0000008718 00000 n While oscillating technology is essential to secretion clearance, RTs and other clinicians have a number of options for the way it can be done, as the following representative devices from Hill-Rom, Philips Respironics, Electromed, and Monaghan Medical Corp illustrate. 495 0 obj <>/Filter/FlateDecode/ID[<1742E9C112FBC5499E861B44C2B66805><4050128B81A18744A2B46EC044BDCEFD>]/Index[472 38]/Info 471 0 R/Length 110/Prev 216860/Root 473 0 R/Size 510/Type/XRef/W[1 3 1]>>stream Would love your thoughts, please comment. The SmartVest is also used in acute care settings, where it is administered by RTs. doi:10.1016/j.chest . One device. 2019 Nov;229(5):458-466.e1. The MetaNeb Systems simple connect and go design uses single patient use circuits that includes a mouthpiece and adaptors for a face mask, tracheostomy, and in-line ventilation. 0000001552 00000 n Documented ASA class 2 AND One or more of the following: Current smoker or smoking history within past 6 months History of COPD Documented obesity and/or BMI 30 kg/m2 Age 75, Contraindication to Continuous High Frequency Oscillation (CHFO) therapy Minimally invasive, or ". The Matter of Pressure- ETT Cuff Pressures, Catecholaminergic Polymorphic Ventricular Tachycardia: Recognize And Treat It Early, 4Ts versus 3Ls: heparin induced thrombocytopenia probability scoring, Docusate for Cerumen Impaction? Current challenges in the recognition, prevention and treatment of perioperative pulmonary atelectasis. The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. Designed by Elegant Themes | Powered by WordPress, Spirometry and Pulse Oximetry Enhance Blood Gas Analysis. 0000027320 00000 n Connect the MetaNeb. MassDevice is the leading medical device news business journal telling the stories of the devices that save lives. Today, respiratory therapists have a plethora of devices to choose from; but while their size, complexity, and the way they perform their vital treatments may vary, they all help to mobilize secretions and clear the airway and lungs. Set mode to CPEP. Medical Design and Outsourcing. 0000027706 00000 n A 2015 study published in Expert Review Respiratory Medicine indicated that PPCs might beset post-surgical patients at ratea as high as 40 percent, emphasizing the benefit of taking a proactive approach. Typical self-administered patient treatments consist of two 15- to 30-minute sessions per day. CT Imaging of the 2019 Novel Coronavirus (2019 . %%EOF The Set the mode to . 0000027969 00000 n 0000028340 00000 n Monaghan Medical Corps Aerobika Oscillating Positive Expiratory Pressure (OPEP) Therapy System device is a handheld device that provides intermittent resistance, positive pressure, and oscillation simultaneously, helping to move and assist mucus clearance into the upper airways, so it can be coughed out. Site Map | Privacy Policy | RSS, Is Medtech really recession proof? The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. The device was put to the test in a study performed at the Robarts Research Institute, Western University, London, Ontario, and researchers found that the study subjects had improvements in increased mucus clearance, decreased cough frequency and breathlessness, and enhanced exercise tolerance. 0000028659 00000 n Patients who may benefit from The MetaNeb System include those with pulmonary atelectasis or secretions associated with the following conditions: *Therapy times may differ depending on patient needs and ordered therapies. Pulmonary Complications in High-Risk Patients 2/26/2018 CHICAGO , Feb. 26, 2018 /PRNewswire/ -- A group of researchers have reported that aggressive treatment after surgery using the Hill-Rom MetaNeb System may reduce the incidence of post-operative pulmonary complications (PPCs) in high-risk surgical patients. 0000002608 00000 n Additional interests are ventilators, new innovations in healthcare, and traveling. MedTech 100 is a financial index calculated using the BIG100 companies covered in https://doi.org/10.1148/radiol.2020200236, https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html, https://www.imperial.ac.uk/media/imperial-college/medicine/sph/ide/gida-fellowships/Imperial-College-COVID19-NPI-modelling-16-03-2020.pdf, https://doi.org/10.1016/S0140-6736(20)30183-5, https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html, Wear appropriate personal protective equipment (PPE) including, but not limited to an N95 fit tested respirator, gown, gloves, and face shield/eye protection, Follow cleaning and disinfection procedures promptly in guidance with hospitals protocols, Refer to facility specific Infection Control guidelines for full recommendations. 