Table 2 Device technique errors observed at baseline

From: Inhaler device technique can be improved in older adults through tailored education: findings from a randomised controlled trial

Critical steps failed at baseline

Failed, n (%)

pMDI errors (n=20)

 1. Hold inhaler upright and shake well a

2 (10)

 2. Breathe out gently away from mouthpiece

8 (40)

 3. Breathe in slowly and deeply through the mouth, and press down on canister a

6 (30)

 4. Continue to breathe in slowly and deeply a

7 (35)

 5. Hold breath for about 10s

14 (70)

pMDI + spacer errors (n=13)

 1. Hold inhaler upright and shake well

1 (8)

 2. Insert inhaler upright into spacer

0 (0)

 3. Breathe out gently into spacer

4 (31)

 4. Hold spacer level and press down firmly on canister once

0 (0)

 5. Breathe in slowly and deeply then hold breath 10 seconds or breathe in normally for 4 breaths

3 (23)

Turbuhaler errors (n=47)

 1. Hold inhaler upright while twisting grip around, then back until click is heard a

14 (30)

 2. Breathe out gently away from mouthpiece a

15 (32)

 3. Breathe in strongly and deeply a

14 (30)

 4. Breathe out gently away from mouthpiece

11 (23)

Accuhaler (n=20)

 1. Open inhaler using thumb grip a

2 (10)

 2. Hold inhaler horizontally, slide lever until it clicks to load dose a

1 (5)

 3. Breathe out gently away from mouthpiece a

14 (70)

 4. Breathe in steadily and deeply a

10 (50)

 5. Breathe out gently away from mouthpiece

9 (45)

  1. Autohaler preventer device (n=2) not included in this table.
  2. aCritical steps essential for dose inhalation. Includes preventer devices only.