Need a new compressor and would love a fast one. Suggestions please

@yorkieyoli There are many discussions in the group about good nebulizers. Simply click the "< MAC & Bronchiectasis" link at the top of the page, and in the "Search discussions" box type "Faster Nebulizer".

I use the Pari eFlow Rapid, which is a mesh nebulizer. It is superfast, about 3-5 minutes for each vial of saline or medication. The "downsides" are cost, which is generally not covered by insurance or Medicare, and that you cannot attach the Aerobika to it. But even using the Aerobika separately after the neb is MUCH faster than you are experiencing.

There are more options, which I am sure other members will tell you about.

If you prefer compressor type look at the Ombra. It will be an improvement over what you're using but will still take some time (8-10 minutes per vial of saline). And you can attach the Aerobika to it.

Once I switched to Pari's eRapid eFlow what Sue mentioned I have not looked back. Speedy, silent, effective but pricey.

Definitely do your research on this site as SO much has already been written about each. Good luck.

@sueinmn Sue and scoop, thank you for your comments as always. The one question I have is do you fine the Pari e-flow “AS EFFECTIVE” as your previous nebulizer? Yes the price tag does keep a lot of people including me from even trying it. I also have the pro neb, and nebulize Levalbuterol & 7% Saline and it takes about an hour. That of course a 15 minute wait between the levalbuteral & saline. And I believe location in the lungs is a HUGE factor the deeper in the lungs the farther it has to travel to get to the upper more large areas to cough out. Does the e-flow being a mesh system make the particles smaller so it can get deeper into the lungs? Sorry so long, hope and pray, better breathing for us all!!🙏

I have found the Pro Neb Max to be faster and more powerful than the Ombra. But it is noisy. Replacing with a new Pro Neb will at least be quieter than the old one.

Also the Pari LC Star (often with a red insert) produces the smallest particle size among all PARI reusable jet nebulizers. Specifically designed for targeting the deepest parts of the lungs, it produces a fine, consistent mist, making it ideal for patients with smaller airways or advanced lung conditions.

@spider109 I find the Pari eFlow as effective as my Pari Vios and DeVilbiss traveler.
As for whether the particles are smaller or travel deeper, I cannot say. That would be an interesting question to ask at a webinar on nebulizing or to call and ask Pari directly.

@sueinmn ,@scoop, I read that some people have complains about eFlow which is that there is always 1ml of saline left in the cup. Is this a problem for you? I am interested in getting one. But my experience with Ombra being broken just a little after a year made me hesitate to buy a very expensive one like eFlow.

Ling

@wangling Sorry to hear your Ombra failed after a little over a year.
I have been using mine for a little over two years. I wonder if it had anything to do with the filter and the filter area.? Hard to know why.
Barbara

@sueinmn @spider109
It seems to me that nebulizer "technique" is as important if not more than what nebulizer you buy. From prior research (written about earlier here somewhere) effective particle size should be between 2-5 micrometers, a size visible only under a microscope. Reliable nebulizers like Pari and Ombra etc produce particles within that range. What's important (and challenging to remember and do) is to inhale deeply while nebbing. Concurrently, breath holds during will help to insure that the hypertonic saline gets distributed in the lungs.

@wangling I have owned the Pari eFlow since early 2023 and wish I had gotten it sooner. So far, it's been reliable and efficient. I change the handset from time to time which adds to cost of ownership. Yes, it leaves some saline behind. A little shake will help to get a few more inhales. One days when I feel like I need more I neb an extra vial.

@wangling All of my nebulizers, mash and otherwise, have left solution behind. According to the respiratory therapist at my pulmonologists' office, this is normal. The difference is that people fiddle around with regular nebulizer cups to try to get everything drop, where the eFlow has an automatic shutoff. You can get a few more puffs by tilting the unit and turning it on if you want.