Individualized aerosol medicine: Integrating device into the patient

Paediatr Respir Rev. 2024 Mar:49:14-23. doi: 10.1016/j.prrv.2023.07.003. Epub 2023 Jul 17.

Abstract

Pulmonary drug delivery is complex due to several challenges including disease-, patient-, and clinicians-related factors. Although many inhaled medications are available in aerosol medicine, delivering aerosolized medications to patients requires effective disease management. There is a large gap in the knowledge of clinicians who select and provide instructions for the correct use of aerosol devices. Since improper device selection, incorrect inhaler technique, and poor patient adherence to prescribed medications may result in inadequate disease control, individualized aerosol medicine is essential for effective disease management and control. The components of individualized aerosol medicine include: (1) Selecting the right device, (2) Selecting the right interface, (3) Educating the patient effectively, and (4) Increasing patient adherence to therapy. This paper reviews each of these components and provides recommendations to integrate the device and interface into the patient for better clinical outcomes.

Keywords: Adherence; Aerosols; Inhalers; Interfaces; Nebulizers; and Education.

Publication types

  • Review

MeSH terms

  • Administration, Inhalation
  • Aerosols
  • Humans
  • Lung
  • Nebulizers and Vaporizers*
  • Patient Compliance*

Substances

  • Aerosols