UK paediatricians, do you still use standardised salbutamol discharge weaning plans? Did you ever? If you successfully stopped, can you share how you convinced local consultants? (Please don't tell me WHY we should get rid of them, I'm fully on board) #Paediatrics#respiratory
Okay so turns out that there is more work to be done regarding standardised salbutamol weaning plans, and SABA use in general, than I had thought. A 🧵regarding #asthma and weaning plans in the UK, the evidence, and what comes next. 1/17
What are salbutamol weaning plans? (WP) Children and young people are routinely discharged from the ward or ED with advice to gradually wean down salbutamol use over the coming days. WP may wean by time or doses (puffs) but start at 10 puffs every 4 hours 2/17
WP are commonly used across the UK and have been for years. They make clinicians and parents feel safe in the knowledge that the patient will continue to receive salbutamol, keeping the lungs open while they recover 3/17