Skip to main content
. 2015 Jul-Aug;41(4):313–322. doi: 10.1590/S1806-37132015000004435

Table 2. Proportion of inhaler technique errors as assessed by the dry powder inhaler score.

Evaluation criteria Errors, %
Maintenance of TLC for < 10 s after inhalation (patients are instructed to hold their breath for 10 s after inhalation) 75
Not exhaling prior to inhalation (patients did not exhale before using their DPIs) 62
Inadequate inspiratory flow rate (patients inhaled too quickly, shallowly, or both) 57
Incomplete inhalation (patients did not perform a deep inhalation maneuver) 21
Incorrect dose preparation (patients did not place the capsule inside their DPIs, did not puncture the capsule before inhalation, or both)* 18
Inhaling shallowly (patients did not perform a deep inhalation maneuver) 5
Exhaling into the device (patients exhaled while their DPIs were in their mouth) 3
Nasal breathing (patients breathed through their nose during inhalation) 2
Inhaling irregularly (patients were unable to inhale continuously) 2
DPI: dry powder inhaler. *For the DPI type used in the present study (adaptation).