Penny's story, Self-ventillating

Penny’s Story – Asthmatic


Case summary

  • 7 year old girl with acute asthma exacerbation
  • Prior hospitalisations, seasonal allergies, normally manages asthma using pMDI with spacer
  • Wheezing with symptoms of an upper respiratory infection for ~ 3 days, no improvement with home treatment
  • Presented with moderate respiratory distress in the emergency department


  • Rescue beta-agonist and anticholinergic treatment administered via Aerogen Ultra

Patient outcomes

  • Bronchodilator response achieved with one dose
  • Admission to hospital not required

Not based on a specific patient but are representative of common clinical situations. Patient journey developed based on: Moody GB, Luckett PM, Shockley CM, Huang R, Ari A. Clinical Efficacy of Vibrating Mesh and Jet Nebulizers With Different Interfaces in Pediatric Subjects With Asthma. Respir Care. 2020;65(10):1451-1463.Global Initiative for Asthma. 2019 GINA Report:
Global Strategy for Asthma Management and Prevention. (Accessed on January 21, 2020).
Richard J Scarfone, MD, FAAP. Acute asthma exacerbations in children younger than 12 years. In: Post TW, ed. Acute asthma exacerbations in children younger than 12 years: Emergency department management. UpToDate; 2022. Accessed July 11, 2022.

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