Do health professionals at the Pediatric Emergency Care Unit know how to advise the use of a pressurized metered dose inhaler with a spacer?

Autores/as

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2025.224954

Palabras clave:

Administration inhalation, Metered dose inhalers, Health education, Health promotion, Asthma

Resumen

The aim was to evaluate the technique used by healthcare professionals at a pediatric emergency unit in the interior of Goiás, Brazil when using a pressurized metered dose inhaler (MDI) coupled with a spacer. A cross-sectional study was conducted with the participation of physicians, pharmacists, nurses, and nursing technicians. They answered a standardized questionnaire about the use of the MDI-spacer and handled it, simulating administration in children. Data was analyzed by SPSS Statistics Kruskal-Wallis test and Mann-Whitney post-test (p<0.05). The results showed errors greater than 65% occurred for the steps: forced expiration, inhaling slowly and deeply, inspiratory pause, cleaning the spacer, and cleaning the oral cavity. Therefore, professionals showed difficulty in particularizing the differences in the use of MDI-spacer between children older and younger than 5 years old.

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Biografía del autor/a

  • Isabella Ferreira de Matos, Universidade Evangélica de Goiás, Curso de Enfermagem, Anápolis, (GO), Brasil

    Enfermeira

  • Patricia Ferreira da Silva Castro, Universidade Estadual de Goiás, Unidade Universitária de Itumbiara, Itumbiara, (GO), Brasil

    Doutora em Ciências da Saúde

Referencias

1. Reddel HK, Bacharier LB, Bateman ED, Brightling CE, Brusselle GG, Buhl R, et al. Global Initiative for Asthma Strategy 2021: Executive Summary and Rationale for Key Changes. Am J Respir Crit Care Med. 2022; 205(1):17-35.

2. GLOBAL INITIATIVE FOR ASTHMA. Global Strategy for Asthma Management and Prevention; 2023 [citado 11 mar 2024]. Disponível em: https://ginasthma.org/wp-content/uploads/2023/07/GINA-2023-Full-report-23_07_06-WMS.pdf

3. SERVIÇO PÚBLICO FEDERAL - CONSELHO REGIONAL DE FARMÁCIA DO RIO GRANDE DO SUL; 2019 [citado citado 11 mar 2024]. Disponível em: https://media.crfrs.org.br/portal/pdf/2019-04-Usodedispositivosinalatorios.pdf

4. SOCIEDADE BRASILEIRA DE PNEUMOLOGIA E TISIOLOGIA. Diretrizes da Sociedade Brasileira de Pneumologia e Tisiologia para o Manejo da Asma - 2012. J Bras Pneumol. 2012; 38(supl.1):S1-S46.

5. Aguiar R, Lopes A, Ornelas C, Ferreira R, Caiado J, Mendes A, et al. Terapêutica inalatória: Técnicas de inalação e dispositivos inalatórios. Rev Port Imunoalergologia. 2017; 25(1):9-26.

6. Pérez-Malagón CD, Barrera-Rodríguez R, Casillas NGM, Casillas-Muñoz JP, Silva-Sánchez G, Macías-Limón C. Competence in metered-dose inhaler technique among healthcare workers of three general hospitals in Mexico: It is not good after all these years. Adv Resp Medicine. 2021; 89(1):8-14.

7. Dalcin Pde T, Grutcki DM, Laporte PP, Lima PB, Menegotto SM, Pereira RP. Factors related to the incorrect use of inhalers by asthma patients. J Bras Pneumol. 2014; 40(1):13-20.

8. Garib JR, Leite BCMB, Reis VC, Campos MLA, Medrado SV, Silva FMA. Avaliação da técnica de uso de dispositivos inalatórios no controle ambulatorial de asma e DPOC. Rev. Medicina. 2018; 97(2), 120-127. https://doi.org/10.11606/issn.1679-9836.v97i2p120-127

9. Lustosa, GMM, Britto MCA, Bezerra, PGM. Manejo de crises asmáticas em crianças: conhecimento de profissionais de saúde quanto ao tópico em hospitais-escola do Recife (PE). J. bras. pneumol. 2011; 37(5),584–588.

