Do health professionals at the Pediatric Emergency Care Unit know how to advise the use of a pressurized metered dose inhaler with a spacer?
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2025.224954Palabras clave:
Administration inhalation, Metered dose inhalers, Health education, Health promotion, AsthmaResumen
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.
Descargas
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.
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2026 Isabella Ferreira de Matos, Patricia Ferreira da Silva Castro

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.



