Evaluación de las técnicas y errores en el uso de los inhaladores de dosis medida en el paciente adulto

L, Hernán Sotomayor; A, Alvaro Vera; G, Rina Naveas; F, Cristián Sotomayor

doi:10.4067/s0034-98872001000400010

Cited by 4 publications

(4 citation statements)

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“…Besides, other recurrent mistakes were also found like: "not washing hands before using MDI (100%)", "not verifying if mouthpiece was clean (95%), breathing out before activating MDI" (83%), "incorrect distance between mouth and MDI" (84%) and not performing "deep and slow inspiration after activating MDI" (65%). In contrast, Larsen et al [26] found in 501 patients that the most common errors were "expiration before activating MDI", and the "lack of coordination of inspiration and activation of MDI, whereas, Sotomayor et al [27] in Chile, found that the most common errors in physicians and nurses were: not "waiting for seconds between each puff" (33.3% and 56.7%, respectively), not "doing it slowly and deeply" (13.4% and 30% respectively), and not "agitating MDI before using it" (60% physicians and 26.7% nurses). It can be observed that these different studies report similarities of the errors of the steps of the MDI technique.…”

Section: Discussionmentioning

confidence: 94%

Competence in Metered-Dose Inhaler Technique among Healthcare Workers of Three General Hospitals in Mexico: It is Not Good after All These Years

Rodríguez

Medina-Casillas

Muñoz

et al. 2021

Advances in Respiratory Medicine

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Introduction: Inhaled medication is the cornerstone of pharmacological treatment for chronic respiratory diseases. Therefore, it is important to use a metered-dose inhaler (MDI) correctly to get the appropriate dosage and benefit from the drug. Health-care workers (HCW) are responsible for teaching the correct MDI technique. Unfortunately, numerous studies consistently show that HCW have poor MDI technique. This study aimed to evaluate the current knowledge of MDI technique in HCW working in three general hospitals. Material and methods: A hospital-based, cross-sectional descriptive study was conducted in three general hospitals in Aguascalientes, México. Three surveyors simultaneously scored through a 14 dichotomic questions list as bad, regular, good, and very good MDI technique. Data were analyzed with SPSS version 16. Statistical analyses were performed using chi-square test or unpaired t-tests. An analysis of one-way ANOVA was used for comparison of three independent general hospitals. Values of p < 0.05 were considered to indicate statistical significance. Results: A total of 244 HCWs were surveyed: 78.3% were nurses whereas 21.3% were physicians. The inter-observer concordance analysis among observers was 0.97. We observed that 32.4% (79) performed a bad technique, 51.6% (126) a regular technique, 13.5% (33) a good one, and 2.5% HCW (6) a very good technique. No difference between gender, labor category, schedule, service, age, seniority, and education degree between the three hospitals was observed. The most common mistakes were "insufficient expiration prior to activation of the device", and "the distance the inhaler was placed for inhalation" (83 and 84% respectively). Conclusion: We observed that a high percentage of HCW do not follow the MDI technique correctly, being this percentage even higher than the reported in other studies. These observations suggest the urgent need to establish frequent training programs for the correct use of MDI.

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Section: Discussionmentioning

confidence: 94%

Competence in Metered-Dose Inhaler Technique among Healthcare Workers of Three General Hospitals in Mexico: It is Not Good after All These Years

Rodríguez

Medina-Casillas

Muñoz

et al. 2021

Advances in Respiratory Medicine

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“…Por otro lado, se han realizado investigaciones para identificar quiénes son los principales instructores de la técnica inhalatoria. Se encontró que la técnica es instruida por enfermeras, médicos especialistas, técnicos y residentes de medicina [15], [16], [17], [18].…”

Section: Introductionunclassified

Incorrect use of metered-dose inhalers in adult patients at a hospital in Callao, Peru, 2014: cross-sectional study

Cayo-Quiñe¹,

Martínez-Vargas²,

Bustamante-Voysest³

et al. 2015

Medwave

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“…La expiración antes de inhalar es otra maniobra importante para el ingreso del medicamento en la inspiración. Nuestros resultados fueron similares a los obtenidos por Sotomayor et al (4) los cuales obtuvieron un 58,8% en pacientes que no realizaron esta maniobra.…”

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Uso inadecuado de la vía inhalatoria en pacientes asmáticos que utilizan salbutamol

García-Falcón

Lawrence

Prendes-Columbié

2014

Rev Peru Med Exp Salud Publica

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Sr. Editor. El asma bronquial es un trastorno inflamatorio crónico de las vías aéreas. En individuos susceptibles, esta inflamación causa episodios recurrentes de sibilancias, disnea y tos, particularmente en la noche y al despertar en la mañana. Estos síntomas se asocian, habitualmente, con obstrucción bronquial difusa, de variable intensidad, reversible parcialmente en forma espontánea o con tratamiento (1) .

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Evaluación de las técnicas y errores en el uso de los inhaladores de dosis medida en el paciente adulto

Cited by 4 publications

References 0 publications

Competence in Metered-Dose Inhaler Technique among Healthcare Workers of Three General Hospitals in Mexico: It is Not Good after All These Years

Competence in Metered-Dose Inhaler Technique among Healthcare Workers of Three General Hospitals in Mexico: It is Not Good after All These Years

Incorrect use of metered-dose inhalers in adult patients at a hospital in Callao, Peru, 2014: cross-sectional study

Uso inadecuado de la vía inhalatoria en pacientes asmáticos que utilizan salbutamol

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