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Confused about saline

MAC & Bronchiectasis | Last Active: Jul 18, 2023 | Replies (21)

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@sueinmn

@sallyb827 Sally,
You asked "How long does it take for you to nebulize 7 ml of 3% sodium chloride with the Pari ProNeb and the cups that you use and shared with me. I find it is taking me about 19 to 20 minutes. How much chloride solution do you neb at one time, 15 ml or 7 ml?"

I decided to answer in this discussion because the topic is of interest to many members.

I neb 3-4 ml of saline - usually 7%, but sometimes 3% if my lungs are sensitive. 7-15 ml is a lot to neb in one session. I was using the Innospire Go and it took 5 minutes, but that died. When using my DeVilbiss Traveler, it takes roughly 8 minutes, a little longer if I stop to cough.

PS When I could only get 7, 10 or 15 ml vials, I would open it carefully, pour out enough for one session, press the little cap back on & store it upright in the refrigerator to use for the next session. The RT told me as long as I was careful to keep it clean & use up within 24 hours, this is safe.

Can anyone tell Sally hw long this takes with their nebulizer?

Sue

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Replies to "@sallyb827 Sally, You asked "How long does it take for you to nebulize 7 ml of..."

Hi Sally,
I regularly use the Pari Vios (Go Green) compressor with Pari neb cups. It is loud but reliable & takes about 10 minutes using 4 ml vials. I also have an Innospire Go for travel & like Sue that takes about 5-6 minutes. I recently bought the Pari Trek S as a backup for travel & my one & only use took about 10 minutes. I use 7% sodium chloride but originally used 3% that came in 15 ml vials. At the time I didn’t know there were smaller vials so I just did my best to fill the cup with 4ml. I hope the above is helpful. Take care.
Linda

Sue, You mentioned "I was using the Innospire Go and it took 5 minutes, but that died. " Question: have you cleaned the gold/brass colored contacts on the hand held piece with an alcohol pad? And boiled the mouthpiece for 10 minutes? The saline/salt builds up on the contacts and prevents the hand held piece from making a connection with the mouthpiece. Philips discontinued this neb workhorse because these devices stopped working. People returned them under warranty when simple maintenance (alcohol swab and boiling) but the company never asked users to try this. I realize the mouthpiece is supposed to be replaced every year according to Philips but if it's properly maintained I believe it should last longer.

The only decent alternative I have found is the PARI eRapid https://nebology.com/products/pari-erapid-nebulizer-system-with-eflow-technology . Pricey but fast and reliable. It's been out since 2013 so tried and true. There's a new model in Europe with a built in mesh cleaner but not yet available in US. The US one has a separate mesh head cleaner. From what I understand one can neb saline, albuterol, abx.

This post is redundant possibly but since clearance is cornerstone of BE, the nebulizer/compressor is a vital tool in daily maintenance. It's frustrating to me that with the amount of lung disease out there, along with covid, that there aren't more efficient devices and cleaning methods. Personally, I'd like to see an autoclave/sterilizer for nebulizers only and not have to resort to makeshift methods (for baby bottles, boiling on stove etc).

I use AeroEclipse and Aerobika with 4ml 7% saline and it takes about 1/2 hour.