Assessment of inhalation technique in children in general practice: Increased risk of incorrect performance with new device

Journal of Asthma

Volumn 45, Issue 1, 2008, Pages 67-71

  Have, Wanda Hagmolen Of Ten ^b,c   Van De Berg, Norbert J ^a,c   Bindels, Patrick J E ^b   Van Aalderen, Wim M C ^c   Van Der Palen, Job ^b  

^a Flevo Hospital   (Netherlands)

^b MEDISCH SPECTRUM TWENTE   (Netherlands)

^c EMMA CHILDREN S HOSPITAL   (Netherlands)

Author keywords

Adolescent; Asthma; Child; Inhalation devices; Metered dose inhalers

Indexed keywords

BETA 2 ADRENERGIC RECEPTOR STIMULATING AGENT; CORTICOSTEROID;

ADOLESCENT; ARTICLE; ASTHMA; CONTROLLED STUDY; ERROR; FEMALE; GENERAL PRACTICE; HUMAN; INHALATION; INHALATION SPACER; MAJOR CLINICAL STUDY; MALE; METERED DOSE INHALER; PERFORMANCE; POWDER INHALER; RISK FACTOR; SCHOOL CHILD;

ADMINISTRATION, INHALATION; ADOLESCENT; ASTHMA; CHILD; EQUIPMENT DESIGN; FAMILY PRACTICE; FEMALE; HUMANS; MALE; NEBULIZERS AND VAPORIZERS; RISK FACTORS; SELF CARE;

EID: 38949190578     PISSN: 02770903     EISSN: 15324303     Source Type: Journal    
DOI: 10.1080/02770900701815834     Document Type: Article

References (18)

1. Scarfone RJ, Capraro GA, Zorc JJ, Zhao H. Demonstrated use of metereddose inhalers and peak flow meters by children and adolescents with acute asthma exacerbations. Arch Pediatr Adolesc Med 2002; 156:378-383.
2. Pedersen S, Frost L, Arnfred T. Errors in Inhalation Technique and Efficiency in Inhaler Use in Asthmatic Children. Allergy 1986; 41:118-124.
3. van der Palen J., Klein JJ, Kerkhoff AH, van Herwaarden CL, Zielhuis GA, Seydel ER. Inhalation technique of 166 adult asthmatics prior to and following a self-management program. J Asthma 1999; 36:441-447.
4. Burkhart PV, Rayens MK, Bowman RK. An evaluation of children's metered-dose inhaler technique for asthma medications. Nurs Clin North Am 2005; 40:167-182.
5. Kamps AW, van Ewijk B, Roorda RJ, Brand PL. Poor inhalation technique, even after inhalation instructions, in children with asthma. Pediatr Pulmonol 2000; 29:39-42.
6. Dirksen WJ, Geijer RMM, Haan M de, et al. [NHG-Standaard: Astma in Kinderen]. Huisarts Wet 1998; 41:130-143.
7. Bindels PJ, van der Wouden JC, Ponsioen B.P., Brand PL, Salome P.L., Van Hensbergen W et al. NHG-Standaard Astma Bij Kinderen. Huisarts Wet 2006; 49:557-572.
8. Devadason SG. Recent advances in aerosol therapy for children with asthma. J Aerosol Med 2006; 19:61-66.
9. Hagmolen of ten Have W, Van den Berg N, Bindels P, van der Palen J, van Aalderen W. Severe airway hyperresponsiveness not predictable with current tools in children in general practice. J Clin Epidemiol 2007; in press.
10. Barry PW, O'Callaghan C. Multiple actuations of salbutamol MDI into a spacer device reduce the amount of drug recovered in the respirable range. Eur Respir J 1994; 7:1707-1709.
11. Hagmolen of ten Have W., Van den Berg NJ, van der Palen J., Bindels PJ, van Aalderen WM. Validation of a single concentration methacholine inhalation provocation Test (SCIPT) in children. J Asthma 2005; 42:419-423.
12. Sont JK, Willems LN, Bel EH, van Krieken JH, Vandenbroucke JP, Sterk PJ. Clinical control and histopathologic outcome of asthma when using airway hyperresponsiveness as an additional guide to long-term treatment. The AMPUL Study Group. Am J Respir Crit Care Med 1999; 159:1043-1051.
13. Hilton S. An audit of inhaler technique among asthma patients of 34 general practitioners. Br J Gen Pract 1990; 40:505-506.
14. Brennan VK, Osman LM, Graham H, Critchlow A, Everard ML. True device compliance: the need to consider both competence and contrivance. Respir Med 2005; 99:97-102.
15. Child F, Davies S, Clayton S, Fryer AA, Lenney W. Inhaler devices for asthma: do we follow the guidelines? Arch Dis Child 2002; 86:176-179.
16. Kamps AW, Brand PL, Roorda RJ. Determinants of correct inhalation technique in children attending a hospital-based asthma clinic. Acta Paediatr 2002; 91:159-163.
17. Vella C, Grech V. Assessment of use of spacer devices for inhaled drug delivery to asthmatic children. Pediatr Allergy Immunol 2005; 16:258-261.
18. Giraud V, Roche N. Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability. Eur Respir J 2002; 19:246-251.