ASSESSMENT OF METERED DOSE INHALER TECHNIQUE IN PATIENTS WITH CHRONIC LUNG DISEASE AT GOVERNMENT HOSPITALS OF RAWALPINDI

Authors

  • Haider Zaigum Baqai
  • Muhammad Amer Saleem
  • Muhammad Abair-ul-Haq

Abstract

Background: Metered dose inhalers (MDIs) are an affective modality of treatment for fast relief fromasthma flare-ups and other symptoms, and are often used by asthmatic athletes. It has got lots ofbenefits and some drawbacks depending on usage technique. With proper technique and trainingdrawbacks can be minimised. The objective of this study was to assess the metered dose inhalertechnique in patients with chronic lung disease at government hospitals of Rawalpindi. Methods: Across-sectional study was conducted in three government hospitals of Rawalpindi. The inhalationtechnique was assessed in six steps. Results: Clear evidence showed that only 24% patient couldperform all the steps correctly. Percentages of people that followed individual steps properly were:preparation (87.5%), exhalation (53.85%), lip closure (68.27%), inhalation (56.73%), breath-holding(27.88%) and puff interval (36.54%). Conclusion: This study showed that a number of patients ingovernment hospitals of Rawalpindi were unable to use metered-dose-inhaler properly and thereforeindicates the need to make people aware of this technique either by counselling or arranging seminars.KEYWORDS: chronic lung disease, asthma, metered-dose inhaler.

References

Hilton S. An audit of inhaler technique among asthma patients of

general practitioners. Bri J Gen Pract 1990;40:505–96.

Liam CK, Lo YL, Yap BH, Low SH, Ariwalagam M. Use of

pressurised aerosol inhalers among patients attending the chest

clinic and primary department of University Hospital, Kuala

Lumpur. Med J Mal 1993;48:273–9.

Thompson J, Irvine T, Grathwohl K, Roth B. Misuse of metereddose inhalers in hospitalised patients. Chest 1994;105:715–7.

The British Guidelines on Asthma Management 1995. Review

and Position Statement. Thorax 1997;52(Suppl-1).

Newman SP, Pavia A, Moren F, Sheahan NF, Clarke SW.

Deposition of pressurised aerosols in the human respiratory tract.

Thorax 1981;36:52–5.

Pederson S, Frost L, Arnfred T. Errors in inhalation technique

and efficacy in inhaler use in asthmatic children. Allergy

;41:118–24.

De Blaquiere P, Christiansen DB, Carter WB, Martin TR. Use

and misuse of metered-dose inhalers by patients with chronic

lung disease–a controlled randomised trial of two instruction

methods. Am Rev Resp Dis 1984;140:910–6.

Guidry GG, Brown WD, Stogner SW, George RB. Incorrect use

of metered dose inhalers by medical personnel. Chest

;101:31–3.

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Published

2011-03-01

Issue

Vol. 23 No. 1 (2011): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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