0000029883 00000 n This pressure gradient allows for the mobilization and hydration of sticky mucus. Unlike the former, manual approach, oscillation technology affords a more consistent, uniform, and gentle approach to secretion clearance. CPEP mode provides aerosol combined with continuous positive pressure helping with lung expansion. All expected complications are typical in the post-operative cardiac patients and not unique to hyperinflation therapy. The SmartVest is designed to acclimate the patient to its use. Read our, ClinicalTrials.gov Identifier: NCT02627742, Interventional All rights reserved. Metaneb delivers high-frequency oscillatory breaths during both inspiration and expiration. (Clinical Trial), Evaluation of a Practice Change to Include The MetaNeb System to Reduce Postoperative Pulmonary Complications, 18 Years and older (Adult, Older Adult), Burlington, Massachusetts, United States, 01805, Charlotte, North Carolina, United States, 28203, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States, 19104, Significant Postoperative Pulmonary Complication Incidence [TimeFrame:Occurs within seven (7) days of the post-surgical admission will be considered a Significant Postoperative Pulmonary Complication], Requirement for invasive mechanical ventilation for > 48 hours within seven (7) days of the post-surgical hospital admission [TimeFrame:from the time of the post-surgical admission to the hospital unit until discharge from the hospital, up to 8 weeks], Requirement for respiratory support > 48 hours within seven (7) days of the post-surgical hospital admission [TimeFrame:from the time of the post-surgical admission to the hospital unit until time of discharge from the hospital, up to 8 weeks], Length of ICU stay during initial hospital stay [TimeFrame:Total days/hours until time of discharge from the hospital, up to 8 weeks], Length of hospital stay during initial hospital stay [TimeFrame:Time of admission until time of discharge from the hospital, up to 8 weeks], Readmission to ICU and transfers to elevated level of care for pulmonary complications during initial hospital stay [TimeFrame:during hospital stay, up to 8 weeks], Readmission to hospital [TimeFrame:30 days following discharge from the hospital], Time on Mechanical Ventilation [TimeFrame:total hours/days from the time of the post-surgical admission to the hospital unit until time of discharge from the hospital, up to 8 weeks]. Metaneb System. doi: 10.1016/j.jamcollsurg.2019.06.004. Listing a study does not mean it has been evaluated by the U.S. Federal Government. 0000003127 00000 n and select . 0000026299 00000 n 17: TREATMENT WITH METANEB THERAPY REDUCES POSTOPERATIVE PULMONARY COMPLICATIONS: A MULTICENTER TRIAL. PURPOSE: The management of pulmonary complications of patients with chronic debilitation conditions such as cerebral palsy . WTWH Media LLC and its licensors. And then youre able to loosen it and bring it up through the airway. TM. Image from Lei et al. With the exception of standard airway clearance and lung expansion procedures, other components of the patients respiratory care regimen will remain the same as during the standard therapy period, however the CHANGE IN PRACTICE will incorporate the use/treatment with The MetaNeb System as an alternative to usual airway clearance and lung expansion procedures. MetaNeb System therapy can be utilized to deliver treatment across various inpatient departments, including ED and ICU. Alternating between the cycles of CPEP and CHFO helps maximize therapy effectiveness when combined with aerosol therapy. This can be performed in quite a number of ways dependent upon the patient, the lobe that requires the therapy, and any contraindication that can prevent a certain method of therapy. The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. CHFO. (2016, September 22). Among its benefits for patients are its simplicity of use, portability, accessory options (oximetry accessory, remote control accessory, external suctioning accessory interface), and power management options (detachable battery, external DC battery, universal battery pack). Among the specific conditions that can see benefits are patients with neuromuscular diseases, ALS, or any illness that prevents them from adequately expectorating secretions, and who are at an increased risk for developing respiratory infections. An effective and efficient solution. Study record managers: refer to the Data Element Definitions if submitting registration or results information. U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. 