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Doing airway clearance 1x/day vs 2x/day

MAC & Bronchiectasis | Last Active: May 8 9:03pm | Replies (28)
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@cyndanna

I'm wondering about the different instructions for airway clearance by different doctors. Mine tells me to flutter - neb saline - flutter - neb Albuterol - flutter..... 3 X a day. Each round of this takes about an hour. I've been in denial that this is what life looks like for me for the next 20 years or more. He didn't mention huff coughing or postural drainage. I'm just wondering if it is trial and error for everyone. The program he has me on leaves me with a headache, burning feeling in my chest and neck/shoulder/back pain. I'm new to this and haven't been able to tell if I'm getting better or worse.

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Replies to "I'm wondering about the different instructions for airway clearance by different doctors. Mine tells me to..."
scoop | @scoop | Apr 30 3:01pm

My pulmonologist said to set an amount of time, no more than 45 minutes for each session. I used to use AD app but gave up on that and switched to my own AD, which is 4 breath holds instead of 10. A time savings. With AD I use 4 postures, upright, laying flat, and on each side. The morning is the most time consuming. Once I started to focus on where the secretions were in my lungs it became less exhausting. In addition, I use 2 vials of 7% saline and sip hot water or tea with honey throughout as the saline can be irritating. I also pre-treat with albuterol to help make the saline more tolerable as well.

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patgreen11 | @patgreen11 | May 2 5:22pm

Hi, I had a similar protocol three times a day with an exacerbation.
I went back to my doctor at at NJH and was told to use an aerobika with the ombra xl nebulizer system 2 x a day with only saline. 7%

So this accomplishes airway clearance and producing mucus in one step. The recommended going about 10-12 breaths through the aerobika system and then huff cough

This works really well and cuts down the time amazingly.

I included the picture. It also has the Mano ester so you can make sure you are not blowing too forcefully.

I also like it because it nebulizes on demand. The saline will only be activated when you are blowing in has a little button on top that shows you as well.
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