How much time do you spend managing bronchiectasis?

I go to a PT breathing specialist at NYU. He showed me how to do the nebulizer with the Aerobika in tandem. You need the Aerobica XL so you can attach them. I am finding that it is much quicker as you’re doing both together and I seem to be getting up the same amount of mucus. But you need to sterilize each time as you are breathing in with the Aerobika as well as out. I do also use a baby bottle sterilizer which saves time.

Unfortunately, hydrogen peroxide doesn't kill NTM. Neither does vinegar unless you soak for at least 24 hours at full strength. And you're right, alcohol stinks.
Try to remember to only EXHALE through the Aerobika to minimize inhaling germs.
Wash your dismantled Aerobika with HOT soapy water and a soft brush, rinse and dry on a clean paper towel. This removes the immediate threat and keeps biofilm from forming. Once a week or about that, sterilize by boiling (yes it withstands boiling if it isn't touching the bottom of a metal pot - I use a round silicon hot pad in the bottom of my saucepan) OR in a baby bottle sterilizer. Some people use microwave steam sterilizer bags too.

Really?
The instruction book I have has steam in microwave, boil, alcohol 15 minutes or hydrogen peroxide 30 minutes.
I will have to look for silicone hot pad. I've never seen before.
Maybe at Kohls or Penneys?
It's good to know that you only exhale. That's what I do.

Back again!
Do you clean Aerobika once a day?
I've been using a few days and just soak the mouthpiece. Since I only exhale.
I disassemble the Aerobika to dry out. Soak the mouthpiece.
My Pulmonologist said some of his patients don't even clean theirs.
I hope he was exaggerating.

I think it speaks of peroxide as a general disinfectant, but 3% is not effective against mycobacteria or Pseudomonas Aueringosa.
Here is an excerpt: "Hydrogen peroxide is mostly bactericidal at 0.5% in 30 min and yeasticidal at 3% in 30 min. A comprehensive fungicidal activity was not seen with 3% hydrogen peroxide in 6 h, similar to a lack of a comprehensive mycobactericidal activity with 3% hydrogen peroxide in 1 h...Hydrogen peroxide increases biofilm formation in A. oleivorans, P. aeruginosa and S. parasanguinis, whereas it is inhibited in Candida spp. In S. epidermidis. the effect depends on the hydrogen peroxide concentration (increase at 1%, inhibition at 0.02–0.25%). Biofilm removal is mostly moderate, e.g. between 55% and 63% for 3% hydrogen peroxide. The potential to cause biofilm fixation is unknown."
https://link.springer.com/chapter/10.1007/978-3-319-98785-9_6
There is a secondary issue with Hydrogen peroxide. Once opened, it rapidly loses its potency, and you cannot rely on the strength after a week or so.

Now for the hot pads - wherever cooking utensils are sold - many sizes and shapes - under $5 each and a lot cheaper online. Just be sure they say "food grade silicone" or similar. If they don't fit my pan, I just cut them with kitchen shears. Saves from melting or deforming Aerobika and nebulizers - especially on an electric stove or my propane campstove that has hotspots on the burner.

Your pulmonologist is right - mine says she has patients that never clean anything, or just run it under hot water.

I disassemble and wash my Aerobika & nebulizer using Dawn & hot water every day. I disinfect by boiling weekly unless I am ill - then it's daily.

I did not know hydrogen peroxide loses potency so fast. I have a bottle in my medicine cabinet I opened about 4 years ago. Still foams up when I pour it on the open shaft of my electric toothbrush though.

I switched to the 7% saline nebs and it has made a significant difference in the ease I have in breaking up and expelling the mucous. The one side effect for me that is bothersome is that I cough so hard and deep that I essentially vomit.

It takes me 20 min for inhalation therapy. 30 min on CPV therapy plus huffing & coughing. I spend at least 4 hours every day and sometimes more if not breathing good.

They were talking about the whole thing - using the Aerobika with the Aeroeclipse nebulizer cup at the sametimet- meaning you breath in the saline and you blow out into the Aerobika - for a total of 10-15 minutes. It blew my mind for sure. I now do that technique in the morning, and my longer routine in the evening. I specifically recall PJ McShane say she prefers that these are done separately so that the lungs can get really nice and juicy before doing the Aerobika and huff coughing - so to cover my bases I do one of each technique daily!