Abstract:
:Poor inhaler technique and nonadherence impair the efficacy of medications for asthma and chronic obstructive pulmonary disease (COPD). A range of factors, including age, dexterity, inspiratory capacity, cognitive ability, health literacy, and ethnicity, can impact a patient's ability and intention to use their device. Treatment success can also be influenced by patient preferences and perceptions. Therefore, it is important that healthcare professionals effectively match inhaler devices to individual patients' needs and abilities and empower patients by including them in treatment decisions. Physicians must, therefore, fully understand the characteristics of each device, as well as their patients' demographic characteristics and comorbidities. Following device selection, patient training and education, including a physical demonstration of the device, are key to eliminate any critical errors that may impact on health outcomes. Inhaler technique should be frequently rechecked. This review will examine the important role of primary care providers in the selection of appropriate inhaler devices and provision of training for patients with COPD and asthma to optimize correct inhaler use and adherence. An overview of the key features of available devices and of the factors to consider when selecting devices will be provided in the context of current asthma and COPD guidelines.
journal_name
Can Respir Jjournal_title
Canadian respiratory journalauthors
Kaplan A,Price Ddoi
10.1155/2018/9473051subject
Has Abstractpub_date
2018-05-23 00:00:00pages
9473051eissn
1198-2241issn
1916-7245journal_volume
2018pub_type
杂志文章,评审abstract::Diffuse panbronchiolitis (DPB) is a rare, chronic bronchiolar disease in non-Asian populations and is therefore commonly overlooked in Western countries. It usually affects nonsmokers and manifests as persistent air flow obstruction, chronic cough and interstitial nodular opacities. Untreated, the prognosis is poor. I...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2003/786531
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:Most children with asthma should be able to achieve acceptable control. However, are there differences between those with acceptable and poor control, and if so, how can health care approaches be modified accordingly? OBJECTIVE:To examine the characteristics of elementary school children aged five to 13 yea...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2006/149863
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:To establish the clinical pattern and etiology of exudative pleural effusions in adults in North Lebanon. MATERIALS AND METHODS:All patients aged 21 years and older who were admitted with exudative pleural effusions to the Husseini Hospital, Tripoli, North Lebanon, between 1997 and 1999 were studied prospect...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2001/652418
更新日期:2001-03-01 00:00:00
abstract::Physical activity is an important health behaviour in reducing morbidity and mortality in individuals with chronic obstructive pulmonary disease (COPD). Accurate measurement of the characteristics of physical activity is essential to understanding the impact of COPD on physical activity. In a previous article, we repo...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2019/2185207
更新日期:2019-09-17 00:00:00
abstract::Untreated patients with obstructive sleep apnea (OSA) are at increased risk for motor vehicle collisions; however, it is unclear how this should be translated into fitness-to-drive recommendations. Accordingly, the Canadian Thoracic Society (CTS) Sleep Disordered Breathing Clinical Assembly and the Canadian Sleep Soci...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2014/357327
更新日期:2014-03-01 00:00:00
abstract::Asthma often starts before six years of age. However, there remains uncertainty as to when and how a preschool-age child with symptoms suggestive of asthma can be diagnosed with this condition. This delays treatment and contributes to both short- and long-term morbidity. Members of the Canadian Thoracic Society Asthma...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2015/101572
更新日期:2015-05-01 00:00:00
abstract::A rare case of sarcoidosis is presented. A 32-year-old white woman initially diagnosed with asthma was to undergo thyroidectomy to eliminate what was thought to be the real source of her symptoms. Instead, the cause was found to be sarcoidosis involving only the major airways, without intrathoracic adenopathy, atelect...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2003/564064
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND:A validated health-related quality of life questionnaire in chronic obstructive pulmonary disease (COPD) with advantages of both generic- and disease-specific questionnaires is needed to capture patients' perspectives of severity and impact of the disease. The McGill COPD questionnaire was created to include...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2012/914138
更新日期:2012-11-01 00:00:00
abstract::Clearance of inhaled technetium-99m diethylenetriaminepentaacetate (99mTc-DTPA) is a potential indicator of disease activity and progression in idiopathic pulmonary fibrosis (IPF). The objective of the present study was to evaluate the prognostic value of 99mTc-DTPA scans in IPF. A total of 22 patients (18 males), age...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2004/185705
更新日期:2004-10-01 00:00:00
abstract::Chronic granulomatous disease (CGD) is a rare, polygenic primary immunodeficiency. In this case report, we describe a previously healthy 13-year-old boy who presented with multifocal pulmonary aspergillosis and was subsequently diagnosed with an autosomal recessive form of chronic granulomatous disease. CGD has a vari...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2016/4575942
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Surgical resection for acute necrotizing lung infections is not widely accepted due to unclear indications and high risk. OBJECTIVE:To review results of resection in the setting of acute necrotizing lung infections. METHODS:A retrospective review of patients who underwent parenchymal resection between Janu...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2006/760390
更新日期:2006-10-01 00:00:00
abstract::A case of pulmonary Langerhans cell histiocytosis, proved by both lung high-resolution computed tomography and lung biopsy, is described. Following smoking cessation, lung nodules and cysts gradually disappeared on serial computed tomography scans, with complete clearance of the lesions after 12 months. The role of to...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2007/941618
更新日期:2007-05-01 00:00:00
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journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2010/509607
