lung expansion therapy #2

the metaneb system

3-in-1 (lung expansion, secretion clearance, and aerosol delivery)

conditions treated with the metaneb system

1. COPD

2. post-op airway management

3. bronchiectasis

4. NM disorders

5. CF

6. asthma

7. emphysema

8. reversal of atelectasis

9. chest wall trauma

contraindications for metaneb

1. untreated tension pneumothorax

2. history of pneumothorax

3. pulmonary air leak

4. recent pneumonectomy

5. pulmonary hemorrhage

6. MI

7. vomiting

hazards and complications fo metaneb

1. hyperventilation

2. gastric distension

3. decreased CO

4. increased ICP

5. increased air trapping

6. hyperoxygenation

7. pneumothorax

8. pulmonary air leak

9. pulmonary hemorrhage

indications for metaneb

1. treatment and prevention of pulmonary atelectasis

2. lung expansion therapy (PEP)

3. mobilization of secretions

4. to deliver aerosol medications

should you ever run a metaneb with no medication or blanks?

NO

delivery methods for metaneb

1. mouthpiece

2. face mask

3. in line ventilation

4. tracheostomy

how long does the metaneb run

10min cycle

2.5min per phase

what are the 2 phases

CPAP and CHFO

the volara

3-in-1 (lung expansion CPEP, secretion clearance CHFO, and aerosol deliver), electrically powered

how long does the volara last

30 days or 90 patient uses, comes with a smart filter with a chip that keeps track of treatment, it will no longer work after 90 uses.

which mode should we pick for check off (volara)

manual

what does the volara nebulizer run through the machine at (lpm)

5-6

target pressure for volara

20, but we start between 10-15

how long do you run the volara

10 min

2.5 cycles

what is the max LPM for O2 using the volara

20LPM

what mode of the volara should be used on an intubated pt.

manual

what color is on the metaneb mouthpiece for normal pt. versus intubated/vent

blue

black