Vest before or after saline?

Posted by woot @woot, Aug 16, 2020

I have always nebulizer first, then vibrated. Today my husband asked, “if one of the purposes of the vest (or Vibralung) is to shake mucus loose,wouldn’t it make more sense to do that first,so you’d cough up maximum mucus?” I decided to ask you all. Thanks.

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thumperguy | @thumperguy | Aug 16, 2020

Hi Woot (btw, unique, cool name). My pulmo sorta casually said to neb first then “thump.” I have complied only minimally as I’m averse to expanding the time required to complete the procedure beyond the minimal necessary. I start the nebulizer, take a few big “huffs” and fire up the ole Thumper. As I think I’ve said before, I really know how to have fun! Just don’t want to over do it. LOL. Don

woot | @woot | Aug 17, 2020

Hi Don. Always a pleasure to read what you have to say. On this, don’t know if I want to take you as my roll model. LOL

Pug, Volunteer Mentor | @ckscoville | Aug 17, 2020

I use my vest DURING my nebulizer treatments with albuterol then saline.

judyhodgern | @judyhodgern | Aug 17, 2020

In reply to @ckscoville "I use my vest DURING my nebulizer treatments with albuterol then saline." + (show)

I use mine at the same time also. Right now I do Ventolin for 15 minutes with my Afflo vest and then I do the saline for 15 minutes with the rest of the vest and then I do Arikayce for 15 minutes and this works really well for me. The Ventolin keeps away bronchospasm Possibilities of Arikayce and I really get up a lot of mucus plugs at the end of my Arikayce I am really very happy about that.

migizii | @migizii | Aug 17, 2020

@migizii I do mine at the same time. My pulmonologist and the respirologist said this was okay.

thumperguy | @thumperguy | Aug 17, 2020

In reply to @woot "Hi Don. Always a pleasure to read what you have to say. On this, don’t know..." + (show)

Woot, My words may have obscured what I intended to convey. I nebulize and use the percussion vest simultaneously for 30 minutes starting with 5 deep “neb” breaths before starting the “Thumper.” The 5 deep breaths?

Nothing more than my little superstitious overture. Or perhaps a tiny nod to the Pulmo’s instruction. Don

woot | @woot | Aug 19, 2020

Thanks, Don. You’re right. I misread your first post. And thanks,Judy, CKS, and Migizi. It really helps to know you are out there, That we’re all in this together.

picartist | @picartist | Aug 10 8:25am

In reply to @thumperguy "Woot, My words may have obscured what I intended to convey. I nebulize and use the..." + (show)

@thumperguy What are the five deep breaths, can you elaborate.

Sue, Volunteer Mentor | @sueinmn | Aug 10 9:09am

In reply to @picartist "@thumperguy What are the five deep breaths, can you elaborate." + (show)

@picartist This excellent video has been referred to before, and bears repeating. Even though it is lengthy, if you have not watched it, I highly recommend it:

jessed | @jessed | Aug 15 6:15pm

@thumperguy Thank you for posting the presentation. I learned so much!
I nebulize w 3% saline so I will ask my pulmonoogist about her suggestion of 7%. Also, I nebulize 2x a day and it seems she recommended once and more often if have a flare. I’m interested how often others nebulize.
I will start her suggestion to nebulize wo Aerobika and then with it. Finally, as she suggested, I will ask my MD which lobe is most affected to know which positioning is best for postural drainage.
I wish I had the link for her presentation. Thanks again! Jessed