Sealed-lips instruction for pressurised metered dose inhalers (pMDIs) - A critical step?

Conclusion: The sealed-lips instruction particularly affected non-BA pMDI lung dose from low resistance devices, but is unlikely to be detectable clinically. The instruction is critical for BA devices, and may impact clinically where patients use both types of device. Sealed lips should remain the default instruction.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: 1.6 General Practice and Primary Care Source Type: research