472 0 obj <> endobj trailer <]/Prev 63883>> startxref 0 %%EOF 70 0 obj <>stream 144, 575-580. The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. NOTE: There is no need for CPEP as this therapy can be accomplished with the ventilator. The Medical Device Business Journal. All of the secretion clearance devices on the market work according to the same principle of oscillation, so how should RTs choose which is best for them? 0000001441 00000 n (2018). Critical Care Pulmonologists share their insights on using Oscillation & Lung Expansion (OLE) therapy with ventilated COVID-19 patients. The MetaNeb System Three therapies. Many of these patients are spontaneously breathing, so are able to work directly with the RT. PEP (EzPAP, MetaNeb) is performed if patient is: Unable to perform IS-or- Not meeting incentive spirometry goal or Has persistent or severe atelectasis or Has poor oxygenation Induced deep breathing in patients with a tracheostomy Indications and frequency in the VEP - the RT will assess patient and assign them a RT Triage Score. Learn more about MetaNeb System. Instead of introducing a suction catheter into the airway, air is delivered noninvasively through a facemask, a mouthpiece, or a simple adapter that allows the device to function with an endotracheal or tracheostomy tube. The study will be conducted in two stages. As with all therapies, the appropriateness of the therapy in individual patients is determined by the treating physician and the health care team. endstream endobj startxref The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media LLC. Set the operational pressure (which controls the peak operational pressure) between 30-45. The CoughAssist T70 clears secretions from the lungs by gradually applying positive air pressure (insufflation) to the airway and then rapidly shifting to negative air pressure (exsufflation). and can be impacted by environmental factors such as velocity and mechanism by which respiratory droplets are propelled from the source, the density of respiratory secretions, environmental factors such as temperature and humidity, and the ability of the pathogen to maintain infectivity over that distance2and therefore has the potential to become an aerosol or airborne. 2 . 27 44 Health care providers must therefore take the same precautions5. OLE therapy delivered by The MetaNeb System helps expand the lungs and mobilize secretions using Continuous Positive Expiratory Pressure (CPEP), and Continuous High Frequency Oscillation (CHFO). 0000024074 00000 n Evaluation of The MetaNeb System to Reduce Postoperative Pulmonary Complications Latest version (submitted September 11, 2017) on ClinicalTrials.gov A study version is represented by a row in the table. Infection Bloody sputum (hemoptysis) The MetaNeb System is an LE expansion modality that incorporates all the physiological effects of IPV while providing additional therapeutic advantages intended primarily to more effectively treat or prevent pulmonary atelectasis. Ann Intern Med. Simplify Clinical Communication & Collaboration. When delivering therapy, caregivers should follow the CDC guidelines for treating patient when there is a risk of airborne transmission2. It is recommended for mobilization of secretions, lung . Although SARS-CoV is transmitted primarily by contact and/or droplet routes, airborne transmission over a limited distance (e.g., within a room), has been suggested, though not proven.3. Restrictive lung disease with recurrent atelectasis, Mechanically ventilated patients with atelectasis, Patient refractory to traditional bronchial hygiene methods, IPV/Metaneb both utilize High Frequency Oscillatory therapy in conjunction with aerosol therapy to facilitate secretions from smaller airways to larger airways where it can then be expectorated or suctioned. Please do not continue treatment with an empty medication cup as this can cause irritation. Well-designed studies are needed to distinguish which LE approach has the greatest potential to optimize patient care, clinical outcomes and cost savings. A