Poor inhalation technique, even after inhalation instructions, in children with asthma

2000 ◽  
Vol 29 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Arvid W.A. Kamps ◽  
Bart van Ewijk ◽  
Ruurd Jan Roorda ◽  
Paul L.P. Brand
Keyword(s):  
Inhalation Technique ◽  
Children With Asthma ◽  
Poor Inhalation Technique

scholarly journals Childhood Asthma: Diagnosis and Treatment

Scientifica ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-18 ◽  
Author(s):  
Wim M. van Aalderen
Keyword(s):  
Asthma Control ◽  
Negative Impact ◽  
Airflow Limitation ◽  
Inhalation Technique ◽  
Pharmacological Management ◽  
School Aged Children ◽  
Number Of Patients ◽  
Incorrect Diagnosis ◽  
Poor Inhalation Technique

Many children suffer from recurrent coughing, wheezing and chest tightness. In preschool children one third of all children have these symptoms before the age of six, but only 40% of these wheezing preschoolers will continue to have asthma. In older school-aged children the majority of the children have asthma. Quality of life is affected by asthma control. Sleep disruption and exercised induced airflow limitation have a negative impact on participation in sports and social activities, and may influence family life. The goal of asthma therapy is to achieve asthma control, but only a limited number of patients are able to reach total control. This may be due to an incorrect diagnosis, co-morbidities or poor inhalation technique, but in the majority of cases non-adherence is the main reason for therapy failures. However, partnership with the parents and the child is important in order to set individually chosen goals of therapy and may be of help to improve control. Non-pharmacological measures aim at avoiding tobacco smoke, and when a child is sensitised, to avoid allergens. In pharmacological management international guidelines such as the GINA guideline and the British Guideline on the Management of Asthma are leading.

scholarly journals Original Article. Improving the Inhalation Technique in Patients with Obstructive Pulmonary Diseases

2016 ◽  
Vol 9 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Zlatina I. Ivanova ◽  
Nikolay H. Kyuchukov ◽  
Iliya I. Krachunov ◽  
Nikolay A. Yanev ◽  
Pavlina Ts. Glogovska ◽  
...  
Keyword(s):  
Pulmonary Disease ◽  
Short Duration ◽  
Pulmonary Diseases ◽  
Inhalation Technique ◽  
Chronic Obstructive ◽  
Objective Method ◽  
Metered Dose Inhalers ◽  
Obstructive Pulmonary Disease ◽  
Metered Dose ◽  
Poor Inhalation Technique

Summary The study aimed to assess the inhalation technique of patients with bronchial asthma/chronic obstructive pulmonary disease (COPD) via an objective method and to evaluate the effect of training in patients with incorrect technique. Тhe inhalation technique of 120 patients with obstructive pulmonary disease was tested. The patients were divided into two groups: using metered dose inhalers (MDI) - 34 patients (28%) and dry powered inhalers (DPI) - 86 patients (72%). The most frequent mistakes in the MDIgroup were short duration of the inhalation (55.88%) and bad synchronization between activating the canister and the inhalation (29.41%). For the DPIgroup, the inhalation was not forceful enough (48.84%) and the short duration of the inhalation (12.79%). Patients claiming to have good inhalation technique accounted for 97%of those in the MDIgroup, and 96.5%of those in the DPIgroup. There were two patients (5.88%) with correct inhalation technique in the MDIgroup at their first attempt, and 31 patients (36.05%) in the DPIgroup. We found that in the MDIgroup there wasasignificant reduction in the number of mistakes (p<0.001). In the DPIgroup, such correlation was not found but during visit 2 there were no patients with more than 1 mistake. Correcting poor inhalation technique led to reduction of the number of mistakes during inhalation.

scholarly journals New abilities of therapy of asthma in outpatient children

2007 ◽  
pp. 58-62
Author(s):  
M. G. Yakovleva ◽  
V. N. Seroklinov ◽  
A. V. Suvorova ◽  
A. A. Chursin ◽  
T. A. Tokareva ◽  
...  
Keyword(s):  
Asthma Control ◽  
Comparative Trial ◽  
Good Control ◽  
Clinical Findings ◽  
Inhalation Therapy ◽  
Inhalation Technique ◽  
Moderate Asthma ◽  
Children With Asthma ◽  
The Cost ◽  
Outpatient Children

