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Inhaler technique : facts and fantasies. A view from the Aerosol Drug Management Improvement Team (ADMIT)
Levy, Mark L (General Practitioner and Respiratory Lead, Harrow)
Dekhuijzen, P N R (Radboud University Nijmegen Medical Centre)
Barnes, P J (National Heart and Lung Institute, Imperial College London)
Broeders, M (University Medical Centre Nijmegen)
Corrigan, C J (Department of Respiratory Medicine and Allergy, King's College London School of Medicine)
Chawes, B L (COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen)
Corbetta, L (Department of Experimental and Clinical Medicine, University of Florence)
Dubus, J C (Unité de Medicine Infantile)
Hausen, Th (Essen)
Lavorini, F (Department of Experimental and Clinical Medicine, University of Florence)
Roche, N (Service de Pneumologie et Soins Intensifs Respiratoires, Groupe Hospitalier Cochin, Université Paris-Descartes)
Sanchis, J (Institut d'Investigació Biomèdica Sant Pau)
Usmani, Omar S (Royal Brompton Hospital)
Viejo, J (Hospital General Yagüe de Burgos)
Vincken, W (Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Dienst Pneumologie)
Voshaar, Th (Krankenhaus Bethanien)
Crompton, G K (Edinburgh)
Pedersen, Soren (Pediatric Research Unit, University of Southern Denmark, Kolding Hospital)

Date: 2016
Abstract: Health professionals tasked with advising patients with asthma and chronic obstructive pulmonary disease (COPD) how to use inhaler devices properly and what to do about unwanted effects will be aware of a variety of commonly held precepts. The evidence for many of these is, however, lacking or old and therefore in need of re-examination. Few would disagree that facilitating and encouraging regular and proper use of inhaler devices for the treatment of asthma and COPD is critical for successful outcomes. It seems logical that the abandonment of unnecessary or ill-founded practices forms an integral part of this process: the use of inhalers is bewildering enough, particularly with regular introduction of new drugs, devices and ancillary equipment, without unnecessary and pointless adages. We review the evidence, or lack thereof, underlying ten items of inhaler 'lore' commonly passed on by health professionals to each other and thence to patients. The exercise is intended as a pragmatic, evidence-informed review by a group of clinicians with appropriate experience. It is not intended to be an exhaustive review of the literature; rather, we aim to stimulate debate, and to encourage researchers to challenge some of these ideas and to provide new, updated evidence on which to base relevant, meaningful advice in the future. The discussion on each item is followed by a formal, expert opinion by members of the ADMIT Working Group.
Rights: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Language: Anglès.
Document: article ; publishedVersion
Published in: NPJ Primary Care Respiratory Medicine, Vol. 26 (04 2016) , p. 16017, ISSN 2055-1010

PMID: 27098045
DOI: 10.1038/npjpcrm.2016.17


7 p, 380.8 KB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (scientific output) > Health sciences and biosciences > Institut d'Investigació Biomèdica Sant Pau
Articles > Published articles

 Record created 2018-02-07, last modified 2019-06-05



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