Most children do not like the mask. It increases their fear in an already frightening situation. Anxiety, medication effects and the precipitating respiratory problem all combine to increase tachypnea and tachycardia. Stridor and wheezing will both increase in anxious children. Children, especially 2-6 year olds, have the physical strength to make giving a nebulized treatment almost impossible without brute force. They are not likely to submit to our logic or parental threats. [click link for full article]