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
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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
Total emitted dose of salbutamol sulphate at different inhalation flows and inhalation volumes through different types of dry powder inhalers
Marian S Boshra,Ahmed G Almeldien,Randa Salah Eldin,Ahmed A. Elberry,Nada S. Abdelwahab,Mohamed Nabil Salem,Hoda Rabea,Mohamed E. A. Abdelrahim +7 more
TL;DR: Patients with poor inspiratory efforts to inhale twice and as hard and deep as possible from each dose as they may not receive much benefit from one inhalation even when using DPI with low resistance (Aerolizer) or medium resistance (Diskus); however, further in-vivo study are required to validate this recommendtation.
Journal ArticleDOI
Critical Inhaler Handling Error Is an Independent Risk Factor for Frequent Exacerbations of Chronic Obstructive Pulmonary Disease: Interim Results of a Single Center Prospective Study.
June Hong Ahn,Jin Hong Chung,Kyeong Cheol Shin,Eun Young Choi,Hyun Jung Jin,Mi Suk Lee,Mi Jeong Nam,Kwan Ho Lee +7 more
TL;DR: Any critical error, BMI < 25 kg/m2 and high mMRC are independent risk factors for frequent exacerbations in COPD patients, and careful monitoring and education around inhaler devices, particularly in frequent exacerbators, are important components of COPD treatment.
Journal ArticleDOI
Assessment of inhaler techniques employed by patients with respiratory diseases in southern Brazil: a population-based study
Paula Duarte de Oliveira,Ana M. B. Menezes,Andréa Dâmaso Bertoldi,Fernando C. Wehrmeister,Silvia Macedo +4 more
TL;DR: Special attention should be given to education regarding inhaler techniques for patients of lower socioeconomic status and with less formal education, as well as for those of advanced age, because those populations are at a greater risk of committing errors in their use of inhalers.
Journal ArticleDOI
Problems of elderly patients on inhalation therapy: Difference in problem recognition between patients and medical professionals
Daiki Hira,Yuko Komase,Setsuko Koshiyama,Tetsuya Oguma,Tetsuo Hiramatsu,Akira Shiraki,Masanori Nishikawa,Masanori Nakanishi,Takao Tsuji,Hisako Matsumoto,Koichi Ichimura,Takashi Iwanaga,Miwa Morikawa,Hirotaka Yasuba,Fumiko Sugaya,Yukako Arakawa,Yoshiki Kobayashi,Toshiyuki Kato,Yutaka Futamura,Fumio Tsuji,Tomohiro Terada +20 more
TL;DR: Elderly patients are apt to assume that they "understand well", therefore, in order to recognize and close the perception gap between elderly patients and medical professionals, it is necessary to provide them with more aggressive (frequent) instructions on inhalation therapy.
Journal ArticleDOI
Using Video Telehealth to Facilitate Inhaler Training in Rural Patients with Obstructive Lung Disease.
Emily Locke,Rachel M Thomas,Deborah M Woo,Ethan H K Nguyen,Bryson K Tamanaha,Valerie G. Press,Gayle E. Reiber,Peter J. Kaboli,Vincent S. Fan +8 more
TL;DR: Video telehealth inhaler training using the TTG methodology is a promising program that improved inhaler technique and access to inhaler teaching for rural patients with COPD or asthma.
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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