Daily Observations of Nebuliser Use and Technique (DONUT) in children with cystic fibrosis
Autor: | Annelies E. Kok, Aukje C. Bos, Harm A.W.M. Tiddens, Hettie M. Janssens, Eleni-Rosalina Andrinopoulou, Kirby Tong Minh, Inge Heeres, Joke L. Overweel-Uijterlinde |
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Přispěvatelé: | Pediatrics, Epidemiology |
Rok vydání: | 2016 |
Předmět: |
Male
Pulmonary and Respiratory Medicine Respiratory Therapy medicine.medical_specialty Pediatrics Adolescent Cystic Fibrosis Treatment outcome Cystic fibrosis Random Allocation 03 medical and health sciences 0302 clinical medicine Breathing pattern Administration Inhalation medicine Humans 030212 general & internal medicine Child Netherlands Random allocation business.industry Nebulizers and Vaporizers medicine.disease Treatment efficacy Anti-Bacterial Agents Checklist Surgery Inhalation technique Self Care Treatment Outcome Caregivers 030228 respiratory system Pediatrics Perinatology and Child Health Self care Female business |
Zdroj: | Journal of Cystic Fibrosis, 15(5), 645-651. Elsevier |
ISSN: | 1569-1993 |
DOI: | 10.1016/j.jcf.2016.03.005 |
Popis: | Background Cystic fibrosis (CF) caregivers focus on correct inhalation technique for nebulisers as this is essential to optimize efficacy of inhaled drugs. However, little is known on this nebuliser technique of patients at home. Methods Three "hidden" video registrations were made of 32 children with CF (6–18years) nebulising at home. Videos were randomly scored on inhalation technique items using nebuliser-specific checklists and a total score was calculated. Results Median nebuliser technique was 91.9% of max score. Nebuliser technique was perfect (score 100%) in 23.3% of the patients and incorrect (score 0%) in 13.3%. Most mistakes were made in the required optimal breathing pattern. Conclusion Most CF patients had good nebuliser technique on a day-to-day basis. However, errors observed likely resulted in reduced treatment efficacy and, in 13%, no treatment at all. Regular "real life" evaluation by the CF-team can improve inhaled therapy substantially. |
Databáze: | OpenAIRE |
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