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However, there are only few recommendations for the choice of inhalation devices, which consider both, age\u2010specific limitations in young and geriatric patients. Transition concepts are lacking. In this narrative review, the available device technologies and the evidence for age\u2010specific problems are discussed.<\/jats:p><jats:p>Pressurized metered\u2010dose inhalers may be favoured in patients who fulfill all cognitive, coordinative and manual power requirements. Breath\u2010actuated metered\u2010dose inhalers, soft\u2010mist inhalers or the use of add\u2010on devices such as spacers, face masks and valved holding chambers may be suitable for patients with mild to moderate impairments of these variables. In these cases, available resources of personal assistance by educated family members or caregivers should be used to allow metered\u2010dose inhaler therapy. Dry powder inhalers may be reserved for patients with a sufficient peak inspiratory flow and good cognitive and manual abilities. Nebulizers may be indicated in persons who are either unwilling or unable to use handheld inhaler devices. After initiation of a specific inhalation therapy, close monitoring is essential to reduce handling mistakes.<\/jats:p><jats:p>An algorithm is developed that considers age and relevant comorbidities to support the decision\u2010making process for the choice of an inhaler device.<\/jats:p>","DOI":"10.1111\/crj.13610","type":"journal-article","created":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T22:29:34Z","timestamp":1681424974000},"page":"487-498","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["From the infant to the geriatric patient\u2014Strategies for inhalation therapy in asthma and chronic obstructive pulmonary disease"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4285-1244","authenticated-orcid":false,"given":"Lars","family":"Hagmeyer","sequence":"first","affiliation":[{"name":"Institute of Pneumology at the University of Cologne  Solingen Germany"},{"name":"Clinic for Pneumology and Allergology, Center of Sleep Medicine and Respiratory Care, Bethanien Hospital Solingen  Solingen Germany"},{"name":"Center for Rare Diseases, Faculty of Medicine University of Cologne, Children's Hospital  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silke","family":"van Koningsbruggen\u2010Rietschel","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Cologne, Pediatric Pulmonology, Allergology and Cystic Fibrosis Center, Children's Hospital  Cologne Germany"},{"name":"Center for Rare Diseases, Faculty of Medicine University of Cologne, Children's Hospital  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya","family":"Matthes","sequence":"additional","affiliation":[{"name":"Clinic for Pneumology and Allergology, Center of Sleep Medicine and Respiratory Care, Bethanien Hospital Solingen  Solingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernst","family":"Rietschel","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Cologne, Pediatric Pulmonology, Allergology and Cystic Fibrosis Center, Children's Hospital  Cologne Germany"},{"name":"Center for Rare Diseases, Faculty of Medicine University of Cologne, Children's Hospital  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winfried","family":"Randerath","sequence":"additional","affiliation":[{"name":"Institute of Pneumology at the University of Cologne  Solingen Germany"},{"name":"Clinic for Pneumology and Allergology, Center of Sleep Medicine and Respiratory Care, Bethanien Hospital Solingen  Solingen Germany"},{"name":"Center for Rare Diseases, Faculty of Medicine University of Cologne, Children's Hospital  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.127.1.335"},{"key":"e_1_2_11_3_1","unstructured":"Global Initiative for Asthma.Global Strategy for Asthma Management and Prevention;2020. 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