Letter: Use of pressurised aerosols by asthmatic patients.

Coady, T.; Stewart, C.J.; Davies, H J

doi:10.1136/bmj.1.6013.833-a

Cited by 3 publications

(5 citation statements)

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“…4 » 6 In one study, 32 percent of 103 patients failed to synchronize activation of an aerosol with inspiration. 6 The majority of these patients had been receiving bronchodilator and/or steroid aerosol therapy as part of their treatment.…”

Section: Tilt Your Head Back Slightly and Breathe In Deeply And Slowlmentioning

confidence: 99%

“…2 It has recently been reported by several investigators that many patients are noncompliant in the use of their aerosols. [2][3][4][5][6][7] Paterson and Crompton brought this to the attention of the medical community when they interviewed and observed 321 asthmatic patients in the use of their inhalers. All patients reportedly had been counseled in the correct technique of aerosol administration by members of the medical staff before treatment was initiated.…”

Section: The Introduction Of Beclomethasone Dipropionatementioning

confidence: 99%

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Beclomethasone Dipropionate Aerosol: Patient Consultation Recommendations

Fischer

Kuhn²

1979

Drug Intelligence & Clinical Pharmacy

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Patient administration errors in the use of beclomethasone dipropionate aerosol are frequent. Asthmatics once labeled "treatment failures" on this aerosol may only need adequate consultation to achieve therapeutic results. Pharmacists should monitor for patient noncompliance and provide instruction and follow-up on the use of beclomethasone dipropionate aerosol. Common administration errors associated with this drug are described, along with information patients should receive to obtain optimal benefits.

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Section: Tilt Your Head Back Slightly and Breathe In Deeply And Slowlmentioning

confidence: 99%

Section: The Introduction Of Beclomethasone Dipropionatementioning

confidence: 99%

Beclomethasone Dipropionate Aerosol: Patient Consultation Recommendations

Fischer

Kuhn²

1979

Drug Intelligence & Clinical Pharmacy

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“…Pour ce point isolé, le nombre de nos malades entraînés inhalant incorrecte ment l'AD (environ un tiers) est identique à celui publié par Coady et al [1976]. La vitesse de l'inspiration a des effets discutés sur la déposition des particules Pavia et al, 1977].…”

Section: 'Inspiration De L'aérosolunclassified

“…Sur les seuls critères princi paux d'inhalation correcte il apparaît donc que seulement 28% des malades se référant à la seule notice sont des inhaleurs efficaces. Ce mauvais résultat semble proche de celui observé au Canada [Epstein et al, 1979] et très inférieur à celui d'une enquête britanni que [Coady et al, 1976].…”

Section: 'Apnée En Fin D'inhalationunclassified

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Mauvaise utilisation des aérosol-doseurs par les asthmatiques

Gayrard¹,

Orehek²

1980

Respiration

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The purpose of this study was to determine in a population of asthmatics, the number of patients who correctly used the pressurized aerosols (bronchodilator drugs or steroids) spontaneously, or after training sessions. 115 asthmatics (in- or outpatients, 14–70 years old) were asked to use their inhaler in the presence of an observer. The inhalation technique was considered correct when (1) the puff release was coordinated with a deep inspiration and (2) when the inspiration was followed by a few seconds’ breath-holding. The patients were divided into two groups: a trained group of 46 patients who were observed for 1 month or more after the two above-mentioned maneuvres had been demonstrated to them by a physician and the need for correct use strongly emphasized. The other group (the untrained group) comprised 69 patients who were presumably using their inhalers according to the manufacturer’s instructions: (1) expiration; (2) inspiration and actuation, and (3) apnea. In the trained group 52% of the patients were classified by the observer as correct users, as compared to 28% in the untrained group. The results were not influenced by sex, age or occupational differences. These observations suggest that a majority of asthmatics probably derived incomplete benefit from the use of pressurized aerosols. Although training apparently results in a more efficient use of the canisters, this study shows that training sessions must be repeated, and the results checked at regular intervals by a member of the medical staff. In subjects who repeatedly fail to achieve a correct inhalation technique the drug should be given by another route

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A Comparison of Various Types of Patient Instruction in the Proper Administration of Metered Inhalers

Roberts¹,

Robinson²,

Doering³

et al. 1982

Drug Intelligence & Clinical Pharmacy

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The administration technique employed by 42 inpatients using metered inhalers were observed. Proper performance of the six steps recommended by the manufacturer provided the guidelines for correct administration. The degree of compliance with proper technique was defined as the number of steps correctly executed by the patient. The mean number of steps correctly performed was 2.9 out of the possible six (48.3 percent). Twenty-four patients were then randomized into one of three groups. Group I received the manufacturer's instruction sheet, Group 2 received counseling from a pharmacist, and Group 3 received both the manufacturer's instruction sheet and counseling from a pharmacist. There was a significant improvement in the postinstruction technique in Groups 2 and 3, while Groups 1 failed to demonstrate any significant improvement. Comparisons were then made among the three groups. No significant difference was found between Group 2 and Group 3. However, both Groups 2 and 3 were found to be significantly different (p less than 0.05) from Group 1. This study shows that pharmacist counseling can significantly improve the degree of patient compliance in the administration of metered inhalers.

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Letter: Use of pressurised aerosols by asthmatic patients.

Cited by 3 publications

References 0 publications

Beclomethasone Dipropionate Aerosol: Patient Consultation Recommendations

Beclomethasone Dipropionate Aerosol: Patient Consultation Recommendations

Mauvaise utilisation des aérosol-doseurs par les asthmatiques

A Comparison of Various Types of Patient Instruction in the Proper Administration of Metered Inhalers

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