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A spac­er is a device that facil­i­tates the use of an inhaler and aerosol med­i­cines.^one. The spac­er for inhala­tion is a plas­tic cham­ber. On the one hand, it has a spe­cial adapter through which the drug is sup­plied. On the oth­er side of the cham­ber there is a mouth­piece or a mask for inhal­ing the drug. Sprayed in a spac­er, the med­i­cine turns into a cloud². Large spray par­ti­cles set­tle on the walls, and a fine sus­pen­sion is inhaled by the patient. In this way, a grad­ual rate of drug deliv­ery to the bronchi and lungs is ensured, a more effi­cient oper­a­tion of the drug, the absence of dis­com­fort and cough dur­ing inhala­tion.³.

Rating of the top 8 spacers for inhalation for adults

To date, there are not so many mod­els of spac­ers in the phar­ma­cy net­work. Their main dif­fer­ence is in the vol­ume of the cham­ber, the pres­ence of a mouth­piece or mask, intend­ed for chil­dren or adults. We have com­piled a rat­ing of the most pop­u­lar inhala­tion spac­er mod­els based on cus­tomer and doc­tor reviews.

1. Philips Respironics OptiChamber Diamond 1109059

This small device from Philips will make it much eas­i­er to take the drug and deliv­er the med­i­cine direct­ly to the res­pi­ra­to­ry tract. The spac­er cham­ber is made of anti­sta­t­ic plas­tic, which allows the drug to stay in sus­pen­sion longer, pro­long­ing the inspi­ra­to­ry time. The cham­ber is equipped with a one-way valve that allows only inhala­tion, exclud­ing back exha­la­tion into the cham­ber.

Main characteristics

Pros and cons

2. Pari Vortex

Pari Vor­tex is a fair­ly small and light­weight spac­er for inhala­tion. Like oth­er spac­ers, it has an anti­sta­t­ic cham­ber with a valved fil­ter, which pre­vents the drug from being exhaled back into the device. The spac­er cham­ber is made of med­ical met­al and has an elas­tic adapter for inhalers. The adapter has sil­i­cone blades, which cre­ates a vor­tex flow and improves the deliv­ery of med­ica­tion to the res­pi­ra­to­ry tract.

The device is eas­i­ly dis­in­fect­ed and ster­il­ized. The large vol­ume of the cham­ber allows you to take sev­er­al breaths after one injec­tion. On sale there are mod­els with a mask for chil­dren and a device for using the spac­er with one hand. Pari Vor­tex has a reg­is­tra­tion cer­tifi­cate from Rosz­drav­nad­zor.

Main characteristics

Pros and cons

3.Free-breath Maxi

The uni­ver­sal Free-breath Maxi spac­er is designed for indi­vid­ual inhala­tions. It is com­pat­i­ble with all inhalers and has an inhala­tion-exha­la­tion safe­ty valve. If the inspi­ra­to­ry rate is too high, the mod­el will beep.

The spac­er can be eas­i­ly dis­as­sem­bled for clean­ing and dis­in­fec­tion. The Free-breath Maxi inhaler adapter is designed so that the med­i­cine is sprayed strict­ly into the cen­ter of the cham­ber. The vol­ume of the spac­er is 350 ml — this is enough for sev­er­al breaths. Sep­a­rate­ly, you can pur­chase sil­i­cone masks, which are pro­duced by the man­u­fac­tur­er for this mod­el. The mask adheres well to the face and pre­vents the loss of aerosol.

Main characteristics

Pros and cons

4.AeroChamber

Anoth­er mod­el of effec­tive spac­ers AeroCham­ber is designed for adults and chil­dren over 6 years old, and also comes with a set of masks in three sizes for patients of any age. The man­u­fac­tur­er claims that the spac­er is capa­ble of deliv­er­ing med­i­cines with a par­ti­cle size of no more than two microns into the res­pi­ra­to­ry tract. This ensures the pen­e­tra­tion of the drug direct­ly into the alve­oli.

A sep­a­rate plus of the mod­el is that it has a col­or indi­ca­tor that allows you to under­stand whether the mask is worn cor­rect­ly. Like oth­er spac­ers, this acces­so­ry is ver­sa­tile, com­pact and easy to use. Its biggest draw­back is its rare pres­ence in the retail net­work.

Main characteristics

Pros and cons

To the point

What is a neb­u­liz­er and what is it for: 10 best mod­els

5. Air Liquide L’espace

Anoth­er effec­tive spac­er from the Ital­ian com­pa­ny L’e­space is made of sil­i­cone, so it can even be washed in the dish­wash­er. The mod­el has a suf­fi­cient cham­ber vol­ume and a wide breath­ing valve with low inhala­tion resis­tance. This is espe­cial­ly impor­tant, for exam­ple, dur­ing an asth­mat­ic attack, when the intake of the drug does not depend on the inten­si­ty of inspi­ra­tion. The spac­er comes with a case for stor­age and trans­porta­tion.

