Impact of exacerbation on the errors inhaler techniques in COPD patientsDuangjai Duangrithi, Kaitsuda Saiprom, Jittra SaeTew, Yahya Sa-u

BACKGROUND The purpose of this study was to examine the relationship between the type of inhaled medication, length of use, dosing, the inhaler use technique and the severity and duration of disease on the dental caries of asthmatic patients. OBJECTIVES In the present study, the frequency of dental caries in the asthmatic patients and control group was examined. In addition the possible assoc...

BACKGROUND Inadequate technique reduces the effects of inhalation medication. Errors in inhalation technique have been reported to range up to 85%. Not only various patients' characteristics but also the device has an effect on correct inhalation technique. The purpose of this study was to determine the effect of patients' characteristics and type of inhaler device on inhalation technique in pa...

Background Due to the increase in prevalence of asthma, especially childhood, oral health problems arising from use asthma medications have become a major concern. Inhaled corticosteroids are widely used since they cornerstone management. This study aimed investigate effects inhaled on and various factors regarding active ingredients inhalers, inhaler-spacer device use, rinsing mouth after admi...

OBJECTIVES To use computational fluid dynamics (CFD) for evaluating and understanding the performance of the high-dose disposable Twincer™ dry powder inhaler, as well as to learn the effect of design modifications on dose entrainment, powder dispersion and retention behaviour. METHODS Comparison of predicted flow and particle behaviour from CFD computations with experimental data obtained wit...

PURPOSE Correct use of inhaler devices is fundamental to effective asthma management but represents an important challenge for patients. The correct inhalation manoeuvre differs markedly for different inhaler types. The objective of this study was to compare outcomes for patients prescribed the same inhaler device versus mixed device types for asthma controller and reliever therapy. METHODS T...

BACKGROUND Handling of inhaler devices such as pressurized metered-dose inhalers (MDIs) and dry-powder inhalers (DPIs) in actual pulmonary practice is not well studied. OBJECTIVE The aim of this study was to evaluate patients' proper handling of inhaler devices during actual pulmonary practice. METHODS Prospective observational evaluations were conducted at 3 pulmonary clinics in Jordan, fr...

For patients with asthma or chronic obstructive pulmonary disease (COPD), inhalation therapy is the foundation of treatment. Yet all too often, patients don’t get the full value of their inhaled medications because they use their inhaler incorrectly. When technique is markedly flawed, suboptimal outcomes typically result. Given the number of Americans with asthma (at least 22 million) and COPD ...

Most clinicians and patients would intuitively say that the inhaler device used influences the outcome achieved in asthma. However, it is important to have objective evidence to support or refute this view. Systematic reviews have suggested that there is no difference in clinical effectiveness between dry powder inhalers and metered-dose inhalers. However, the studies included in the review wer...

Because of its rapid onset of action, pulmonary administration of levodopa is an interesting alternative to oral administration for the rescue treatment of Parkinson's disease patients in an off period. We studied the ability of Parkinson's disease patients to operate a dry powder inhaler (DPI) correctly during an off period. We used an instrumented test inhaler with three different resistances...