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Guidelines for devices and choices.

M L Everard1

  • 1Sheffield Children's Hospital NHS Trust, Western Bank, United Kingdom. m.l.everard@sheffield.ac.uk

Journal of Aerosol Medicine : the Official Journal of the International Society for Aerosols in Medicine
|June 27, 2001
PubMed
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Choosing the right asthma inhaler is crucial for effective treatment. Guidelines are needed to help healthcare professionals select appropriate devices, like pressurized metered-dose inhalers (pMDIs) with spacers or dry powder inhalers (DPIs), based on medication type and patient needs.

Area of Science:

  • Pulmonology
  • Pharmacology
  • Medical Device Technology

Background:

  • Asthma treatment relies on effective drug delivery via inhalation devices.
  • A wide variety of inhaler devices exist, leading to potential confusion for healthcare professionals.
  • Current guidelines lack sufficient detail on device selection criteria for optimal asthma management.

Purpose of the Study:

  • To provide clear guidelines for selecting appropriate asthma inhalation devices.
  • To correlate device choice with the specific function of anti-asthma medications (preventer vs. reliever).
  • To identify key selection criteria for different types of asthma inhaler systems.

Main Methods:

  • Review of available inhalation devices for asthma treatment.
  • Analysis of drug delivery characteristics of various devices.

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  • Evaluation of factors influencing device selection, including drug type, patient factors, and cost.

    • Main Results:

    • For inhaled corticosteroids, prioritize devices ensuring effective, reliable delivery and minimal systemic absorption, such as pMDIs with spacers and certain DPIs.
    • For short-acting beta2-agonists, focus on portability and patient acceptability, with pMDIs and DPIs being suitable options.
    • Cost is a significant factor in device selection for both preventer and reliever medications.

    Conclusions:

    • Device selection should be guided by the intended use of the asthma medication.
    • Pressurized metered-dose inhalers (pMDIs) with spacers and specific dry powder inhalers (DPIs) are recommended for inhaled corticosteroids.
    • Portability and patient acceptance are key for short-acting beta2-agonists, with pMDIs and DPIs being appropriate choices.