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Letters Asthma attacks in children

Everyone with asthma should have a metered dose inhaler and a spacer

BMJ 2018; 360 doi: (Published 15 February 2018) Cite this as: BMJ 2018;360:k648
  1. Duncan Keeley, general practitioner
  1. Thame OX9 3JF, UK
  1. duncan.keeley{at}

Bush and Griffiths are right to draw attention to the growing evidence of suboptimal management of asthma exacerbations in children in the UK and the associated mortality.1 They also remind us that metered dose inhalers with spacers are equivalent or superior to nebulisers in all but the most severe exacerbations.

Metered dose inhalers with spacers …

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