Volume 19 Issue 4 December 2010
The ADMIT series – Issues in Inhalation Therapy. 6) Training tools for inhalation devices
*Federico Lavorinia, Mark L Levyb, Chris Corriganc, Graham Cromptond, on behalf of the ADMIT Working Groupe
a Department of Internal Medicine, Section of Immunoallergology, Respiratory Diseases and Cell Therapy, University of Florence, Italy
b Senior Clinical Research Fellow, Allergy & Respiratory Research Group, Division of Community Health Sciences:GP Section, University of Edinburgh, UK
c Department of Asthma, Allergy & Respiratory Science, King’s College London School of Medicine, London, UK
d 14 Midmar Drive, Edinburgh, EH10 6BU, UK
e Members of the Aerosol Drug Management Improvement Team (ADMIT): Graham K Crompton, Edinburgh, UK, (Chair); Peter J Barnes, London, UK; Marielle Broeders, Nijmegen, The Netherlands; Lorenzo Corbetta, University of Florence, Italy; Chris Corrigan, London, UK; Richard Dekhuijzen, Nijmegen, The Netherlands; Jean Christophe Dubus, Marseille, France; Thomas Hausen, Essen, Germany; Meinhard Kneussl, Vienna, Austria; Federico Lavorini, University of Florence, Italy; Mark L Levy, Edinburgh, UK; Søren Pedersen, Kolding, Denmark; Antonio Ramalho de Almeida, Portugal; Nicholas Roche, Service de Pneumologie et Réanimation, Hôtel-Dieu, Paris, France; Joaquin Sanchis, Barcelona, Spain; José L Viejo, Hospital General Yagüe de Burgos, Spain; Walter Vincken, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium; Thomas Voshaar, Moers, Germany.
Received 22 April 2010 • Accepted 4 August 2010 • Online 3 November 2010
Inhaled medications are the preferred therapies for patients with asthma and COPD, but their effectiveness is limited by the patient’s ability to use the device properly, an issue often neglected when these medications are prescribed. Correct inhaler technique must be taught and learnt, and requires educational and motivational programs aimed at patients and healthcare providers alike. Written instructions alone are manifestly insufficient: education must include practical demonstration and periodic re-assessment and reeducation, since correct technique and motivation usually deteriorate with time. Several devices are available on the market, the purpose of which is to train patients to use inhalers correctly. They are often directed at particular devices or groups of devices and/or particular critical aspects of technique. This paper reviews the devices currently available for training patients in the correct use of both pressurised metered-dose inhalers (pMDIs) and dry powder inhalers (DPIs).
Cite as: Lavorini F, Levy ML, Corrigan C, Crompton G, on behalf of the ADMIT Working Group. The ADMIT series - Issues in Inhalation Therapy. 6) Training tools for inhalation devices. Prim Care Respir J 2010;19(4):335-341. DOI: http://dx.doi.org/10.4104/pcrj.2010.00065
In-Check-Dial, “2Tone” trainer, Turbutest, Inhalation Manager, Mag-Flow, SmartMist, pMDI, DPI.
* Corresponding author. Federico Lavorini Tel: +39-055-413183 Fax: +39-055-4223202 Email: firstname.lastname@example.org