Table 10

The pros and cons that are related to practical factors

Practical-related prosPractical-related cons
▸ Reducing costs through less wasted medication and less time in hospital▸ Cost of devices
▸ Could be used with other monitoring techniques, for example, peak flow▸ Accuracy and reliability of the device, as well as potential technical issues
▸ Concerns if this is only compatible with MDIs
▸ Records actuation but not inhalation, technique, nor identifies if canister is empty or inhaler is shared
▸ How is data stored and who has access?
▸ Cleaning and maintenance of the device
▸ Concerns about the role of pharma companies
▸ Could interfere with inhalation technique or not be compatible with spacer
▸ Bad for the environment—plastic and batteries