Inhaler devices – From theory to practice

Sanchís, J.; Corrigan, Christopher; Levy, Mark L; Viejo, José Luís

doi:10.1016/j.rmed.2012.12.007

Cited by 136 publications

(132 citation statements)

References 52 publications

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“…Lack of cooperation in young children especially hand mouth coordination may interfere with effective inhalation therapy with MDI (13,24,25). It has been demonstrated that the most common mistakes include not exhaling before starting, not shaking the MDI and inhaling for a very short time (10,13,21,(23)(24)(25)(26)(27). Similar with other studies, common mistakes detected in our study were lack of mouth rinsing after use followed by lack of exhalation before inhaling the drug and not shaking the inhaler before use.…”

Section: Resultsmentioning

confidence: 99%

Metered dose inhaler-spacer use education effects on achieve asthma control in children

Türkeli¹,

Yılmaz²,

Yüksel

2016

Tuberk Toraks

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Section: Resultsmentioning

confidence: 99%

Metered dose inhaler-spacer use education effects on achieve asthma control in children

Türkeli¹,

Yılmaz²,

Yüksel

2016

Tuberk Toraks

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“…However, Sanchis et al [5] reinforced the fact that no drug is effective until delivery to the site of action, and regular inhaler technique monitoring and training need to be performed, irrespective of the device type used or how long the patient has been using the medication.…”

Section: Discussionmentioning

confidence: 99%

Inhaler technique in patients attending an urban pulmonology practice

Vanderwagen

Smith

2017

S Afr Res J

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Objective. To evaluate the use of inhaler therapy, primarily focusing on the source of the initial inhaler training and the effects of regular monitoring of inhaler use. Methods. We conducted a prospective study of 200 adult patients using either a metered dose inhaler (MDI) or dry powder inhaler (DPI), attending a private pulmonology practice for the treatment of asthma, chronic obstructive pulmonary disease (COPD) or asthma-COPD overlap. Each patient was evaluated once, and assessed by the investigators irrespective of the patient's background and inhaler technique training. Results. The MDI and DPI techniques were found to be 45% and 79% adequate, respectively (p<0.001). Patients who had initial training in a specialist or pulmonology practice showed 100% adequacy. In stark contrast, inadequate technique was observed where initial MDI training was performed by family members, general practitioners, hospital staff, pharmacy staff and self (p<0.05). Similarly, inadequate technique was seen in the DPI group when taught by family members, general practitioners, hospital staff and pharmacy staff (p<0.001). The Accuhaler was used by 59% of the patients using a DPI; 41% used the Turbuhaler. The percentage of inadequate inhaler technique in the Accuhaler was 28%, while the percentage of inadequate inhaler use in the Turbuhaler group was lower at 10% (p<0.001). Conclusion.In an urban private practice environment, the adequacy of inhaler technique was shown to be suboptimal. DPI technique was found to be superior to MDI technique, and the Turbuhaler was employed more adequately than the Accuhaler. There was no correlation between the duration of inhaler use and technique, but patients initially taught by non-pulmonology specialists and pulmonologists showed superior technique to that of other groups, i.e. patients taught by family members, general practitioners and hospital staff.

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“…It is also likely that Swiss physicians almost systematically add the second layer of patient education/information reported in this survey as an anticipatory response to this perceived lack of efficiency. It has been repeatedly shown that health care providers (across all disciplines) often do not sufficiently master the inhalation technique themselves (7,11,18,19) and are not sufficiently aware of device-specific handling difficulties, even more so in an increasingly complex environment with a steadily growing inhaler diversity (11,13,(20)(21)(22). In this context, the best person to provide inhaler training should be the one with the appropriate skills, adequate time, and access to teaching resources.…”

Section: Discussionmentioning

confidence: 99%