I have a particular issue that really gets me on my soap box & it is the use of MDI's directly into the mouth.
There is reseach that says that a very small amount (as little as 4% some say) reaches the lungs even if the patient is adult, not short of breath & well co-ordinated.
There are other devices that deliver much more & therefore will enable the patient to have better controll.
So why do I see information leaflets from many organisations, TV programmes etc all depicting a person doing just this?
Yesterday & last week, I saw a patien's his grandfather & a member of a charity group I sit on, who both had COPD doing exactly that.
Both said they did have spacers at home but they could not take them out with them & both said that they did not know there was anything else.
With the cost of MDI's now not much different to other aerosol hand devices & with evidence that they will receive more that the say 4% why is this happening?
I would love a good discussion about this.