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Some thoughts after 10 months of nebbing saline

MAC & Bronchiectasis | Last Active: Mar 31 1:00pm | Replies (42)

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@bronchiectasaurus
It’s interesting to read about your experience. I recently found a 2026 journal research article that highlights a study that doesn’t show the direct benefit of nebbing saline for non cystic bronchiectasis.

Yet, your experience and that of others on this forum, suggests a positive correlation to improved lung function and less frequent infection. It seems that many people use hypertonic saline on this site.

Also, some pulmonary specialists do not recommend nebbing for all bronchiectasis patients. Is nebbing more common in the United States?

Article:
BMC Pulmonary Medicine Article
Hypertonic saline in non–cystic fibrosis bronchiectasis (Hyper-BRONCHI): an updated systematic review and meta-analysis

Systematic Review
Open access
Published: 12 February 2026
Volume 26, article number 122, (2026)

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Replies to "@bronchiectasaurus It’s interesting to read about your experience. I recently found a 2026 journal research article..."

@jnmy I've read these studies and quite frankly they leave me scratching my head. Life without nebbing 7% saline would be uncomfortable. The hypertonic saline makes getting the gunk out so easier for me than without.

@jnmy For curious minds, here is the link:
https://pmc.ncbi.nlm.nih.gov/articles/PMC12997658/
Now, let's address the substance for a minute - it reviewed 3 randomized clinical trials that had control groups and lasted for at least one year - just 356 individuals.

The conclusions were based on that minute sample. The conclusion was that more high-quality studies are needed to confirm their results.

This is just one person's experience, with stable bronchiectasis and managed asthma. Daily or more frequent 7% saline nabs are vital when I have a respiratory illness to keep it from complicating. But when I am healthy, I can manage airway clearance without it through exercise and breathing techniques. Your results may vary.