Critical Errors in Inhaler Technique among Children Hospitalized with Asthma

Samady, Waheeda; Rodriguez, Victoria A.; Gupta, Ruchi S.; Palac, Hannah; Karamanis, Marina; Press, Valerie G.

doi:10.12788/jhm.3195

Cited by 17 publications

(15 citation statements)

References 18 publications

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“…A key component of asthma management is the use of respiratory inhalers to deliver quick-relief and controller medications [2]. Proper inhaler use is associated with fewer symptoms and emergency room visits, yet technique among children is poor [3][4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Association between inhaler technique and confidence among hospitalized children with asthma

Litt

Press

Hull

et al. 2020

Respiratory Medicine

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Section: Introductionmentioning

confidence: 99%

Association between inhaler technique and confidence among hospitalized children with asthma

Litt

Press

Hull

et al. 2020

Respiratory Medicine

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“…-Not shaking the pMDIs (21%-43.8%). 6,8,9 -Not breathing slowly (68.8%). 9 -Inhalation duration under 10 seconds (24.4%-34%).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of inhaler use technique in a pediatric appointment

2022

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Introduction: Inhalers are recommended for asthma prophylactic and crisis therapy. In order to have a good deposition of drugs at pulmonary tissue, the correct use of the devices is necessary.Objective: To verify the inhaler use technique with pressurized metered-dose inhalers (pMDIs) with spacers and dry-powder inhalers (DPIs) in a pediatric sample (ages between 1 and 17 years old).Material and Methods: Descriptive, observational and cross-sectional study. Application of a checklist that included the steps of the correct inhaler use technique, which was performed under physician observation, and other questions related to the use of the devices. Results:We observed a total of 83 inhaler use techniques: 46 pMDIs with spacers and 37 DPIs. About 54% of pMDIs with spacers users and 27% of DPIs users performed the inhaler use technique correctly, p=0.012. The most frequent mistakes in pMDIs with spacers users were: 50% didn't waste the first puff, 17.4% didn't shake the device prior to use and 28.3% didn't wait between inhalations. The mistakes observed in DPIs users were: 43.2% didn't perform a forced expiration before inhaler use, 13.5% didn't start with a forced inspiration, 24.3% didn't pause at the end of inspiration, 32.4% didn't exhale slowly and 35.1% didn´t wait between inhalations. Conclusion:Multiple mistakes were observed even in the users who had been followed up for several years. The most frequent mistakes occurred in DPIs users. Thus, the inhaler use technique must always be observed by the physician in all appointments, especially in users of DPIs in which the correct use depends on their autonomy.

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“…This positive result for the emerging technology suggests that this type of learning would have great benefits for children with asthma. Using proper inhaler techniques give a better outcome for asthma sufferers [17], showing that basic education may provide teachable moments to address poor proficiency, especially for younger children. The Samady et al study found that nearly half of 113 hospitalised asthmatic children age 2-16 years demonstrated improper inhaler use, meaning the patients were not taking in the full dose of medication [17].…”

Section: Discussionmentioning

confidence: 99%

Examining the Efficacy of a Novel Augmented Reality Mobile Delivery Platform for the Enhancement of Asthma Care Education for Children

Al-Naimi

Brady²,

Andrews³

et al. 2021

Int. J. Interact. Mob. Technol.

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<p align="center"> </p><p align="center">MySpira is the world first augmented reality (AR) asthma inhaler training app; it enables children to learn asthma keywords, types of inhalers, the preparation of the inhaler and spacer, asthma triggers, and develop skills on how to use an asthma inhaler effectively. All of these are compiled into an enjoyable 20-minute experience, introducing likable characters and tactile interactions, which incentivise the child to progress all the way through the learning experience. This study aimed to compare the efficacy of the MySpira application to traditional educational material (e.g. leaflets and videos) to improve asthma treatment compliance, technique and user engagement amongst 110 schoolchildren, aged 6 to 13. The findings indicate that MySpira surpasses the traditional educational materials, specifically in terms of enjoyment rating, the use of different inhalers’ techniques, particularly in the younger group (aged 6-9 years). Therefore, MySpira may enhance the level of available asthma care in an attempt to resolve one of the major problems facing asthma suffers and their carers, notably effective use of asthma inhalers.</p>

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Critical Errors in Inhaler Technique among Children Hospitalized with Asthma

Cited by 17 publications

References 18 publications

Association between inhaler technique and confidence among hospitalized children with asthma

Association between inhaler technique and confidence among hospitalized children with asthma

Evaluation of inhaler use technique in a pediatric appointment

Examining the Efficacy of a Novel Augmented Reality Mobile Delivery Platform for the Enhancement of Asthma Care Education for Children

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