更新日期:2010-05-01 00:00:00
abstract:Background:The FilmArray Respiratory Panel (FARP) (BioFire Diagnostics, Inc.) is a multiplex, polymerase chain reaction (PCR) technique that can detect 17 respiratory viruses and 3 bacterial targets in a single reaction. Immunocompromised hosts (ICH) with respiratory illnesses often undergo bronchoscopy with bronchoalv...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2018/2685723
更新日期:2018-04-05 00:00:00
abstract:BACKGROUND:Patients admitted to Lions Gate Hospital, North Vancouver, British Columbia, with a primary diagnosis of community-acquired pneumonia (CAP) have a mean length of stay (LOS) of 9.1 days compared with 7.9 days for peer group hospitals. This difference of 1.2 days results in an annual potential savings of 406 b...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2002/697424
更新日期:2002-07-01 00:00:00
abstract::A 25-year-old woman with narcolepsy and cataplexy was treated with well-recognized drugs for these conditions. Because she did not respond, a decision was made to treat her with sodium oxybate. ...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,评审
doi:10.1155/2005/341295
更新日期:2005-05-01 00:00:00
abstract:Objective:To investigate the effects of Apatinib on the "stemness" of lung cancer cells in vivo and to explore its related mechanisms. Methods:A xenograft model of lung cancer cells A549 was established in nude mice and randomized into a control group (n = 4) and an Apatinib group (n = 4). Tumor tissues were harvested...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2020/2479369
更新日期:2020-08-10 00:00:00
abstract:BACKGROUND:Induced sputum cell counts are a noninvasive and reliable method for evaluating the presence, type and degree of airway inflammation in patients with asthma. Currently, standard nebulizer devices used for sputum induction in multiple patients are labelled as single-patient devices by the manufacturer, which ...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2014/925305
更新日期:2014-03-01 00:00:00
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journal_title:Canadian respiratory journal
pub_type: 杂志文章,评审
doi:10.1155/2020/9705604
更新日期:2020-08-04 00:00:00
abstract:BACKGROUND:The potential benefits of positron emission tomography (PET) scanning stem from the fact that it can reduce the number of diagnostic examinations; particularly, the number of unnecessary thoracic surgeries. OBJECTIVE:To evaluate the economic impact and cost-effectiveness of PET scanning in the management of...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2005/612387
更新日期:2005-01-01 00:00:00
abstract::Alpha-1 antitrypsin (A1AT) functions primarily to inhibit neutrophil elastase, and deficiency predisposes individuals to the development of chronic obstructive pulmonary disease (COPD). Severe A1AT deficiency occurs in one in 5000 to one in 5500 of the North American population. While the exact prevalence of A1AT defi...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,实务指引
doi:10.1155/2012/920918
更新日期:2012-03-01 00:00:00
abstract::A case of mycotic pulmonary artery aneurysm (PAA) in an intravenous drug user in whom resolution occurred with conservative therapy is described. The natural history of PAA is not well described in the literature. Although PAA is potentially fatal, resolution may occur in patients who do not have hemoptysis. Clinical ...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,评审
doi:10.1155/1998/627514
更新日期:1998-07-01 00:00:00
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journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2020/1696450
更新日期:2020-09-24 00:00:00
abstract:PURPOSE:To evaluate the efficacy and safety of amantadine and rimantadine, the first generation antivirals, for the prophylaxis of influenza virus. DATA SOURCES:A systematic search of the English language literature using MEDLINE, EMBASE, Current Contents and the Cochrane database from 1966 to April 2002, as well as a...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,meta分析,评审
doi:10.1155/2003/453183
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Patients with chronic obstructive pulmonary disease (COPD) and asthma depend on inhalers for management, but critical errors committed during inhaler use can limit drug effectiveness. Outpatient education in inhaler technique remains inconsistent due to limited resources and inadequate provider knowledge. O...
journal_title:Canadian respiratory journal
pub_type: 临床试验,杂志文章
doi:10.1155/2015/731357
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Oropharyngeal (OP) symptoms are common in asthma patients using inhaled corticosteroids (ICSs) alone and in combination with a long-acting beta(2)-agonist (LABA). Patterns of medication use, level of asthma control and association with OP symptoms are not often reported in a nonstudy setting. OBJECTIVES:To ...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,随机对照试验
doi:10.1155/2008/593723
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To compare the relapse rate after a single intramuscular injection of a long acting corticosteroid, betamethasone, with oral prednisone in patients discharged from the emergency department (ED) for acute exacerbations of asthma. PATIENTS AND METHODS:Patients with acute exacerbations of asthma who were suitab...
journal_title:Canadian respiratory journal
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1155/2001/613426
更新日期:2001-05-01 00:00:00
abstract::Background. Noninvasive respiratory support is considered the optimal method of providing assistance to preterm babies with breathing problems, including nasal continuous positive airway pressure (NCPAP) and humidified high flow nasal cannula (HHHFNC). The evidence of the efficacy and safety of HHHFNC used as the prim...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2017/3782401
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION:The performance of blind closed pleural biopsy (BCPB) in the study of pleural exudates is controversial. OBJECTIVE:To assess the diagnostic yield of BCPB in clinical practice and its role in the study of pleural exudates. METHODS:Data were retrospectively collected on all patients who underwent BCPB perf...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2013/731352
更新日期:2013-09-01 00:00:00
abstract::Air pollution generated from motor vehicle exhaust has become a major cause for scientific and public concern worldwide over recent years. The rapid and marked increase in the motor vehicle traffic and its associated emissions in urban areas have paralleled a sharp increase in the prevalence of allergic diseases such ...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,评审
doi:10.1155/1999/454909
更新日期:1999-09-01 00:00:00