Nebulizing time with Aerobika

Posted by dltorres @dltorres, Oct 3, 2023

Is it just me or does Aerobika take twice as long to nebulize meds?

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When I use liquid Albuterol or Levalbuterol it’s about 10 minutes. The 7% saline takes 20 minutes with the breath activation turned off. I pause and huff cough every 5 to 10 minutes or when I feel mucus moving. FWIW I use it in the morning only and use a faster nebulizer in the evening. It is time consuming but I think this set up gets deeper in the lungs.

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@scoop

When I use liquid Albuterol or Levalbuterol it’s about 10 minutes. The 7% saline takes 20 minutes with the breath activation turned off. I pause and huff cough every 5 to 10 minutes or when I feel mucus moving. FWIW I use it in the morning only and use a faster nebulizer in the evening. It is time consuming but I think this set up gets deeper in the lungs.

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What is breath activation turned off? What is FWIW? What nebulizer are we talking about? Thanks Scoop!

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My neb/Aerobika treatment takes about 20 minutes to get the very most out of it. I find doing neb/Aerobika is extremely effective in causing me to cough up lots of mucus.

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@irenea8

What is breath activation turned off? What is FWIW? What nebulizer are we talking about? Thanks Scoop!

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@irenea8 Sorry about the confusing post.
FWIW=for what it's worth !
From reading here, NJH recommends bronchiectasis patients use this set up:
https://www.monaghanmed.com/product/aeroeclipse-xl-r-ban-nebulizer-with-ombra-compressor/
The nebulizer is the AEROECLIPSE® XL R BAN™ [Nebulizer] where saline goes, with the OMBRA® Compressor. The pictured nebulizer has 2 settings -- one is breathe activated and the other setting not. So you can choose to have a continual mist inbetween breaths or not. It's about $10 at https://www.saveritemedical.com/ -- no script required but keep in mind the AEROECLIPSE® XL R BAN™ only works with certain compressors.

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@equanimous

My neb/Aerobika treatment takes about 20 minutes to get the very most out of it. I find doing neb/Aerobika is extremely effective in causing me to cough up lots of mucus.

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Hi Arlo @equanimous It takes me 20 minutes to nebulize saline from neb/Aerobika also. How much time does it take you for the clearing part? I take a few huff coughs during the neb/Aerobika part but they're still more to do. It seems to take me F O R E V E R to get it mostly all up and it's kinda exhausting.

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@scoop

@irenea8 Sorry about the confusing post.
FWIW=for what it's worth !
From reading here, NJH recommends bronchiectasis patients use this set up:
https://www.monaghanmed.com/product/aeroeclipse-xl-r-ban-nebulizer-with-ombra-compressor/
The nebulizer is the AEROECLIPSE® XL R BAN™ [Nebulizer] where saline goes, with the OMBRA® Compressor. The pictured nebulizer has 2 settings -- one is breathe activated and the other setting not. So you can choose to have a continual mist inbetween breaths or not. It's about $10 at https://www.saveritemedical.com/ -- no script required but keep in mind the AEROECLIPSE® XL R BAN™ only works with certain compressors.

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Have you compared the Aeroeclipse/Ombra with the Pari options?

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@irenea8

Have you compared the Aeroeclipse/Ombra with the Pari options?

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I have not compared those options. Have you? The Pari eflow is tempting because of its nebulization time but it’s pricey. Might be worth it since I’m using it twice a day.

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@scoop

I have not compared those options. Have you? The Pari eflow is tempting because of its nebulization time but it’s pricey. Might be worth it since I’m using it twice a day.

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I have not tried the Ombra set up. I forget why but was it something about the cleaning instructions made me hesitate to try it? I have only used Pari Vios or ProNeb so I have nothing to compare to. Also tried the Pari Trek but do not find it very effective. The Pro Neb goes fast in 10 minutes or less and the Vios takes longer. I am not trying to speed up my process as I feel extra time or extra saline works better for me. I also spend a long time on clearance afterwards.

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@scoop

Hi Arlo @equanimous It takes me 20 minutes to nebulize saline from neb/Aerobika also. How much time does it take you for the clearing part? I take a few huff coughs during the neb/Aerobika part but they're still more to do. It seems to take me F O R E V E R to get it mostly all up and it's kinda exhausting.

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Hi Scoop,
Inhaling saline thru my neb + Aerobika causes me to cough throughout the (20 minute) session. When this happens, I expel the mucus (usually into a tissue) and then continue with the treatment. I find that I don't have to huff cough that much because breathing in the combo of saline + Aerobika triggers my lungs to let go. I cough up light yellow and clear goey type mucus. I feel pretty clear afterwards. I do that 2x per day. On the other hand, when I use my compression vest (without Aerobika or nebulizer), very little mucus comes up. So, when vesting, I will stop the treatment every 5 or 10 minutes and huff cough but find not much comes up. What I've noticed is that neb+Aerobika is much more effective in clearing my lungs. That being said, I have been debating whether to discontinue the vest and just go with neb+Aerobika.

REPLY
@scoop

@irenea8 Sorry about the confusing post.
FWIW=for what it's worth !
From reading here, NJH recommends bronchiectasis patients use this set up:
https://www.monaghanmed.com/product/aeroeclipse-xl-r-ban-nebulizer-with-ombra-compressor/
The nebulizer is the AEROECLIPSE® XL R BAN™ [Nebulizer] where saline goes, with the OMBRA® Compressor. The pictured nebulizer has 2 settings -- one is breathe activated and the other setting not. So you can choose to have a continual mist inbetween breaths or not. It's about $10 at https://www.saveritemedical.com/ -- no script required but keep in mind the AEROECLIPSE® XL R BAN™ only works with certain compressors.

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I bought all of these devices about a year ago. It is now time to replace the Aerobika and Aeroeclipse XL (I've had 2 of these). My question for you and others: are either the Aerobika or the Aeroeclipse XL covered by Medicare under durable medical devices? If so, are you aware of any Medicare suppliers that carry these products? Thanks!

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