Effective, safe and convenient inhalation therapy of asthma is of particular importance in pediatric practice. We performed open randomized comparative trial to evaluate efficacy of ultra-fine Beclazone ECO Ease Breathe (BEEB) vs fluticasone in equal doses in children with asthma. The study involved 40 children (26 males, 14 females) of 6-17 years of age with moderate asthma. They were treated with fluticasone followed by BEEB 250 μg b.i.d. We analyzed clinical findings, frequency and severity of asthma symptoms, peak expiratory flow rate (PEFR), medications used for asthma, lung function parameters. After 2 months of treatment with BEEB, the full control of asthma has been achieved in 11 patients (27.5 %) vs 9 patients treated with fluticasone (22.5 %). The good control was achieved in 27 (67.5 %) and 28 (70 %) patients, respectively. The asthma control was poor in 2 patients with BEEB (5 %) and 3 patients with fluticasone (7.5 %). Moderate improvement in mean FEV 1 and PEFR and reduction of their postbronchodilator growth were noted. All the children easily acquired the proper inhalation technique for BEEB. After 2 months of treatment, 39 of 40 patients have wished to continue therapy with this inhaler. There were no adverse events of the drug. There were no additional expenses for asthma and need of hospitalization or other medical care during the study. Therefore, BEEB as the basic therapy of childhood moderate asthma improves asthma control and compliance of the patient and the physician, and significantly decreases the cost of treatment.

Assessment of inhalation technique and determinants of incorrect performance among children with asthma

2006 ◽  
Vol 41 (11) ◽  
pp. 1082-1087 ◽  
Author(s):  
Mandeep Walia ◽  
Lincy Paul ◽  
A. Satyavani ◽  
Rakesh Lodha ◽  
Mani Kalaivani ◽  
...  
Keyword(s):  
Inhalation Technique ◽  
Children With Asthma

scholarly journals Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma

2020 ◽  
Vol 77 (8) ◽  
pp. 859-865
Author(s):  
Slavica Konevic ◽  
Nela Djonovic ◽  
Dusan Djuric ◽  
Ljiljana Markovic-Denic ◽  
Dobrila Vasic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Asthma Severity ◽  
Analysis Of Covariance ◽  
Inhalation Technique ◽  
Life Questionnaire ◽  
Inhaler Technique ◽  
Act Scores ◽  
Children With Asthma

Background/Aim. Asthma is the most common chronic disease in children and adolescents and has shown an apparent increase in incidence in recent years. The first purpose of the study was to evaluate the influence of education about proper use of inhalers on quality of life in children with asthma. Secondly, we aimed to understand which aspects of quality of life in children with asthma can be significantly improved after education and to identify factors that may affect the level of that improvement. Methods. In this prospective, before-and-after interventional study, a total of 147 children with asthma were enrolled. The Pediatric Asthma Quality of Life Questionnaire (PAQLQ) was used to measure the functional problems that are most troublesome to children with asthma. We used the Asthma Control Test (ACT), based on a series of question about symptoms and daily functioning, to identify patients with poorly controlled asthma. Forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF) were also determined. Trained educators estimated patients? inhaler technique and collected questionnaire information. Results. Multivariate analysis of covariance indicated significant differences between PAQLQ and ACT scores which all were significantly higher after education about proper use of inhalers (p < 0.001). A number of children demonstrating a correct inhalation technique improved from 28 (19%) to 127 (86.4%) (p < 0.001). Asthma severity accounted for the largest proportion of variability PAQLQ and ACT scores (38.4%). Conclusion. Inhaler technique improvement contributes to better asthma control in children with asthma rather than to their quality of life. Asthma severity proved to be a major contributor to variations in PAQLQ and ACT scores and significant obstacle for quality of life improvement in children with asthma.

Sign in / Sign up

Export Citation Format

Share Document