From the Research
A nasal aspirator can provide immediate relief for a congested toddler, but its effects typically last only a few hours before mucus builds up again, and it should be used in conjunction with other methods such as saline drops or spray to loosen thick mucus, with the underlying cold usually resolving within 7-10 days 1.
Key Points to Consider
- The use of a nasal aspirator can provide symptomatic relief for a congested toddler, but it does not treat the underlying cause of congestion, which is typically a viral infection that must run its course.
- To maximize the effectiveness of a nasal aspirator, it is recommended to use saline drops or spray 1-2 minutes before suctioning to loosen thick mucus, making removal more effective 2.
- Limiting suctioning to 3-4 times daily can help prevent nasal irritation and bleeding.
- Keeping the child hydrated and using a cool-mist humidifier can complement the use of a nasal aspirator for better breathing.
- A recent systematic review suggests that nasal irrigation with saline solution may reduce symptom severity in children with upper respiratory tract infections, with a level of evidence of 2 and a recommendation strength of B 1.
Recommendations for Use
- Use the nasal aspirator before meals, naps, and bedtime when congestion tends to be most bothersome.
- Use saline drops or spray 1-2 minutes before suctioning to loosen thick mucus.
- Limit suctioning to 3-4 times daily to prevent nasal irritation and bleeding.
- Continue using the aspirator as needed throughout the duration of the cold, usually 7-10 days.
- Consider using a cool-mist humidifier and keeping the child hydrated to complement the use of the nasal aspirator.