Inhaler mishandling remains common in real life and is associated with reduced disease control
Andrea S. Melani,Marco Bonavia,Vincenzo Cilenti,Cristina Cinti,Marco Lodi,Paola Martucci,Maria Serra,Nicola Scichilone,Piersante Sestini,Maria Aliani,Margherita Neri +10 more
TLDR
In this paper, the authors investigated the prevalence of inhaler mishandling in a large population of experienced patients referring to chest clinics; to analyze the variables associated with misuse and the relationship between inhaler handling and health-care resources use and disease control.About:
This article is published in Respiratory Medicine.The article was published on 2011-06-01 and is currently open access. It has received 681 citations till now. The article focuses on the topics: Dry-powder inhaler & Inhaler.read more
Citations
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Journal ArticleDOI
Difference in resistance to humidity between commonly used dry powder inhalers: an in vitro study.
Christer Janson,Thomas Lööf,Gunilla Telg,Georgios Stratelis,Georgios Stratelis,Folke Nilsson +5 more
TL;DR: A clinically relevant decrease of more than half FPD was seen for one of the inhalers, a decrease that may affect patients’ clinical outcomes, and there are significant differences in device performance after exposure to humid conditions.
Journal ArticleDOI
Objective Assessment of Patient Inhaler User Technique Using an Audio-Based Classification Approach
Terence E. Taylor,Yaniv Zigel,Yaniv Zigel,Clarice Egan,Fintan Hughes,Richard W. Costello,Richard B. Reilly +6 more
TL;DR: An audio-based method that objectively assesses patient pMDI user technique and estimated the peak inspiratory flow rate and volume of inhalations with an accuracy of 88.2% and 83.94% respectively.
Journal ArticleDOI
Inhalation devices, delivery systems, and patient technique
TL;DR: The choice of inhaler device should depend on cost effectiveness and the patient's preference and ability to use it correctly to enhance compliance and, if necessary, corrected and rechecked, with retraining if needed, at every opportunity.
Journal ArticleDOI
Prevalence and predictors of inadequate patient medication knowledge
Javier Romero-Sanchez,Victoria Garcia-Cardenas,Raquel Abaurre,Fernando Martínez-Martínez,Pilar García-Delgado +4 more
TL;DR: Unskilled workers and caregivers were at a higher risk of lacking of medication knowledge and the use of more than one drug and not knowing the name of the medication dispensed were correlated with inadequate medication knowledge.
Journal ArticleDOI
Maintaining Control of Chronic Obstructive Airway Disease: Adherence to Inhaled Therapy and Risks and Benefits of Switching Devices
Andrea S Melani,Davide Paleari +1 more
TL;DR: A critical review of the available literature is aimed to provide a guidance protocol on when a switch to a more appropriate inhaled therapy may be recommended in individual patients.
References
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Lung volumes and forced ventilatory flows
TL;DR: Assessing the total lung capacity is indispensable in establishing a restrictive ventilatory defect or in diagnosing abnormal lung distensibility, as may occur in patients …
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Development of the asthma control test: A survey for assessing asthma control
Robert A. Nathan,Christine A. Sorkness,Mark Kosinski,Michael Schatz,James T.C. Li,Philip Marcus,John J. Murray,T.B. Pendergraft +7 more
TL;DR: Results reinforce the usefulness of a brief, easy to administer, patient-based index of asthma control.
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Evaluation of Clinical Methods for Rating Dyspnea
TL;DR: The results show that the BDI, MRC scale, and OCD provide significantly related measures of Dyspnea, and the clinical ratings of dyspnea correlate significantly with physiologic parameters of lung function; and breathlessness may be related to the pathophysiology of the specific respiratory disease.
Journal ArticleDOI
Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD
Federico Lavorini,Antoine Magnan,Antoine Magnan,Jean Christophe Dubus,Thomas Voshaar,Lorenzo Corbetta,Mariëlle E.A.C. Broeders,Richard Dekhuijzen,Joaquín Sanchis,José Luis Viejo,Peter J. Barnes,Christopher Corrigan,Mark L Levy,Graham K. Crompton +13 more
TL;DR: It is demonstrated that incorrect DPI technique with established DPIs is common among patients with asthma and COPD, and suggests that poor inhalation technique has detrimental consequences for clinical efficacy.
Journal ArticleDOI
Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability
Violaine Giraud,Nicolas Roche +1 more
TL;DR: Misuse of pressurized metered-dose inhalers, which is mainly due to poor coordination, is frequent and associated with poorer asthma control in inhaled corticosteroid-treated asthmatics, highlighting the importance of evaluating inhalation technique and providing appropriate education in all patients.
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