Main characteristics

Pros and cons

6. Philips Respironics OptiChamber Diamond HH1330/00 (1109060)

Anoth­er pop­u­lar inhala­tion spac­er mod­el from the Philips brand in our rat­ing, which is designed for chil­dren and the elder­ly. This spac­er has an adapter that allows you to attach a breath­ing mask, as well as a stepped mouth­piece for a small mouth. A com­fort­able anatom­i­cal­ly shaped mask fits snug­ly to the face and elim­i­nates the loss of the drug, mak­ing it pos­si­ble to inhale not only through the mouth, but also through the nose. Addi­tion­al tight­ness is pro­vid­ed by the Soft­Touch insert. The one-way valve is very light and does not require much effort when breath­ing.

The spac­er has a built-in whis­tle that will alert you if your breath­ing is too fast. This mod­el can be applied to both adults and chil­dren from the first weeks of life.

Main characteristics

Pros and cons

7. Free-breath Midi Clear

Anoth­er inhala­tion spac­er from the Free-breath brand. It is more com­pact, but the vol­ume of the cham­ber is much small­er. The spac­er is com­pat­i­ble with all aerosol inhalers and has all the nec­es­sary qual­i­ties of a con­ve­nient and at the same time sim­ple device. This mod­el is equipped with a sound inhala­tion-exha­la­tion valve, which warns of incor­rect inhala­tion. This is espe­cial­ly use­ful when using the spac­er with chil­dren.

Main characteristics

Pros and cons

8. Avicenna

Our rat­ing is com­plet­ed by per­haps the sim­plest Russ­ian-made spac­er. Rather, it can be called a noz­zle for an inhaler. How­ev­er, its use sig­nif­i­cant­ly increas­es the effi­cien­cy of inhala­tion.

The sim­ple flask shape of the spac­er makes it pos­si­ble to retain large par­ti­cles of the aerosol prepa­ra­tion that irri­tate the nasophar­ynx and stom­ach. The mod­el has an adapter for an inhaler on one side, and a round mouth­piece on the oth­er. Avi­cen­na does not have a breath­ing valve and is semi-uni­ver­sal. Inhala­tion with such a noz­zle will have to be done direct­ly dur­ing the spray­ing of the drug

Main characteristics

Pros and cons

How to choose spacers for inhalation

Almost all spac­ers have the same design and are suit­able for any inhaler. The main dif­fer­ence is in the con­fig­u­ra­tion of the mod­el, the pres­ence of a mouth­piece or a sil­i­cone mask and the design of the inhala­tion-exha­la­tion valve. Some spac­er mod­els are equipped with a sound or light sig­nal that allows you to learn how to breathe cor­rect­ly dur­ing inhala­tion.³.

Anoth­er dif­fer­ence with spac­ers is the vol­ume of the flask. The larg­er the flask, the more breaths the patient can take on a sin­gle dose of the inject­ed sub­stance. How­ev­er, the size of the flask will also affect the com­pact­ness of the device.

Before buy­ing a spac­er, you should con­sult with your doc­tor. He will rec­om­mend the opti­mal mod­el suit­able for a par­tic­u­lar group of drugs.

Reviews of doctors about spacers for inhalation

The use of spac­ers, accord­ing to doc­tors, sig­nif­i­cant­ly increas­es the effec­tive­ness of the drug². When using a spac­er, fine par­ti­cles of a sub­stance pen­e­trate deep­er into the res­pi­ra­to­ry tract and have a greater effect on the body.^one. The spac­er cham­ber retains large drops of the drug, pre­vent­ing them from set­tling in the nasophar­ynx and enter­ing the stom­ach. This explains the reduc­tion of side effects and irri­tat­ing effects of the drug.

Good to know

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Popular questions and answers

The most pop­u­lar ques­tions about the use of spac­ers we asked gen­er­al prac­ti­tion­er Mikhail Lystsov.

Sources:

1. Inhala­tion ther­a­py: what deter­mines its effec­tive­ness? Simono­va O.I. Sci­en­tif­ic Cen­ter for Chil­dren’s Health of the Russ­ian Acad­e­my of Med­ical Sci­ences. M., 2008. https://cyberleninka.ru/article/n/ingalyatsionnaya-terapiya-ot-chego-zavisit-ee-effektivnost/viewer
2. inhala­tion ther­a­py. Edit­ed by Cor­re­spond­ing Mem­ber of the Russ­ian Acad­e­my of Sci­ences S.N. Avdeev, pro­fes­sor V.V. Arkhipo­va. “GEO­TAR-Media”. M., 2020 https://lk.catahub.com/project_images/12916/410634/6883246/7b833971703944fcb1e335d9616cb337.pdf
3. Once again about spac­ers. Meshch­eryako­va N. Jour­nal “Asth­ma and Aller­gy”, 2006. https://cyberleninka.ru/article/n/esche-raz-o-speyserah