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• W2023610133 abstract "To the Editor The Inspirease Reservoir Device (Figure 1a), developed to maximize benefit from the metered dose inhaler, has become a very popular and useful adjunct for aerosol therapy.1Newman SP Woodman G Clarke SW Sackner MA. Effect of InspirEase on the deposition of metered dose aerosols in the human respiratory tract.Chest. 1986; 89: 551-556Abstract Full Text Full Text PDF PubMed Scopus (58) Google Scholar, 2Crimi N Palermo F Cacopardo B Vancheri C Oliveri R Palermo B Mistretta A. Bronchodilator effect of aerochamber and Inspirease in comparison with metered dose inhaler.Eur J Respir Dis. 1987; 71: 153-157PubMed Google Scholar The design of this reservoir device 1) does not require coordination on the patient's part between firing the metered dose inhaler and inhaling, 2) offers the patient visual assurance that he is inhaling the aerosol as the bag collapses, 3) does not allow aerosol leakage to occur during rebreathing since the system has no opening to the outside, and 4) provides an audio cue when individuals inhale at inspiratory flow rates too fast for maximal deposition of aerosol in the lower respiratory tract. The plastic mouthpiece (Figure lb) is equipped with two delicate horizontal plastic reeds that provide the audio cue. We would like to bring to the attention of the readers of Chest potential problems associated with the use of this device. During a one-month period of time, five patients came into our outpatient Pulmonary Clinic complaining that their Inspirease devices no longer provided an audio cue for rapid inhalation. Upon examining these devices, we noted the plastic reeds were either bent and/or broken (Fig 1c). Several of the reeds were completely missing. One of the reeds fell off in clinic after being barely touched with the point of a pencil. The patients who used these devices all related a history of vigorous, aggressive cleaning and drying of their devices with hot, strong running water or paper towels. While none of our patients, to our knowledge, sustained any adverse occurrence from the missing or broken reeds, the breakage of the reeds in the mouthpiece could place other patients at risk for two potential problems. First, the thin piece of plastic that breaks off could be inhaled; second, patients may be unaware that the audio cue is no longer functioning and may be improperly using the device. Since the Inspirease Reservoir Device is an important adjunct in the treatment of patients requiring inhaled bronchodilator therapy, it is important to impress upon patients the importance of gently cleaning and air drying the device and to remind patients to visually inspect their devices for breakage on a regular basis." @default.
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• W2023610133 date "1989-06-01" @default.
• W2023610133 modified "2023-09-25" @default.
• W2023610133 title "Vigorous Cleaning of Inspirease Reservoir Devices" @default.
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• W2023610133 doi "https://doi.org/10.1378/chest.95.6.1366a" @default.
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