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Achieving asthma control: the key role of inhalers

Federico Lavorini, Lorenzo Corbetta the Aerosol Drug Management Improvement Team (ADMIT)
Breathe 2008 5: 120-131; DOI:
Federico Lavorini
1Dipartimento di Area Critica Medico Chirurgica, Unità Funzionale di Medicina Respiratoria, Università Degli Studi di Firenze, Florence, Italy
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Lorenzo Corbetta
1Dipartimento di Area Critica Medico Chirurgica, Unità Funzionale di Medicina Respiratoria, Università Degli Studi di Firenze, Florence, Italy
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2Members of ADMIT are listed in the Acknowledgements section
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Abstract

Educational aims

  1. To review the main types of hand-held inhaler available, together with current understanding about the correct inhalation techniques for each device.

  2. To discuss problems that can lead to poor inhaler techniques, which in turn could contribute to poor asthma control.

  3. To present recommendations of the Aerosol Drug Management Improvement Team (ADMIT) for inhaler selection, as well as an algorithm for asthma therapy adjustment.

Summary Asthma remains a poorly controlled disease, despite the availability of management guidelines and effective medications. The incorrect use of inhalers contributes to a lack of asthma control. The pressurised metered-dose inhaler (pMDI) is still the most frequently used device worldwide, but many patients fail to use it correctly, even after repeated tuition. Dry powder inhalers (DPIs) are easier to use than pMDIs, as they are breath-actuated. The rationale behind inhaler choice should be evidence based, rather than empirical. Regular checking of inhalation technique is crucial, as correct inhalation is one of the cornerstones of successful asthma management.

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Achieving asthma control: the key role of inhalers
Federico Lavorini, Lorenzo Corbetta
Breathe Dec 2008, 5 (2) 120-131;

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Federico Lavorini, Lorenzo Corbetta
Breathe Dec 2008, 5 (2) 120-131;
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