Every flu season, hospitals are overcrowded, with children and the elderly being particularly vulnerable to respiratory illnesses. According to the latest CDC report, the 2023-2024 flu season has already resulted in over 210,000 hospitalizations across the U.S., with children under 5 being hospitalized at twice the rate of adults.

The flu virus causes high fever, fatigue, and severe respiratory issues. A breathing treatment for flu (like nebulization at home) can quickly relieve these symptoms when hospitals are overcrowded. To combat these symptoms, nebulizers are increasingly becoming an essential tool for home healthcare.
So, how exactly can a nebulizer help you and your family stay better protected during flu season? This article provides a detailed breakdown.
I Risks During Flu Season
The influenza virus is primarily transmitted through the respiratory tract and causes inflammatory responses in both the upper and lower respiratory systems after infection. According to data from the World Health Organization (WHO), there are approximately 1 billion cases of seasonal flu each year, with an estimated 290,000 to 650,000 deaths annually due to seasonal flu-related respiratory diseases. Children, the elderly, and individuals with weakened immune systems are particularly vulnerable to the influenza virus, experiencing severe respiratory symptoms such as bronchitis and pneumonia.

1.1 When is a Nebulizer Needed?
A nebulizer is suitable for the adjunctive treatment and relief of the following respiratory symptoms:
- Severe Cough: Especially dry or irritating cough that affects rest or sleep.
- Excessive Phlegm: Thick mucus that is difficult to expel (such as in bronchitis, pneumonia, etc.).
- Wheezing and Chest Tightness: During acute asthma attacks, chronic obstructive pulmonary disease (COPD), or bronchospasm.
- Throat Inflammation: Acute laryngitis (especially the "barking cough" commonly seen in children).
Note: A nebulizer does not replace vaccines or antiviral medications, but it can help alleviate respiratory discomfort.

II. How to Choose the Right Nebulizer
When selecting a nebulizer for flu, it’s important to consider the user group and specific health needs. Here are some practical recommendations:
2.1 Choosing the Type Based on User Group:
Children:
- Quiet Models: Choose nebulizers with noise levels below 50 decibels to avoid disturbing the child during use.
- Cartoon Designs: Fun designs can attract children's attention and reduce resistance. For example, the Boryan children's nebulizer, shaped like a tiger, is both engaging and appealing, making the experience enjoyable for kids.
Adults:
- Universal Design: Opt for models that are easy to operate and clean, ensuring they are suitable for home use.
- Comfortable Accessories: Masks and tubing should cater to adult usage habits and provide a good seal.
- One-Button Operation with Large Display: Simplifies usage for the elderly, with clear displays for easy status checking.
- Comfortable Accessories: Ensure that masks and tubing are comfortable for prolonged use.
2.2 Choosing Nebulizer Types Based on Condition
Compressor Nebulizer:
- Advantages: Produces fine particles (1-5 microns), making it suitable for lower respiratory diseases (e.g., pneumonia, asthma).
- Disadvantages: Slightly noisy (around 60 decibels).
Mesh Nebulizer:
- Advantages: Ultra-quiet (<30 decibels) with minimal medication residue (<0.1 ml), suitable for precise dosing.
- Disadvantages: Higher cost (over a thousand yuan) and requires regular filter changes.
Ultrasonic Nebulizer:
- Suitable only for saline solutions or certain traditional Chinese medicines; not for use with hormones or protein-based medications.

2.3 Key Parameters:
Nebulization Particle Size: Choose particles ≤ 5 microns to ensure the medication can penetrate deep into the lungs. (Note: 1 micron = 0.001 millimeters; smaller particles are more likely to reach the lungs.)
Medication Residue: Should be less than 0.5 ml to minimize waste and ensure each treatment is effective.
Nebulization Rate: 0.2-0.5 ml/min to avoid coughing due to rapid delivery.
Battery Life: > 30 minutes per session to meet single treatment needs.

III. Why You Need a Nebulizer at Home During Flu Season
3.1 Quick Response to Sudden Symptoms:
Children's Nighttime Coughing: Influenza can trigger acute laryngitis or wheezing. A home nebulizer can relieve symptoms in 10 minutes, avoiding late-night trips to the hospital.
Elderly Risk of Mucus Blockage: Nebulization helps thin mucus, preventing worsening respiratory difficulties.

