title: Turbutest in the training of asthmatic Turbuhaler users.
abstract: BACKGROUND
  Correct utilization of inhalation devices is a key factor in asthma management. Objective assessment of the ability to use inhaler devices is therefore fundamental.
  
  
  METHODS
  The objective was to assess objectively the inhalation technique of Turbuhaler users who reported having no difficulty in using such a device. A total of 600 asthmatic patients of our allergology outpatient department, daily users of Turbuhaler devices, were evaluated with Turbutest. This is a simple portable apparatus which connects a Turbuhaler inhaler with an electronic device to allow semiquantitative assessment of inhalation technique, with a score ranging from 0 (worst) to 3 (best), readily visualized on the apparatus. Patients were allowed to practice with Turbutest, assisted by an allergologist, until they improved their scores. A second Turbutest assessment was performed at a 2-month follow-up visit.
  
  
  RESULTS
  On the first assessment, one-third of the patients had scores inadequate to allow a good inhalation, and only 20% achieved a score of 3. On the second assessment, significantly higher Turbutest scores were observed.
  
  
  CONCLUSIONS
  Turbutest is a valuable tool in asthmatic patients' training, allowing identification and improvement of an inadequate inhalation technique with Turbuhaler.
authors.affiliation: Immunoallergology Unit, Hospital Santa Maria, Lisbon, Portugal.
authors.forename: M
authors.initials: M
authors.lastname: Branco Ferreira
authors.forename: A
authors.initials: A
authors.lastname: Santos
authors.forename: M H
authors.initials: MH
authors.lastname: Clode
authors.forename: A G
authors.initials: AG
authors.lastname: Palma Carlos
mesh_terms: D000328:Adult; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage*; D001249:Asthma / Q000188:drug therapy*; D016503:Drug Delivery Systems; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009330:Nebulizers and Vaporizers; D010349:Patient Compliance; D010353:Patient Education as Topic
chemical_list: D018927:Anti-Asthmatic Agents