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16:31:37 polarizing. There are certainly medical personnel16:31:43 that swear by nebulizers are superior to any other16:31:47 modality of therapy. I would contend that the16:31:51 evidence actually is contrary that they're16:31:54 equivalent. There are certainly many advantages16:31:58 to metered dose inhalers and that it's much, much16:32:00 faster. And I really like this quote from a16:32:02 respected pediatric pulmonologist in Houston. I16:32:06 took this off of the pediatric e‐mail listserve16:32:10 probably at least three or four years ago. "For a 1916:32:13 variety of reasons, including economic cost,16:32:16 routine beta agonist administration at Texas16:32:18 Children's Hospital was changed from nebulization16:32:20 to MDI about three years ago in the OR, in the16:32:25 ICU, in the emergency department, and on the16:32:27 floors. It has been almost universally accepted.16:32:30 We still have many senior clinicians in the16:32:33 community who, via the old dogma, advise nebulizer16:32:36 therapy based on the theory of more deposition due16:32:39 to less need for cooperation in young ones. For16:32:43 my personal practice, the greatest evidence for16:32:46 the superiority of MDI has been the testimony of16:32:49 the vast majority of mothers of infants and16:32:51 toddlers. They almost all tell me the same story.16:32:54 It is quite difficult to impossible to get such16:32:58 children to sit still and wear a mask for 10 to 2016:33:00 minutes. However, all mothers can hold their