3.2 Reduce Hospital Cross-Contamination:
Hospitals can be overcrowded during flu season, and using a nebulizer at home lowers the risk of exposure to other pathogens. Using a nebulizer for flu as part of your breathing treatment routine reduces hospital visits
3.3 Save Time and Costs:
Eliminates the need for registration and waiting in line, making it particularly beneficial for patients with chronic respiratory conditions for daily maintenance.
IV. How Practical Are Nebulizers for the Elderly and Children?
For Children:
✅ Narrow Airways, Prone to Blockage: Influenza can lead to acute laryngitis and wheezing. Nebulization can quickly relieve airway swelling.
✅ Easier Medication Administration: More acceptable than oral medication or injections, and can be paired with cartoons or toys to distract them.

For the Elderly:
✅ Emergency Relief for Chronic Conditions: For patients with COPD or emphysema, nebulized medication reaches the lungs directly, providing faster relief than oral medications.
✅ Reduce Risk of Mucus Blockage: Helps thin mucus, preventing worsening respiratory difficulties and reducing the need for hospitalization.

V. The 3 Most Common Nebulization Regimens
5.1 Coughing Keeps You Awake:
Medication: Saline + Budesonide (hormone, anti-inflammatory)
Indications: Nighttime dry cough, allergic cough, laryngitis
Effects: Reduces airway inflammation and alleviates irritating cough.
5.2 Shortness of Breath:
Medication: Salbutamol (bronchodilator)
Indications: Acute asthma attacks, wheezing bronchitis
Effects: Takes effect in 5-10 minutes, quickly relieves wheezing and chest tightness.

5.3 Thick Mucus Difficult to Cough Up:
Medication: Acetylcysteine (mucolytic)
Indications: When there is thick, copious mucus in pneumonia, bronchitis, etc.
Effects: Thins mucus, aiding in its expulsion.
VI. When to Go to the Hospital?
6.1 Symptoms Unresolved or Worsening:
- Breathing remains labored or lips turn blue after nebulization.
- High fever exceeding 39°C persisting for 24 hours.
- Chest pain or coughing up blood (alert for worsening pneumonia or pulmonary embolism).

6.2 Danger Signals in Children:
Refusal to eat or drink for over 6 hours (risk of dehydration: decreased urine output, crying without tears).
Lethargy or unusual irritability that cannot be calmed.
6.3 Emergency Situations for Adults:
Respiratory rate > 30 breaths per minute (normal is 12-20).
Blood oxygen saturation < 90% (can be measured with a home pulse oximeter).
Sudden, severe headache or chest pain (could indicate other emergencies).

6.4 Special Warnings for the Elderly:
Confusion or incoherence (may indicate oxygen deficiency or worsening infection).
Noticeably decreased urine output (alert for potential kidney dysfunction).
⚠️ Note:
- Infants, pregnant women, and those with underlying conditions should seek medical attention more proactively if symptoms worsen.
- Chronic disease patients (e.g., asthma, COPD) should have emergency medications readily available.

VII. Precautions
7.1 Usage Frequency:
✅ Follow Medical Advice: Hormonal medications (e.g., Budesonide) should not be misused long-term.
❌ Avoid Dependence: Gradually reduce nebulization frequency once symptoms improve.
7.2 Cleaning and Maintenance:
- Cleaning: Rinse the medication cup and mask with clean water immediately after use; discard after one week.
- Disinfection: Soak in 75% alcohol or a dedicated disinfectant for 10 minutes.
-
Dry Storage: Ensure they are dried properly to prevent bacterial growth.
Proper cleaning ensures your nebulizer for flu remains safe for long-term breathing treatment at home
7.3 Contraindications:
⚠️ Caution in Certain Populations:
Severe arrhythmias (bronchodilators may induce palpitations).
Active pulmonary tuberculosis or coughing up blood.
Glaucoma or prostate enlargement (some medications may worsen symptoms).
7.4 Additional Reminders:
Rinse Mouth After Use: Especially with hormonal medications to prevent oral fungal infections.
Monitor Children: Nebulization may be ineffective if the child is crying; try to calm them before use.

VIII. Summary

