Optimal inhalation technique with terbutaline Turbuhaler

Hansen, O R; Pedersen, Søren

doi:10.1183/09031936.93.02070637

Cited by 29 publications

(1 citation statement)

References 4 publications

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“…Two observers assessed inhaler technique. Inhaler‐specific checklists were designed for the study using the manufacturers' instructions and relevant literature 7‐11 . Each checklist contained 13 tasks and gave a maximum of 12 marks.…”

Section: Methodsmentioning

confidence: 99%

Inhaler Use in Chronic Obstructive Pulmonary Disease

Oliver

Rees

1997

Int J Clinical Practice

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SUMMARYInhaler technique is a common problem, particularly in the elderly. We have assessed the ability to use seven common inhaler devices in 20 patients with chronic obstructive pulmonary disease (COPD). Techniques were taught in a standard fashion in random order and assessed immediately and one hour later by two observers. Fourteen patients had a fault that would result in no drug delivery at some time during the study, and such a fault occurred at some point for each inhaler device. These faults were most common with the diskhaler. Accuhaler, autohaler and turbohaler scored highest and diskhaler lowest. Overall scores declined by one hour after instruction. Patients ranked the metered dose inhaler and accuhaler highest for ease of use and preference. These results show that it is useful to have a small range of devices for patients with COPD and that it is important to review inhaler technique regularly.

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Section: Methodsmentioning

confidence: 99%

Inhaler Use in Chronic Obstructive Pulmonary Disease

Oliver

Rees

1997

Int J Clinical Practice

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Assessment of inhalation technique and determinants of incorrect performance among children with asthma

Walia

Paul

Satyavani

et al. 2006

Pediatric Pulmonology

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The objective of our study was to evaluate the pressurized metered dose inhaler (pMDI) with holding chamber technique of asthmatic children attending out patient pediatric chest clinic and determine factors associated with incorrect technique. All patients had previously received instructions regarding inhalation technique. The inhalation technique was assessed on a five-point checklist, four of which were considered essential. Two hundred and thirteen children (mean +/- SD age, 7.3 +/- 3.8 years; 151 boys) completed the study. Children were using their inhaler for a median duration of 6 months (range 1-96 months). One hundred and eighty-eight patients (88.3%) performed all essential steps correctly. The commonest mistake among the essential steps was not shaking the inhaler (n = 21, 9.9%) followed by inability to make a tight seal around the mouthpiece of the holding chamber (n = 12, 5.6%). Correct technique was not affected by gender, asthma severity and socio-economic indices: education level of parents, percapita monthly income, rural or urban background. Our study indicates that a large majority of children from a developing country setting, irrespective of lower education and income levels can be successfully educated to appropriately use inhalation device. Inhalation performance is not affected by socio-economic background of the patients. Comprehensive inhalation instructions and monitoring at each visit are however critical to ensure reliable and consistent performance of correct technique among asthmatic children.

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