3.1.5 Respiratory devices (peak flow meters, spacers etc.) and nebuliser diluents

Peak flow meters

Peak flow meter
  • Standard range, 60-800 litres/minute (£4.50)
  • Low range, 30-400 litres/minute (£6.50)

Spacers

See the Inhaler technique reminder cards for information on the correct use of the devices included in the formulary. In children, metered dose inhlaer (MDI) via spacer is the preferred method of delivery of beta2 agonists or inhaled corticosteroids. Spacer devices may also be useful for adults and should be used whenever high dose MDI inhaled corticosteroids (ICS) (see Inhaled Corticosteroid Dose Comparison in Asthma) are required to reduce the risk of oral candidiasis.

Aerochamber Plus® (medium-volume spacer device)
  • Standard spacer device (blue) (£4.90 without mask, £8.17 with mask)
  • Infant spacer device (orange) (£8.17 with mask)
  • Child spacer device (yellow) (£8.17 with mask)

Notes

  1. Prescribe by brand. Patient familiarity with one device is important; instructions for use vary between products and patient training is required.
Anti-Static Space Chamber Plus® (medium-volume spacer device)
  • Standard or compact spacer device (£4.45 without mask, £7.45 with small, medium or large mask)

Notes

  1. Prescribe by brand. Patient familiarity with one device is important; instructions for use vary between products and patient training is required.
Volumatic® (large-volume spacer device)
  • Spacer device (£3.88 without mask, £6.83 with paediatric mask)

Notes

  1. Prescribe by brand. Patient familiarity with one device is important; instructions for use vary between products and patient training is required.

Haleraid® is a device to place over pressurised (aerosol) inhalers to aid when strength in hands is impaired (e.g. in arthritis). It is not prescribable on NHS but can be purchased.

Oscillating Positive Expiratory Pressure Devices

Oscillating Positive Expiratory Pressure Devices
  • Devices include Acapella, Aerobika, Flutter.

Indication

  • Management of cystic fibrosis

Notes

  1. To be supplied by secondary care for the management of cystic fibrosis (NHS England commissioned)

Nebuliser diluent

Sodium chloride nebuliser solution
  • Nebuliser solution 0.9% 2.5ml (£7.74 = 20 x 2.5ml)

Notes

  1. See here for notes on nebulised therapy
Hypertonic sodium chloride nebuliser solution

Notes

  1. Consultant initiated
  2. Where a preferred brand is recommended for a particular presentation, prescribing by brand helps ensure cost-efficient use of local NHS resources (see preferred brand link above)
Last updated: 31-12-2019

 

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