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  • J Asthma · Nov 2007

    Incorrect application technique of metered dose inhalers by internal medicine residents: impact of exposure to a practical situation.

    • Rafael Stelmach, Priscila Games Robles-Ribeiro, Marcos Ribeiro, Julio César Oliveira, Augusto Scalabrini, and Alberto Cukier.
    • Pulmonary Division, Heart Institute (InCor), University of São Paulo Medical School, Brazil. pnerafael@incor.usp.br
    • J Asthma. 2007 Nov 1; 44 (9): 765-8.

    AbstractWe evaluated residents regarding maintenance treatment of asthma and the technique for using metered dose inhalers. Methods. Residents were asked to prescribe a treatment for a patient with poorly controlled persistent asthma and to demonstrate the use of metered dose inhaler (MDI) medication. Results. 76% of 239 residents correctly identified the medication indicated for the case; only 30% of them adequately performed the inhalation technique (49% from HCFMUSP vs. 19% from other institutions; p < 0.001). Conclusions. The results demonstrate that, when seeing a typical patient with uncontrolled persistent asthma, most residents are able to correctly identify the drugs indicated for treatment but not adequately instruct the MDI technique use.

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