Cleaning + disinfecting nebulizer and aerobica

Posted by sara10 @sara10, Jan 20, 2022

Diagnosed with bronchiectasis several years ago. No antibiotics so far but 2x airway clearance with aerobica and nebulizer recommended. Some MAC bacteria was found.
Finding all sorts of info how to properly clean and disinfect but none agree with the other. Should both be cleaned each time and is it good enough to disinfect once a week? Alcohol, hydrogen peroxide or boiling best option?
Finding the whole process very tedious especially if cleaning 2x per day was necessary.
Does anybody have experience with Evenflo silicone steam sanitizing bag for disinfecting? Or, what baby bottle cleaner and dryer can you recommend?

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@nora49

My doctor told it is pretty much unavailable everywhere because cover patients who need it get first priority.

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Sorry, that should read "covid," not "cover."

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@nora49

My doctor told it is pretty much unavailable everywhere because cover patients who need it get first priority.

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I have not had any issue getting it through my Walgreens in Minnesota & Texas since last January. At most, I have had to wait 3-4 days, but they text me when it arrives.
CVS Mail Order stopped supplying it, and I had to turn to local sources.
Sue

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I am new to all of this and have been using an Acapella. I am not impressed with it or with the medical supply rep that gave (sold?) it to me. I would like to switch to an Aerobika and will ask my pulmo. when I see him in Nov. My question for all of you is where to get one and whether it is covered by Medicare. I appreciate any help you can give me. Donna Turnbaugh

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@donnaturn

I am new to all of this and have been using an Acapella. I am not impressed with it or with the medical supply rep that gave (sold?) it to me. I would like to switch to an Aerobika and will ask my pulmo. when I see him in Nov. My question for all of you is where to get one and whether it is covered by Medicare. I appreciate any help you can give me. Donna Turnbaugh

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Hello Donna, Under my Medicare supplemental insurance, the Aerobika is covered if I get it from the doc as part of an office visit. If I go to but one, I pay.
If you get one from the doc, ask to have correct use demonstrated, it made a huge difference for me. My original pulmo had a fabulous nurse who was good about demonstrating. My current one actually has a respiratory therapist on her clinical staff who is awesome. She also gave me some new tricks for getting the mucus up last spring.
Sue

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@sueinmn

Hello Donna, Under my Medicare supplemental insurance, the Aerobika is covered if I get it from the doc as part of an office visit. If I go to but one, I pay.
If you get one from the doc, ask to have correct use demonstrated, it made a huge difference for me. My original pulmo had a fabulous nurse who was good about demonstrating. My current one actually has a respiratory therapist on her clinical staff who is awesome. She also gave me some new tricks for getting the mucus up last spring.
Sue

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Dear Sue,
Thank you so much for your reply. I am very thankful for any help I can get from patients with experience. I'm sure you know how fortunate you are to have such good medical care and the availability of a good nurse and a respiratory therapist. I live in Asheville, NC, which used to have good medical care, but unfortunately things have changed. My pulmonologist who is the best one I've had thus far, told me to go to Lincare, a medical supply store, for a flutter valve. The only one they had was the Acapella. There was minimal instruction on use and the wrong information on cleaning- "you can't put it in water, so just clean the mouthpiece." I looked that up on my own and have been hopefully cleaning it properly. I don't see the dr. until Nov.21 and the office is critically understaffed. It is the only pulmo. practice in the area and the doctors also staff the ICU dept. at the hospital. This seems to be common in our area since the pandemic, so I feel like I'm on my own for a while. I also have a Medicare supplement, but it was my understanding that they only cover the 20% that Medicare does not. I found the Aerobika on the manufacturer's website in Canada and I can order it without a prescription, which I may do. I am having what I suspect is a flare now. It is 1:25 PM and I'm still waiting for a call-back from my primary care dr.'s office, since my pulmo. is off today. Again, I greatly appreciate your mentoring and any advice you can share. Donna Turnbaugh

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@sueinmn

Hello Donna, Under my Medicare supplemental insurance, the Aerobika is covered if I get it from the doc as part of an office visit. If I go to but one, I pay.
If you get one from the doc, ask to have correct use demonstrated, it made a huge difference for me. My original pulmo had a fabulous nurse who was good about demonstrating. My current one actually has a respiratory therapist on her clinical staff who is awesome. She also gave me some new tricks for getting the mucus up last spring.
Sue

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Sue, can you please share the new tricks for getting the mucus up. I have been having tiny bit of blood every week mixed with mucus and I'm not sure whether from force coughing that I have been doing. I feel my throat area is dry and not sure if the blood is coming for the throat or lungs.

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My pulmo, specializing in Bronch and MAC, sold me an Aerobika and told me to look on EBay for one. There seem to always be a number on there much cheaper than Amazon. Be sure any one you order is new and in original packaging.

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@gardiner

I used to just rinse the nebulizer under filtered water, but now use Medela and microwave once per day. It’s so easy, I figure why not?

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I also use the Medela microwave bags -so convenient! I keep several Aerobikas and nebulizers in rotation and steralize daily. Make sure to air dry well. On a recent european cruise there was no access to microwave, but I was able to use an electric tea pot to boil water and soak devices within the Medela bags.

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@sueinmn

From my instruction book, received last week:
"Weekly disinfection:
Boil the mouthpiece assembly for 10 minutes...
OR
Immerse the mouthpiece assembly in a disinfectant of the Gluteraldehyde group..."

And under the Cautions:
"Do not put any part of the device in a microwave or conventional oven."

Nothing in the manual indicates steaming as an appropriate method. Out of an abundance of caution, with respect for my $100 mouthpiece, I am carefully following their directions.

I am glad steam cleaning is working for you. What device are you using?
Sue

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How often do you change the tubing?

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@sueinmn

Hello Donna, Under my Medicare supplemental insurance, the Aerobika is covered if I get it from the doc as part of an office visit. If I go to but one, I pay.
If you get one from the doc, ask to have correct use demonstrated, it made a huge difference for me. My original pulmo had a fabulous nurse who was good about demonstrating. My current one actually has a respiratory therapist on her clinical staff who is awesome. She also gave me some new tricks for getting the mucus up last spring.
Sue

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Can you share those tips with us? I’m always looking for better ways to clear my lungs.
Thanks,

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