10.Muchão FP, Perín SLRR, Rodrigues JC, Leone , Silva Filho LVRF. Evaluation of the knowledge of health professionals at a pediatric hospital regarding the use of metered-dose inhalers. J Bras Pneumol. 2008; 34(1):4-12.

11.Cunha AJ, Santos MA, Galvão MG, Ibiapina AA. Knowledge of pediatricians in Rio de Janeiro, Brazil, about inhalation therapy in asthmatic children. Allergol Immunopathol (Madr). 2003;31(2):87-90.

12.Cirqueira ALC, Pereira BC, Mota IC, Moraes JR, Pereira LFC, Abe MA, et al. Avaliação da técnica de uso de inalador dosimetrado acoplado a espaçador entre estudantes da saúde. Diário da Teoria e Prática na Enfermagem V.2. Ed. Atena. 2019; cap. 15,124-136.

13.Neininger MP, Kaune A, Musiol J, Kiess W, Bertsche A, Prenzel F, et al. Handling errors in the use of inhalation devices: inhalation technique skills and knowledge in pediatric nurses. J Nurs Care Qual. 2022; 01;37(2):180-187.

14.Leal, RC, Teixeira ABO, Racy LMJ. Aerocâmaras Espaçadoras para terapia inalatória em crianças com Asma: uma revisão narrativa. Braz J Development. 2023; 9(3),11891–11906.

15.Farias LS, March MFBP, Parente AAI, Farias MS, Sant’Anna CC. Desafios da terapia inalatória com espaçadores em crianças. Pulmão RJ. 2009; 1:S39-S44.

16.Rodrigues CDB, Pereira RP, Dalcin PTR. Effects of an outpatient education program in patients with uncontrolled asthma. J Bras Pneumol. 2013; 39(3):272-279.

17.ARI A. Drug delivery interfaces: A way to optimize inhalation therapy in spontaneously breathing children. World Journal of Clinical Pediatrics, 2016; 5(3),281-7.

18.LacerdaRST, Almeida PF. Coordenação do cuidado: uma análise por meio da experiência de médicos da Atenção Primária à Saúde. Interface (Botucatu). 2023; 27:e220665.

19.Menezes MB, Ponte EV, Mingotti CFB, Pinto RMC, Bagatin E, BMath VBL, et al. Provision of inhaled corticosteroids is associated with decrease in hospital admissions in Brazil: A longitudinal nationwide study. Respir Med. 2020;166:105950.

20.Bresolini DSR, Queiroz MVNP, Gaspar GR, Reis LD, Araujo A, Lasmar LMLBF. Use of home visits in pediatric severe asthma: randomized controlled trial. Rev Esc Enferm USP. 2020;16;54:e003538.

21.Maepa HM, Wong ML, Menezes CN. Evaluation of the knowledge and correct use of metered-dose inhalers by healthcare professionals and medical students in Gauteng Province. Afr J Thorac Crit Care Med. 2019;17;25(3):111-115.

22.Sanchis J, Gich I, Pedersen S; Aerosol Drug Management Improvement Team (ADMIT). Systematic review of errors in inhaler use: has patient technique improved over time? Chest. 2016;150(2):394-406.

23.Wolthers OD. Methodology and implications of knemometry in growth assessment of inhaled glucocorticoids. Pediatr Allergy Immunol. 2010; 21(1 Pt 2):e190-198.

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Publicado

2026-03-31

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Artigo Original

Cómo citar

1.
Matos IF de, Castro PF da S. Do health professionals at the Pediatric Emergency Care Unit know how to advise the use of a pressurized metered dose inhaler with a spacer?. Medicina (Ribeirão Preto) [Internet]. 31 de marzo de 2026 [citado 1 de abril de 2026];58(4):e-224954. Disponible en: https://revistas.usp.br/rmrp/article/view/224954