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Publicaciones > Revista - Resumen artículo

Resumen artículo: HOW DO MEDICAL STUDENTS AND FAMILY MEDICINE RESIDENTS USE INHALER DEVICES?

Abstract: 

Purpose: To check inhalation therapy techniques among fourth-year students of the Faculty of Medicine at the University of Córdoba and family and community medicine residents affiliated with the teaching unit of Córdoba.

Methods: Prospective study of two unselected groups. 80 participants were included: the first group was made up of 41 fourth-year students of the Faculty of Medicine at the University of Córdoba, while the second group consisted of 39 family and community medicine residents affiliated with the teaching unit of Córdoba. The use of a pressurized cartridge (MDI) as compared with a state-of-the-art dry-powder inhaler (Spiromax®) was analyzed, without either group having received any prior instruction regarding their handling. Inhalation Manager® showed whether the maneuver was adequate depending on how each device was handled and the pulmonary drug deposition obtained.

Results: In the group of students, 98% used an adequate technique with the state-of-the-art dry-powder inhaler, as compared with the 58% who used the pressurized cartridge correctly. The low pulmonary drug deposition obtained meant poor technique with both devices. The percentage of family and community medicine residents affiliated with the teaching unit of Córdoba which used Spiromax® correctly (97%) was considerably higher than that for the MDI (33%). The level of pulmonary drug deposition obtained in this group was not ideal either. Correct use of the pressurized cartridge in the group of students (58%) was significantly better than that of the group of residents (33%). The most common error in using the pressurized cartridge was breathing too early in both groups. The only error observed in using the dry-powder inhaler was exhaling instead of inhaling in both samples.

 

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