By increasing the patient’s responsibility as well as integrating him or her into the treatment process, faulty use of inhalation devices can be prevented in the long term with beneficial effects on signs, symptoms and progression of disease. Since the correct application of an inhaler by patients is directly associated with the efficacy of the therapy, the choice of the inhalation devices represents an important step in order to achieve therapeutic success. Richtig inhalieren. For all inhalers the instructions in the patient information leaflet should be followed.These consist of a pressurised canister containing the medication. 2011;105(6):930–8.Lindgren S, Bake B, Larsson S. Clinical consequences of inadequate inhalation technique in asthma therapy. Some pMDIs (Autohaler, Easibreathe) and all dry powder inhalers (DPIs) do not require timing, but do demand that the inspiration produce a certain IFR or peak inspiratory flow (PIF).Written instructions alone on how to use an inhaler are insufficient. EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG
This study suggests that regular and comprehensive training of correct inhalation technique is mandatory in patients with chronic lung disease in particular in patients with COPD. However, compared to the Discus, there are not many differences regarding the application. To minimize these bias, patients were blinded to which steps were defined as critical and that they had to reach a maximal total score to be evaluated as correct.To knowledge, this study is one of the first to investigate a population affected by both, asthma and COPD and with no imposed restrictions regarding inhaler devices. For each incorrect step, participants received a score of “0” whereas each correct application was valued as “1”. Spirometry was used to measure forced vital capacity (FVC) and forced expiratory volume in one second (FEVOverall, incorrect inhalation technique ranged from 0 to 53% depending on the type of inhaler. ‘Nursing staff have not fully recovered from the crisis’
Real-life use of inhaler devices for chronic obstructive pulmonary disease in primary care. Patients applying their inhalation device correctly would be expected to benefit more from the inhaled medication and would therefore show better symptom control compared to patients who use their device incorrectly. Importance of inhaler devices in the management of airway disease. Thank you also to Anne Leuppi-Teagtmeyer for the English proof reading of this manuscript.This project was financially supported by grants from the Gottfried und Julia Bangerter-Rhyner Foundation, Bern, Switzerland, the Swiss Academy of Medical Sciences (SAMW), Bern, Switzerland, the Freiwillige Akademische Gesellschaft (FAG), Basel, Switzerland and the Swiss Lung League, Berne, Switzerland. This means a more forceful inspiration is required when using a DPI, although thePIF needed varies according to the design of the inhaler.Placebo inhalers (available from inhaler manufacturers) can help with demonstrating correct inhaler technique. The respective diagnosed lung diseases (asthma, COPD or ACO) were taken from previous medical reports and were not redefined or diagnosed again for this study.Spirometry was used to measure forced vital capacity (FVC) and forced expiratory volume in one second (FEVTo detect false device application, each patient was asked to demonstrate the inhalation technique with all prescribed devices to the investigator by using a placebo device. It is developed to measure the impact of the lung disease on patients’ health status. Therapie. Prim Care Respir J.