INABILITY OF PHYSICIANS TO USE METERED-DOSE INHALERS

The effectiveness of antiasthmatic-therapy with metered-dose inhalers (MDIs) is usually limited by defective inhalational technique. This st udy surveyed the MDI inhalation performance and knowledge of 100 physi cians whose performance (demarcated into six stages) and knowledge sco res correlated (r = 0.33, p < 0.001). Inhalation performance scores fo r shaking the canister, full expiration prior to using the MDI, breath holding thereafter, and positioning of the mouthpiece correlated with their corresponding knowledge scores (p less than or equal to 0.02). Training of physicians entailing actual instruction and supervision of inhalational maneuvers may enhance the ability of doctors to use MDIs and facilitate better patient supervision.