It is generally agreed that nebulizer therapy is only occasionally necessary, particularly when spacers are used with metered-dose inhalers and the proper effort goes into educating the patients. Impressive cost savings accrue when metered-dose inhalers with accompanying reservoirs are substituted for nebulizers as indicated by Tenholder et al1 in their article. Undoubtedly, further adjustments in reservoir technology will have to be made when, as is likely to occur in the near future, chlorofluorocarbons are no longer used in metered-dose inhalers.
Skorodin MS. Can the Nebulizer Survive?-Reply. Arch Intern Med. 1993;153(20):2389. doi:10.1001/archinte.1993.00410200117018