The ADMIT series - Issues in Inhalation Therapy. 6) Training tools for inhalation devices

Lavorini, Federico; Levy, Mark L; Corrigan, Chris J.; Crompton, G.K.

doi:10.4104/pcrj.2010.00065

Cited by 81 publications

(77 citation statements)

References 41 publications

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“…8,9 Portable devices for assessing some components of inhaler technique were recently reviewed. 10 One example is the Inhalation Manager, which measures inspiratory flow through inhalation devices (including a stylized powder inhaler) using a pneumotachometer; this system also predicts drug delivery mass and particle deposition based on in vitro data. 11 This instrument is proposed as a tool for assessing and training patients on correct inhaler technique and for identifying the most suitable inhaler for an individual patient, 11 but it is not feasible on a wide scale and requires technical support.…”

Section: Introductionmentioning

confidence: 99%

Checklists for Powder Inhaler Technique: A Review and Recommendations

et al. 2013

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Turbuhaler and Diskus are commonly used powder inhaler devices for patients with respiratory disease. Their effectiveness is limited in part by a patient's ability to use them correctly. This has led to numerous studies being conducted over the last decade to assess the correct use of these devices by patients and health care professionals. These studies have generally used device-specific checklists to assess technique, this being the most feasible and accessible method for assessment. However, divergence between the checklists and scoring systems for the same device in different studies makes direct comparison of results difficult and at times inappropriate. Little evidence is available to assess the relative importance of different criteria; however, brief patient training based on specific inhaler technique checklists leads to significant improvement in asthma outcomes. This paper reviews common checklists and scoring systems used for Turbuhaler and Diskus, discusses the problem of heterogeneity between different checklists, and finally recommends suitable checklists and scoring systems for these devices based on the literature and previous findings. Only when similar checklists are used across different research studies will accurate comparisons and meta-analysis be possible.

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Section: Introductionmentioning

confidence: 99%

Checklists for Powder Inhaler Technique: A Review and Recommendations

et al. 2013

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“…Some simple medical devices such as: In-Check DIAL, Turbutest, Turbuhaler -whistle or exercise-Disc may be helpful in the process. Some more technically advanced implements which may educate the patient and test the correctness of inhalation with the DPI are also accessible, for example: Vitalograph AIM or Inhalation [38,39].…”

Section: How To Improve the Effectiveness Of Inhalation Therapy -Physmentioning

confidence: 99%

Dry Powder Inhalers—Between the Doctor and the Patient

Emeryk

Pirożyński²,

Emeryk-Maksymiuk³

2018

Advances in Respiratory Medicine

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The article briefly presents currently accessible dry powder inhalers (DPI). Basing on the data from the literature, we discussed the most common mistakes related to the utilisation of DPI as well as their clinical and economic consequences. We also extensively analysed all factors that may influence the efficacy and safety of inhaler therapy of asthma and COPD, mostly with the use of DPI. In addition, we indicated the potential to improve the efficacy of inhaler therapy from the doctor and COPD or asthma patient perspective. We also presented a DPI choice algorithm including the patient's preferences and competences.

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“…Although these devices provide an objective evaluation of the inhalation technique, it is important to note that they cannot assess the patient's preparation and handling of the device. 81 Aerosol Inhalation Monitor (AIM). As an electronic pMDI trainer, the Vitalograph AIM (Vitalograph, Lenexa, Kansas) measures inspiratory flow and monitors patient hand-breath coordination during pMDI usage.…”

Section: Assessment Of Inhalation Techniquementioning

confidence: 99%

“…The visual feedback received when keeping the analog needle gauge in the desired flow range helps the patient achieve the optimum flow. 81 Skaer et al 82 assessed the pMDI inhalation technique of 21 subjects using the Vitalograph AIM in a 6-week period. They reported that the device was a valuable training tool in patient education and led to significant improvement in physical function between baseline and follow-up.…”

Section: Assessment Of Inhalation Techniquementioning

confidence: 99%

Patient Education and Adherence to Aerosol Therapy

Ari

2015

Respir Care

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SummaryNonadherence to prescribed medications results in disease instability and poor clinical control, with increases in hospital admissions, emergency room visits, school/work absenteeism, morbidity, and mortality. Poor patient adherence to therapy can be due to lack of cognition, competence, or contrivance. Patients who have not been trained or fail to understand use of drug and device combinations (cognition) often do not have the ability to use an aerosol device correctly (competence). Many patients have the competence to use the device correctly and know why they should RESPIRATORY CARE • JUNE 2015 VOL 60 NO 6 941 use the device in the way they were taught; however, they still contrive to use it in an ineffective and suboptimal manner that reduces its efficiency and effectiveness. Ensuring effective aerosol therapy and optimizing its role in disease management involve not only delivery of aerosolized medications to the lungs, but also understanding why, when, and how to use the medications, competence to use the device, motivation to adhere to therapy, and not contriving to use the device in a way that will prevent effective drug delivery. This paper explains some of the problems with patient education and adherence to aerosol therapy and suggests strategies to evaluate, monitor, and improve patient adherence effectively in primary care. Factors affecting patient adherence to prescribed medications, effective educational interventions, and strategies to promote patient adherence to aerosol therapy are also discussed.

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The ADMIT series - Issues in Inhalation Therapy. 6) Training tools for inhalation devices

Cited by 81 publications

References 41 publications

Checklists for Powder Inhaler Technique: A Review and Recommendations

Checklists for Powder Inhaler Technique: A Review and Recommendations

Dry Powder Inhalers—Between the Doctor and the Patient

Patient Education and Adherence to Aerosol Therapy

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