2000
DOI: 10.1378/chest.117.5.1314
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Salmeterol Administration by Metered-Dose Inhaler Alone vs Metered-Dose Inhaler Plus Valved Holding Chamber

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Cited by 19 publications
(13 citation statements)
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References 31 publications
(37 reference statements)
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“…Patients with asthma who continue to have the problem of co-ordinating the MDI activation with inhalation, even after repeated technique training sessions, are commonly prescribed a spacer device to use with their pressurised inhalers [12]. This has been instituted in the Asthma Management Guidelines as a recommended practice in young children aged less than 12 years where the issue of poor pMDI technique is more evident [17], [18].…”
Section: Discussionmentioning
confidence: 99%
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“…Patients with asthma who continue to have the problem of co-ordinating the MDI activation with inhalation, even after repeated technique training sessions, are commonly prescribed a spacer device to use with their pressurised inhalers [12]. This has been instituted in the Asthma Management Guidelines as a recommended practice in young children aged less than 12 years where the issue of poor pMDI technique is more evident [17], [18].…”
Section: Discussionmentioning
confidence: 99%
“…Valved holding chamber (VHC) devices, commonly referred to as spacers, are used with pMDIs to overcome the common problem of hand-lung coordination associated with the pMDI use [11], [12]. When compared to the improper use of a pMDI alone, inhalation of the dose through a pMDI connected to a spacer device significantly improved the aerosol lung deposition [1], [13], [14], and reduced both the oropharyngeal [15] and systemic [16] inhaled corticosteroid-related adverse effects.…”
Section: Introductionmentioning
confidence: 99%
“…Some patients, however, do not care to use them due to their size, as well as to the need for cleaning and maintenance. (7)(8)(9) Treatment failure in individuals with asthma frequently results from the incorrect use of metereddose inhalers, which is typically a consequence of a lack of counseling by health professionals, many J Bras Pneumol. 2008;34(1): [4][5][6][7][8][9][10][11][12] listed in Chart 1.…”
Section: Introductionmentioning
confidence: 99%
“…However, the operator requirements of hand-mouth coordination and the large amount of oropharyngeal drug deposition remain problematic, especially in children, who are less technically proficient than adults. 6 The use of a properly chosen holding chamber may enhance the delivery and distribution of the inhaled medications. The asthma expert panel established by the National Institutes of Health and the Cochrane Database of Systematic Reviews both recognize that the administration of a ␤-agonist by metered-dose inhaler and spacer is as effective as the gold standard of wet nebulization.…”
Section: Discussionmentioning
confidence: 99%