Repeat if Necessary

If your healthcare provider has prescribed multiple puffs, remember to shake the inhaler between puffs if directed to do so.

When to Use a Spacer

Using a spacer is particularly important in specific situations, as outlined by Nationwide Children's Hospital:

• For Young Children: Children under the age of 5 may have difficulty using a regular inhaler properly. A spacer makes it easier for them to receive their medication effectively.
• During an Asthma Attack: A spacer can help administer medication during an asthma attack when children may have difficulty coordinating their breathing and inhaler use.
• With Corticosteroid Inhalers: Corticosteroid inhalers, which are commonly used for long-term asthma management, are more effective when used with a spacer to reduce the risk of side effects.

How to care for your child's Spacer

To maintain your spacer's hygiene and effectiveness, clean it approximately once a month and after recovering from a cold or respiratory infection. Ensure it remains clear and not moldy or discolored.

Cleaning your spacer involves the following steps:

• If necessary, disassemble your spacer.
• Wash all components in warm, soapy water with liquid dishwashing detergent. Do not throw it in the dishwasher.
• Let the parts air dry without rinsing, as cloth or paper towels can create static that causes medication to stick to the sides.
• If needed, wipe the mouthpiece clean of detergent.
• Once completely dry, reassemble the spacer if required.

Childhood asthma can be challenging, but with the right tools and knowledge, you can help your child breathe easier and enjoy a more active life. Using a spacer correctly can make a significant difference in asthma management, ensuring that your child receives the full benefit of their medication. Remember to consult your healthcare provider for personalized guidance on managing your child's asthma and using a spacer effectively. By working together with your healthcare team, you can empower your child to thrive despite asthma.

Let us know if you have any questions in the comments. Stay safe.

Please refer to these trusted sites for more information:

Sources:

asthma.ca

nationwidechildrens.org

nationwidechildrens.org/family-resources

nationalasthma.org.au (how to care for your spacer)

cdc.gov/asthma/actionplan

The information provided in this blog post is intended for general informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this blog post or on any linked websites. If you have a medical emergency, call your local emergency line.