PMID- 1758201 OWN - NLM STAT- MEDLINE DCOM- 19920206 LR - 20191021 IS - 0341-2040 (Print) IS - 0341-2040 (Linking) VI - 169 IP - 6 DP - 1991 TI - Treatment of chronic bronchitis with terbutaline inhaled from a cone spacer with and without positive expiratory pressure. PG - 325-33 AB - Patients with chronic bronchitis were randomly allocated to 4 weeks treatment with terbutaline 0.5 mg inhaled through a cone spacer with an expiratory resistance creating a positive expiratory pressure (+PEP group) or without (-PEP group). The patients recorded their symptoms in a diary and peak expiratory flow (PEFR) was measured before and after each inhalation. PEFR increased significantly after inhaled terbutaline both with and without PEP. The mean increase in PEFR after terbutaline inhalations was significantly greater (p less than 0.0001) in the +PEP group (24 L/min) compared to the -PEP group (17 L/min). The +PEP group had less sputum and less difficulty with coughing up sputum compared to the -PEP group. This study showed a small but significant enhancement of the bronchodilation and a beneficial effect on symptoms when inhalation of beta-2-agonist was combined with PEP in patients with chronic bronchitis. FAU - Christensen, E F AU - Christensen EF AD - Department of Respiratory Diseases, University Hospital of Aarhus, Denmark. FAU - Dahl, R AU - Dahl R LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Lung JT - Lung JID - 7701875 RN - N8ONU3L3PG (Terbutaline) SB - IM MH - Bronchitis/*drug therapy/physiopathology MH - Chronic Disease MH - Forced Expiratory Volume/physiology MH - Humans MH - Masks MH - Middle Aged MH - *Nebulizers and Vaporizers MH - Peak Expiratory Flow Rate/physiology MH - Terbutaline/administration & dosage/*therapeutic use MH - Vital Capacity/physiology EDAT- 1991/01/01 00:00 MHDA- 1991/01/01 00:01 CRDT- 1991/01/01 00:00 PHST- 1991/01/01 00:00 [pubmed] PHST- 1991/01/01 00:01 [medline] PHST- 1991/01/01 00:00 [entrez] AID - 10.1007/BF02714169 [doi] PST - ppublish SO - Lung. 1991;169(6):325-33. doi: 10.1007/BF02714169.