All issues > Volume 45(2); 2002

Original Article

J Korean Pediatr Soc. 2002;45(2):192-198. Published online February 15, 2002.

Estimation of the Possible Age for Using Various Types of Inhaler by In-Check Inspiratory Flow Meter(TM)

Kyung Hyun KH Jung¹, Sun Ye SY Kim¹, Jun Ho JH Lee¹, Kye Sung KS Kim¹, Yook Y Jang¹, Man Yong MY Han¹

¹Department of Pediatrics, College of Medicine, Pochon CHA University, Sungnam, Korea

Correspondence Man Yong MY Han ,Email: drmesh@cha.ac.kr

Abstract

Purpose
: It is important to select and use kinds of Inhaler appropriate to the age of the patient and severity of symptoms. Several kinds of Inhaler have been developed and recommended according to each inhaler's resistance and usage method. We evaluated the usable age of 4 inhalers (turbulent flow inhalers, multi unit dose inhalers, breath actuated MDI, and autohalers) by measuring peak inspiratory flow(PIF) using In-Check(TM) Inspiratory Flow Meter.
Methods
: Ninety three patients aged from 3 to 7 years(mean 57?2.9 mo.) who had admitted to CHA hospital from July 2000 to April 2001 were enrolled. Study patients were divided into 4 groups according to age : 3-4 years of age(group A, n=31), 4-5 years of age(group B, n=32), 5-6 years of age(group C, n=18), and 6-7 years of age(group D, n=12).
Results
: Out of total 93 patients, 23(71%), 27(84%), 17(94%) patients of each group A, B, C and all 12 patients of group D could use the 4 types of inhaler through adequated education. In all four groups, height, body weight and age were significantly correlated(P<0.05). Usable age, height and weight of children who can use turbulent flow inhaler(TFI) were each 8 year 7 month old, 144 cm, 32.0 kg, and those of multi unit dose inhaler(MUD) were 2 year 10 month old, 92 cm, 12.0 kg. Also that of breath-actuated MDI were 1 yr 8 months, 83 cm, 8.5 kg and that of autohaler were 2 yr 8 months, 91 cm, 11.0 kg
Conclusion
: We concluded that the ability to use inhalers correlated with height, weight and age of the patients. Multi unit dose inhalers, Breath actuated MDI and Autohaler are useful after 3 years of age through adequate education.

Keywords :Turbulent flow inhaler, Multi unit dose inhaler, Breath actuated MDI, Autohaler, Peak inspiratory flow