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Inhaler mishandling is very common in patients with chronic airflow obstruction and long-term home nebuliser use.
Melani AS, Canessa P, Coloretti I, DeAngelis G, DeTullio R, Del Donno M, Giacobbe R, Scarlato I, Serafini A, Barbato N, Vaghi A, Sestini P; Educational Study Group of the Italian Association of Hospital Pulmonologists (AIPO). Melani AS, et al. Respir Med. 2012 May;106(5):668-76. doi: 10.1016/j.rmed.2011.11.016. Epub 2012 Jan 25. Respir Med. 2012. PMID: 22277996 Free article.