Airway clearance and how I feel throughout the day

Posted by @ling @wangling, May 4, 2023

Hi everyone,
I know it might be a diffuse question, but let me try.
My pulmonologist told me if I do the airway clearance correctly. I
should feel clear of mucus during the day. I spend almost 30 minutes
doing it (flutter + autogenic drainage in the morning and evening). But throughout the day, I have to constantly clear out mucus most days. I am wondering what your experience is, is it normal for you? Maybe I am too sensitive about it.
Your experience is greatly appreciated.
Many thanks!
Ling

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Profile picture for scoop @scoop

After a soapy soak, some people boil their equipment for 10 minutes every day or even after each use. Some boil once a week. Some sterilize using a baby bottle sterilizer. Even though we all aim to accomplish the same thing -- clean and sterilized equipment -- we each manage slightly differently. Really depends on one's disease state and risk tolerance. Since there is no home test for swabbing our equipment to find out if our method works, we look to experts like Dr. Falkinham, who published papers on NTM and its sources. His papers can be found in the ABC's on bronchiectasis thread. So you can decide what's right for you.

For me, it's a baby bottle sterilizer, Bololo, a few times a week for equipment sterilization. I have bronchiectasis without NTM (so far, working to keep it that way with 2x day clearance etc etc etc). Remember that sterilization of nebulizers etc is only one part of the equation for NTM, pseudomonas, etc avoidance.

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So the instructions on my nabulizer say to clean in soapy water. The nurse said not to boil it. Andi t also has a hose. How do you sterilize the hose? Do all nabulizers have a hose that connects the air compressor to the nabulizer?
Please advise.

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Profile picture for lindenflower @lindenflower

So the instructions on my nabulizer say to clean in soapy water. The nurse said not to boil it. Andi t also has a hose. How do you sterilize the hose? Do all nabulizers have a hose that connects the air compressor to the nabulizer?
Please advise.

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The tubing or hose should never be boiled or cleaned. Some people replace them regularly, like every few months. After use the compressor should be run for a few minutes to remove any moisture that accumulated during use.

From an AI Summary

Shared files

The 3 Types of Nebulizers (The-3-Types-of-Nebulizers.pdf)

REPLY
Profile picture for scoop @scoop

The tubing or hose should never be boiled or cleaned. Some people replace them regularly, like every few months. After use the compressor should be run for a few minutes to remove any moisture that accumulated during use.

From an AI Summary

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Thank you for the helpful information!
I was told to replace tubing in 6 months. I think it is perfect ground for breeding bacteria though.

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Profile picture for lindenflower @lindenflower

Thank you for the helpful information!
I was told to replace tubing in 6 months. I think it is perfect ground for breeding bacteria though.

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I replace my tubing every 2 weeks but that might be over kill!

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Profile picture for irenea8 @irenea8

I replace my tubing every 2 weeks but that might be over kill!

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Thank you so much for the reply!
Where do you purchase them? Is it done through insurance?

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Profile picture for lindenflower @lindenflower

Thank you so much for the reply!
Where do you purchase them? Is it done through insurance?

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i get mine through justnebulizers.com but I just pay out of pocket.

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Profile picture for irenea8 @irenea8

i get mine through justnebulizers.com but I just pay out of pocket.

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Thanks a bunch! You are such a great resource!
I'll try that. Do they come in a standard size?

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Profile picture for lindenflower @lindenflower

Thanks a bunch! You are such a great resource!
I'll try that. Do they come in a standard size?

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Tubing may depend on which nebulizer compressor and cups you have. Have you researched the exact tubing that goes with your system?

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Profile picture for lindenflower @lindenflower

Thanks a bunch! You are such a great resource!
I'll try that. Do they come in a standard size?

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If you contact Just Nebulizers, they are very helpful in determining what will work for you. Most tubing (which is a standard size) works with most nebulizers and compressors. The ends may be slightly different, but in 40 years with compressors and a huge variety of nebulizer cups, I have never encountered tubing that wouldn't work.

I usually have purchased my tubing in combination with the nebulizers, and changed them out together every 2-3 months. After many rounds of sterilizing, the plastic neb cups themselves can begin to tiny little cracks and crevices, so throw them out.

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Profile picture for irenea8 @irenea8

Tubing may depend on which nebulizer compressor and cups you have. Have you researched the exact tubing that goes with your system?

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I already have the system.The tubing is 4/16 of an inch in diameter.

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