The aim of this study was to determine the rate of correct use of
   Metered Dose Inhalers (MDIs) in patients with obstructive  lung disease
   receiving hospital visits by internist, who checked their inhaler technique .
   MDIs are a convenient and popular way to administer medication (as first
   line drug) for life threatening asthmatic attack. Multiple studies in
   industrialized countries have shown that more than 50% of patients using
   inhalers don’t use proper technique.

          This is a descriptive cross-sectional research. A detailed acceptable/ un
   acceptable check-off list was used with 246 patients to evaluate their
   inhaler technique. Patients with poor technique were given instructions.

          Only 2.8% of patients using MDIs were rated acceptable with the
   detailed check list. Technique was markedly better with spacers. All patients
   (100%) had proper technique with spacers.

          According to the results, improper inhaler technique in the study group
   was more common than several study groups in industrialized countries.