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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Inhaler Technique in Children With Asthma: A Systematic Review.

Chris Gillette1, Nicole Rockich-Winston2, JoBeth A Kuhn2

  • 1Marshall University School of Pharmacy, Huntington, WVa; Marshall University College of Health Professions, Huntington, WVa.

Academic Pediatrics
|May 1, 2016
PubMed
Summary
This summary is machine-generated.

Pediatric asthma medication delivery relies on inhalation devices, but children often use them incorrectly. Educational interventions and proper instruction can improve inhaler technique and ensure effective asthma management.

Keywords:
adolescentasthmabronchodilator agentschilddry powder inhalersinhalation spacersmetered-dose inhalers

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Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Public Health

Background:

  • Pediatric asthma is a significant global health concern.
  • Inhalation devices are the primary method for delivering asthma medication to children.
  • Correct inhaler technique is crucial for effective medication delivery and asthma control.

Purpose of the Study:

  • To determine the prevalence of correct inhaler technique in children with asthma.
  • To assess if educational interventions improve inhaler technique rates.
  • To investigate the association between improved inhaler technique and better asthma outcomes.

Main Methods:

  • Systematic review of experimental and observational studies.
  • Searches conducted across major databases including PubMed, Cochrane Library, CINAHL, and clinicaltrials.gov.
  • Studies included if they reported on child/adolescent inhaler technique outcomes; quality appraised using Downs and Black checklist.

Main Results:

  • Inhaler technique among children is generally poor, though better with metered-dose inhalers (MDIs) used with spacers.
  • Technique for turbuhaler and Diskus devices is superior to MDI but remains suboptimal.
  • Educational counseling on correct inhaler use demonstrated a positive association with improved technique in multiple studies.

Conclusions:

  • Poor inhaler technique is a common issue in pediatric asthma management.
  • Healthcare providers should consistently educate and correct children and caregivers on inhalation device use.
  • Ensuring proper technique is vital for optimizing medication delivery and asthma control in pediatric patients.