Inhaled flow and Handling of Fluticasone Diskhaler by Asthmatic Patients

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概要

• 論文の詳細を見る

• We investigated the inhaled flow and handling of a Fluticasone Diskhaler (FDH) by patients familiar with the beclomethasone dipropionate inhaler (BDI), a metered dose inhaler. Before the FDH was introduced in our hospital, 174 patients were instructed in the use of the Diskhaler and measured the flow of Diskhaler inhalation. Three months after the introduction of the FDH, approximately 95 patients were using them. During their regular visit to the hospital, we checked the patients' handling of FDH and the flow of FDH inhalation (n=81). It was found that only 22% of the patients correctly handled the FDH. The major erros concerned breath-holding and disk rotation after use, but 9.9% of the patients handled the inhaler with serious error, e. g., incomplete puncturing of the blister. The mean FDH flow was 86.5 L/min, which was significantly higher than that recorded at the first FDH trial (69.1 L/min). In 9.9% of the patients, the inhaled flow was inappropriately low (<50 L/min), in 29.6% of the patients, it was unnecessarily high (>100 L/min). In conclusion, handling the FDH is easy for patients who are already familiar with the BDI. However, in 40% of the patients, the inhaled flow rate was not sufficient.

• 東海大学の論文

著者

• HAYASHI Yoshihiro

  Department of Pathology, Kochi Medical School, Kochi University

• ONO Yoshiaki

  Department of Physics,Nagoya University

• KONDO Tetsuri

  Department of Medicine, Tokai University Oiso Hospital

• Ono Yoshiaki

  Department Of Geriatric Dentistry Osaka Dental University

• Ono Yoshiaki

  Department Of Medicine Tokai University School Of Medicine

• Kondo Tetsuri

  Department Of Medicine Tokai University School Of Medicine

• Kondo Tetsuri

  Department Of Internal Medicine Tokai University School Of Medicine

• Hayashi Yoshihiro

  Department Of Pathology Kochi Medical School Kochi University

• OHTA Yasuyo

  Department of Medicine, Tokai University School of Medicine

• Yamabayashi Hajime

  Department Of Medicine Tokai University School Of Medicine

• WAKITA Kaoru

  Tokai University Hospital

• SHOYAMA Yutaka

  Department of Medicine, Tokai University School of Medicine

• Ono Y

  Second Department Of Internal Medicine School Of Medicine Tokai University

• Kondo T

  Department Of Respiratory Medicine Tokai University Hachioji Hospital

• Shoyama Yutaka

  Department Of Medicine Tokai University School Of Medicine

• Hayashi Yoshihiro

  Department Of Pathology Faculty Of Medicine Kochi University

• Kondo T

  Department Of Medicine Tokai University School Of Medicine

• Yamabayashi H

  Department Of Medicine Tokai University School Of Medicine

• Hayashi Yoshihiro

  Department Of Micro System Engineering School Of Engineering Nagoya University

• Ohta Yasuyo

  Department Of Medicine Tokai University School Of Medicine

• Yamabayashi H

  Tokai Univ. Isehara

• Hayashi Yoshihiro

  Department Of Gastroenterology Faculty Of Medicine Fukuoka University

• Hayashi Yoshihiro

  Department of Applied Chemistry, Institute of Colloid and Interface Science, Science University of Tokyo

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