WHAT CAN I DOPresenter TO FEEL BETTER of Reproduction for Property CherylNot Torres RRT DISCLAIMER:

 Currently employed by Hill Rom, Electromed and Respirtech providing setup and instruct to patients on their airway clearance device. Presenter of

 Monaghan, Hill Rom, RespirtechReproduction, ElectroMed for Have provided materialsProperty used for this presentation. Not BRONCHIECTASIS

Presenter of Reproduction for Property Not FOUNDATION FOR THERAPY

 Nontuberculous Mycobacteria (NTM)

 Cystic Fibrosis Presenter of  Asthma Reproduction  Any mucus producingfor respiratory diagnosis Property Not INTRODUCTION TO AIRWAY CLEARANCE

Goals of Treatment:

Presenter of  Improve clearance of pulmonary secretions  Decrease obstruction of the airways Reproduction  Improve ventilation and gas exchangefor Property  Improve Quality of life Not WHY DO WE NEED AIRWAY CLEARANCE

Normal function • Cilia move back and forth mobilizing mucus to the larger, central airways where it can be expectorated easier Presenter of Compromised function Reproduction • Impaired or ineffective functionfor of the cilia Property • Chronic Respiratory Infections Not • Overproduction of thick, sticky mucus • Ineffective cough WHAT IS AIRWAY CLEARANCE ?

Non-invasive forms of therapy

Presenter of Reproduction Airway clearance is neededfor to help clear Property away mucus from Notthe lungs to help prevent infections and to improve lung function. METHODS USED FOR AIRWAY CLEARANCE

 Oscillating Positive Expiratory Pressure (OPEP)

Presenter  High Frequency Chest Wallof Oscillation (HFCWO) Reproduction  Chest Physical Therapy (CPT) for Property  Postural PositioningNot (PD) MUCOCILIARY ESCALATOR

Presenter of Reproduction for Property Not Presenter of Reproduction for Property Not Simple as 1 - 2 - 3 Presenter of Reproduction for Property Not Presenter of Reproduction for Property Not Oscillating Positive Expiratory Pressure (OPEP)

AerobiKA Acapella DH – Green with Manometer Presenter  Powered by theof patients exhaled Acapella DM - Blue breath Reproduction  Adjustable resistancefor for different medicalProperty diagnoses Not  Can be used in line with a nebulizer

 Can be used in postural drainage positions SECRETION MANAGEMENT WITH INHALED NEBULIZER AeroEclipse XL (RBAN) can be used in line with AerobiKA Presenter Hypertonic Saline of (3%, 7%, 10%) Reproduction for  Normal Saline Property Not ( 0.9% )  Albuterol  DuoNeb AeroEclipse® XL Reusable Breath Actuated Nebulizer (R BAN)  Breath actuated technology nebulizer (Aerosolized medication is only produced when patient inhales through the device)  Breath actuation and Continuous mode options  No drug lost to environment  Average treatment time is 6-8 minutes  Durable,Presenter 6-month reusable nebulizer design. Single patientof use  NebulizerReproduction designed for high level disinfection and dishwasher safe for Property Top shelf dishwasher cycle Not High disinfection, Boil / 5 minutes  Not made or manufactured with BPA, natural rubber latex, DEHP or lead CHEST PHYSIOTHERAPY

 Effective in patients who can tolerate postural positioning  Can be used with manual hand percussion, G5 Percussor or OPEP device Presenter of Reproduction for Property Not HIGH FREQUENCY CHEST WALL OSCILLATION

Presenter of Reproduction for Property Not Buckle closure Comes in full vest, chest vest and wrap Machine powered Dual Hose Presenter of Reproduction for Property Not Presenter of Reproduction for  Machine Powered Property Not  Dual Hose  Buckle Closure

 Full vest, Chest Vest and Wrap Presenter of Reproduction for Property Not  Machine Powered  Single Hose  Velcro Closure  Comes in full vest and wrap MONARCH PORTABLE VEST

Presenter of Reproduction for Property Not AFFLO PORTABLE VEST

Presenter of Reproduction for Property Not BENEFITS PULMONARY HYGIENE

 Enhances mucus mobilization and removal  Decrease recurrent lung infections Presenter  Decrease Antibiotic use of  Decrease Hospitalization Reproduction  Noticeable decrease in for Property cough Not  Improve gas exchange  Improves Quality of Life REFERENCES

 Braverman, JM. Airway clearance indications: an overview. Advanced Respiratory (1998-2001) 800-426-4224

Presenter of  Irwin RS, Boulet LP, Cloutier MM, Gold PM, Ing AJ, O’Byrne P, Prakash UBS, Pratter MR, Rubin BK, Managing CoughReproduction as a Defense Mechanism and as a for Symptom: A Consensus PanelProperty Report of the American College of Chest Physicians. Chest 1998;114(2):133SNot -181S

 Cystic Fibrosis Foundation