Rapid and Deep versus Normal Breathing in Salbutamol Inhalation Effectiveness; a Letter to Editor comparison of 2 Inhalation Methods efficacy.
Archives of Academic Emergency Medicine,
Vol. 9 No. 1 (2021),
1 January 2021
,
Page e42
https://doi.org/10.22037/aaem.v9i1.1122
Abstract
Metered dose Inhalers (MDIs) are widely used in the management of patients with asthma and choronoc obstractyive polmunary disease (COPD). Studies comparing the efficacy of inhalers versus nebulizers have shown no significant difference (1, 2). Good inhaler technique is essential to improve patient compliance and control of symptom, and diminish side effects. The usual technique is to use 5 tidal breaths. The Global Initiative for Asthma guidelines suggest that patients can take a slow and single breath to inhale the drug or do tidal breathing. The total lung deposition of an inhaled treatment is strongly affected by the speed of inhalation.
- Inhalation spacers
- asthma
- dyspnea
- pulmonary disease
- pulmonary disease, chronic obstructive
- peak expiratory flow rate
How to Cite
References
Hosseini M, Almasi-Hashiani A, Sepidarkish M, Maroufizadeh S. Global prevalence of asthma-COPD overlap (ACO) in the general population: a systematic review and meta-analysis. Respiratory research. 2019;20(1):229.
Mahler DA, Ohar JA, Barnes CN, Moran EJ, Pendyala S, Crater GD. Nebulized versus dry powder long-acting muscarinic antagonist bronchodilators in patients with COPD and suboptimal peak inspiratory flow rate. Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation. 2019;6(4):321.
Haughney J, Price D, Barnes NC, Virchow JC, Roche N, Chrystyn H. Choosing inhaler devices for people with asthma: current knowledge and outstanding research needs. Respiratory Medicine CME. 2010;3(3):125-31.
Bell J. Why optimise inhaler technique in asthma and COPD. Br J Prim Care Nurs. 2008;2(2):37-9.
Chrystyn H. Is inhalation rate important for a dry powder inhaler? Using the In-Check Dial to identify these rates. Respiratory medicine. 2003;97(2):181-7.
Lavorini F, Magnan A, Dubus JC, Voshaar T, Corbetta L, Broeders M, et al. Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD. Respiratory medicine. 2008;102(4):593-604.
Giraud V, Roche N. Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability. European Respiratory Journal. 2002;19(2):246-51.
Boskabady MH, Azdaki N, Ataran D. Effect of inhalation technique on the bronchodilatory response to the salbutamol Inhaler in asthmatic patients. Turkish Respir J. 2005;6(1):10-4.
Rahmati H, Ansarfard F, Ghodsbin F, Ghayumi MA, Sayadi M. The effect of training inhalation technique with or without spacer on maximum expiratory flow rate and inhaler usage skills in asthmatic patients: a randomized controlled trial. International journal of community based nursing and midwifery. 2014;2(4):211.
Kroegel C. Global Initiative for Asthma Management and Prevention--GINA 2006. Pneumologie (Stuttgart, Germany). 2007;61(5):295.
Stephen D, Vatsa M, Lodha R, Kabra SK. A randomized controlled trial of 2 inhalation methods when using a pressurized metered dose inhaler with valved holding chamber. Respiratory care. 2015;60(12):1743-8.
Schultz A, Le Souëf TJ, Venter A, Zhang G, Devadason SG, Le Souëf PN. Aerosol inhalation from spacers and valved holding chambers requires few tidal breaths for children. Pediatrics. 2010;126(6):e1493-e8.
Eiser N, Phillips C, Wooler P. Does the mode of inhalation affect the bronchodilator response in patients with severe COPD? Respiratory medicine. 2001;95(6):476-83.
Price D, Bosnic-Anticevich S, Briggs A, Chrystyn H, Rand C, Scheuch G, et al. Inhaler competence in asthma: common errors, barriers to use and recommended solutions. Respiratory medicine. 2013;107(1):37-46.
Sanchis J, Gich I, Pedersen S, Team ADMI. Systematic review of errors in inhaler use: has patient technique improved over time? Chest. 2016;150(2):394-406.
Cho-Reyes S, Celli BR, Dembek C, Yeh K, Navaie M. Inhalation technique errors with metered-dose inhalers among patients with obstructive lung diseases: a systematic review and meta-analysis of US studies. Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation. 2019;6(3):267.
National AE, Prevention P. Expert Panel Report 3 (EPR-3): guidelines for the diagnosis and management of asthma-summary report 2007. The Journal of allergy and clinical immunology. 2007;120(5 Suppl):S94.
Gebremariam TH, Binegdie AB, Mitiku AS, Ashagrie AW, Gebrehiwot KG, Huluka DK, et al. Level of asthma control and risk factors for poor asthma control among clinic patients seen at a Referral Hospital in Addis Ababa, Ethiopia. BMC Research Notes. 2017;10(1):1-6.
Chogtu B, Holla S, Magazine R, Kamath A. Evaluation of relationship of inhaler technique with asthma control and quality of life. Indian journal of pharmacology. 2017;49(1):110.
Ilic AD, Zugic V, Zvezdin B, Kopitovic I, Cekerevac I, Cupurdija V, et al. Influence of inhaler technique on asthma and COPD control: a multicenter experience. International Journal of Chronic Obstructive Pulmonary Disease. 2016;11:2509.
Guevara JP, Wolf FM, Grum CM, Clark NM. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. Bmj. 2003;326(7402):1308-9.
- Abstract Viewed: 1027 times
- pdf Downloaded: 437 times
