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Lung Function Can Predict the Expected Inspiratory Airflow Rate through Dry Powder Inhalers in Asthmatic Adolescents.

作者信息

Dal Negro Roberto Walter, Turco Paola, Povero Massimiliano

机构信息

Research & Clinical Governance, 37100 Verona, Italy.

AdRes Health Economics and Outcome Research, 10121 Torino, Italy.

出版信息

Children (Basel). 2022 Mar 8;9(3):377. doi: 10.3390/children9030377.


DOI:10.3390/children9030377
PMID:35327749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8947273/
Abstract

Several factors affect drug delivery from dry powder inhalers (DPIs). Some are related to patient's physiological characteristics, while others depend on DPIs' technical aspects. The patient's inspiratory airflow rate (IAR) affects the pressure drop and the turbulence needed to disaggregate the powder inside a DPI. The present study investigated whether lung function limitations occurring in asthmatic adolescents affect their IAR when inhaling through a DPI simulator. Eighteen consecutive adolescents with asthma were recruited, and IAR was randomly assessed at low-, mid-, and high-resistance regimens. A multiple logistic model was developed to evaluate the association of patients' lung function characteristics and devices' resistance with the probability to achieve the expected IAR (E-IAR). The mean value of E-IAR achieved seemed to be sex- and age-independent. Low- and high-resistance regimens were less likely to consent the E-IAR level (odds ratio [OR] = 0.035 and OR = 0.004, respectively). Only the basal residual volume and the inspiratory resistance, but not the Forced Expiratory Volume in 1 s (FEV1), seemed to affect the extent of IAR in asthmatic adolescents (OR = 1.131 and OR = 0.290, respectively). The results suggest that the assessment of current lung function is crucial for choosing the proper DPI for asthmatic adolescents.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f5a/8947273/9214fdd63372/children-09-00377-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f5a/8947273/9214fdd63372/children-09-00377-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f5a/8947273/9214fdd63372/children-09-00377-g001.jpg

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[1]
Lung Function Can Predict the Expected Inspiratory Airflow Rate through Dry Powder Inhalers in Asthmatic Adolescents.

Children (Basel). 2022-3-8

[2]
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引用本文的文献

[1]
Airway hyperresponsiveness to mannitol in relation to inspiratory and expiratory resistance in subjects with asthma, COPD, and healthy smokers.

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本文引用的文献

[1]
The contribution of patients' lung function to the inspiratory airflow rate achievable through a DPIs' simulator reproducing different intrinsic resistance rates.

Multidiscip Respir Med. 2021-4-15

[2]
The Confusing World of Dry Powder Inhalers: It Is All About Inspiratory Pressures, Not Inspiratory Flow Rates.

J Aerosol Med Pulm Drug Deliv. 2020-2

[3]
Patients' usability of seven most used dry-powder inhalers in COPD.

Multidiscip Respir Med. 2019-9-13

[4]
Comparison of peak inspiratory flow rate via the Breezhaler®, Ellipta® and HandiHaler® dry powder inhalers in patients with moderate to very severe COPD: a randomized cross-over trial.

BMC Pulm Med. 2018-6-14

[5]
Guiding Inspiratory Flow: Development of the In-Check DIAL G16, a Tool for Improving Inhaler Technique.

Pulm Med. 2017

[6]
Chronic obstructive pulmonary disease in the long-term care setting: current practices, challenges, and unmet needs.

Curr Opin Pulm Med. 2017-11

[7]
The Impact of Inspiratory Flow Rate on Drug Delivery to the Lungs with Dry Powder Inhalers.

Pharm Res. 2017-3

[8]
Inhalation device requirements for patients' inhalation maneuvers.

Respir Med. 2016-9

[9]
Effects of ramp-up of inspired airflow on in vitro aerosol dose delivery performance for certain dry powder inhalers.

Eur J Pharm Sci. 2016-3-10

[10]
Effect of Flow Rate on In Vitro Aerodynamic Performance of NEXThaler(®) in Comparison with Diskus(®) and Turbohaler(®) Dry Powder Inhalers.

J Aerosol Med Pulm Drug Deliv. 2016-4

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