caa a22 4500 388084391 CHVBK 20180307125226.0 cr unu---uuuuu 161130e199908 xx s 000 0 eng 10.1017/S0022215100145141 doi S0022215100145141 pii (NATIONALLICENCE)cambridge-10.1017/S0022215100145141 The use of inhalers in patients with tracheal stomas or tracheostomy tubes [Elektronische Daten] Patients with chronic obstructive airways disease (COAD) or asthma who have a tracheostomy tube or tracheal stoma have difficulty using metered dose inhalers (MDIs) because of a failure to achieve a good seal between the tracheostomy tube or stoma and the MDI or spacer device mouthpiece. Many such patients therefore utilize nebulizers. MDIs in comparison to nebulizers have the advantages of being more compact, portable, easy to use, less time-consuming, and cheaper. We present the case of a 74-year-old man who underwent a laryngectomy with tracheal stoma formation who had a poor response with nebulizers and required oral steroids. He was subsequently, with the help of a number of attached devices, able to use his MDIs to good effect. We describe a number of devices and adaptors to enable patients with laryngectomy stomas or tracheostomy tubes to utilize MDIs and undergo respiratory function tests. We recommend that all such patients should have the benefit of a consultation with a dedicated respiratory nurse who can provide the appropriate MDIs, devices and adaptors to optimize the treatment of their lower respiratory tract condition. Copyright © JLO (1984) Limited 1999 Tracheostomy nationallicence Laryngectomy nationallicence Nebulizers and vaporizers nationallicence Respiratory function tests nationallicence Mirza S. Department of Otolaryngology, Hope Hospital, Salford Royal Hospitals NHS Trust, Salford, Manchester, UK. Hopkinson L. Department of Otolaryngology, Hope Hospital, Salford Royal Hospitals NHS Trust, Salford, Manchester, UK. Malik T. H. Department of Otolaryngology, Hope Hospital, Salford Royal Hospitals NHS Trust, Salford, Manchester, UK. Willatt D. J. Department of Otolaryngology, Hope Hospital, Salford Royal Hospitals NHS Trust, Salford, Manchester, UK. The Journal of Laryngology & Otology Cambridge University Press 113/8(1999-08), 762-764 0022-2151 113:8<762 1999 113 JLO https://doi.org/10.1017/S0022215100145141 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0022215100145141 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mirza S. Department of Otolaryngology, Hope Hospital, Salford Royal Hospitals NHS Trust, Salford, Manchester, UK NATIONALLICENCE 700 1- Hopkinson L. Department of Otolaryngology, Hope Hospital, Salford Royal Hospitals NHS Trust, Salford, Manchester, UK NATIONALLICENCE 700 1- Malik T. H. Department of Otolaryngology, Hope Hospital, Salford Royal Hospitals NHS Trust, Salford, Manchester, UK NATIONALLICENCE 700 1- Willatt D. J. Department of Otolaryngology, Hope Hospital, Salford Royal Hospitals NHS Trust, Salford, Manchester, UK NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 113/8(1999-08), 762-764 0022-2151 113:8<762 1999 113 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge