Current inhalers deliver very small doses to the lower tracheobronchial airways: assessment of healthy and constricted lungs

RL Walenga, PW Longest - Journal of pharmaceutical sciences, 2016 - Elsevier
To evaluate the regional delivery of conventional aerosol medications, a new whole-lung
computational fluid dynamics modeling approach was applied for metered dose inhaler …

[HTML][HTML] New insights into the pathophysiology of the small airways in asthma

Q Hamid, MK Tulic - Annals of thoracic medicine, 2007 - journals.lww.com
Asthma is a lung disease characterized by inflammation and remodeling of the airways,
which leads to airflow obstruction and symptoms of wheeze, chest tightness, cough and …

Small airway targeted therapy in pediatric Asthma: Are we there yet?

HH Raissy, K Blake - Pediatric allergy, immunology, and …, 2013 - liebertpub.com
Asthma is characterized by inflammation of proximal and distal airways. As new formulations
of extrafine aerosol particles have become available, targeting small airways for the …

New perspectives on the role of muscarinic antagonists in asthma therapy

MG Matera, C Belardo, M Rinaldi… - Expert Review of …, 2020 - Taylor & Francis
Introduction There is increasing evidence that tiotropium, a long-acting muscarinic agent
(LAMA), is useful in the presence of severe-uncontrolled asthma despite the optimization of …

Assessing and accessing the small airways; implications for asthma management

N Scichilone, M Contoli, D Paleari, P Pirina… - Pulmonary …, 2013 - Elsevier
Despite the wealth of experience in the management of asthma, the disease remains
inadequately controlled in some patients, who face long-term respiratory impairment and …

Is it really time to look at distal airways to improve asthma phenotyping and treatment?

T Perez - European Respiratory Journal, 2011 - Eur Respiratory Soc
In 2011, severe asthma and/or insufficient control of disease remain major challenges for the
pulmonologist [1]. Small airway involvement has been demonstrated by a number of studies …

Role of muscarinic antagonists in asthma therapy

M Cazzola, J Ora, P Rogliani… - Expert Review of …, 2017 - Taylor & Francis
Introduction: Higher parasympathetic tone has been reported in asthmatics. In general,
cholinergic contractile tone is increased by airway inflammation associated with asthma …

Small-airway disease in asthma: pharmacological considerations

OS Usmani - Current opinion in pulmonary medicine, 2015 - journals.lww.com
Studies now show that treating the peripheral airways with smaller drug particle aerosols
certainly achieve comparable efficacy (and some studies show superiority) compared with …

Protection against methacholine-induced bronchospasm: salbutamol pMDI versus Clickhaler® DPI

MT Newhouse, P Patel… - European Respiratory …, 2003 - Eur Respiratory Soc
Passive dry-powder inhalers (DPIs) have been developed as an alternative to pressurised
metered-dose inhalers (pMDIs) to improve aerosol delivery on inhalation and eliminate the …

[HTML][HTML] The prevalence of bronchodilator responsiveness of the small airway (using mid-maximal expiratory flow) in COPD-a retrospective study

NY Alobaidi, MA Almeshari, JA Stockley… - BMC Pulmonary …, 2022 - Springer
Background Bronchodilator responsiveness (BDR) using FEV1 is often utilised to separate
COPD patients from asthmatics, although it can be present in some COPD patients. With the …