lung-expansion therapy, MetaNeb enhances mucus clearance and helps resolve or fully prevent patchy atelectasis. Cytokinetics Enrolls 700 ALS Patients in Phase 3 Study of Tirasemtiv, Praxair Approved to Market Inhaled Nitric Oxide in Canada, aTyr Announces Phase 2 Study of SSc-ILD Drug, Mercks Keytruda Meets Primary Endpoint in Phase 3 Trial for Lung Cancer, Dynarex Accepting Applications for 2023 Scholarship Program, Bacteremia with COVID-19 More Deadly Than Known Risk Factors Like Age and Sex, Toolkit to Support Clinicians in Quicker Diagnosis of ILDs, RT: For Decision Makers in Respiratory Care. 10 Minutes Total*: Alternating cycles of CPEP and CHFO combined with aerosol delivery helps maximize therapy effectiveness. However, it does work on the same principle of using oscillations to thin and dislodge mucus in the patients lungs. If done in line with ventilation then the clinician can leave fragment in the CHFO mode. Bookmark, share and interact with the leading medical design engineering magazine today. It's events, podcasts, webinars and one-on-one exchanges of ideas & insights. I would think this would be an inexpensive and easy in home alternative to a metaneb or IPV. The purpose of this prospective randomized clinical trial is to evaluate three different types of hyperinflation respiratory therapies, Intermittent Positive Pr. Continue on this for 2 minutes then encourage the patient to cough or huff cough. 10 Minutes Total*: Alternating cycles of CPEP and CHFO combined with aerosol delivery helps maximize therapy effectiveness. The MetaNeb is designed for use on a number of patient types from postsurgery patients, such as thoracic or cardiac patients, to patients with chronic conditions or diseases such as cystic fibrosis or COPD. For further information, contact [emailprotected]. Many of these patients are spontaneously breathing, so are able to work directly with the RT. 0000003919 00000 n mitigate complications associated with secretion retention. Ultimately, the goal is to drive those secretions out to prevent chronic infections. If the SmartVest is prescribed for home use, a trainer will be sent to the patients home to help them be fit with the device and understand how it is used, and to calibrate it according to the prescribing physicians directions. System to a 50 psi oxygen source. Radiological Society of North America. Skarvan noted that in these cases it may be used as a preventative treatment to help keep hospital patientsincluding those who will be prone for long periods of timeclear of secretions and possible infections. Study staff will collect data from the medical records, following a protocol determined schedule. Draining and monitoring of cerebrospinal fluid (CSF) flow from the lateral ventricles or lumbar subarachnoid space is indicated in selected patients to: Reduce intracranial pressure (ICP), eg, pre-, intra-, or postoperative. Researchers at the 47th Society of Critical Care Medicine reported this week that Hill-Rom's (NYSE:HRC) Metaneb System may help reduce the incidence of post-operative pulmonary complications in high-risk patients.. A 419-patient study found that patients using the Metaneb System combined with standard respiratory therapy spent 1.6 fewer days in the hospital on average compared to the group . Researchers from three medical centers in the U.S. examined the efficacy of integrating the MetaNeb System in the respiratory care for patients undergoing major chest or abdominal surgery, explains Huynh. 0000005870 00000 n Complication, Journal of the American College of Surgeons (2019) 2 Restrepo R, Braverman J. Weighing only 9 lbs, the CoughAssist T70 is easily portable, and a detachable battery adds a new level of flexibility for patients and caregivers. 0000005309 00000 n 0000009831 00000 n It consists of a pneumatic compressor that delivers OLE therapy using both continuous high-frequency oscillation (CHFO) and continuous positive expiratory pressure (CPEP). This presents challenges to the assignment of isolation categories because ofconflicting information and uncertainty about possible routes of transmission. 213 0 obj <>stream Recently presented at the Society of Critical Care Medicine (SCCM) Annual Congress, the research by Toan Huynh, MD, and colleagues specifically considered the incidence of post-operative pulmonary complications (PPCs) in high-risk patients, evaluating the impact of strategically employing aggressive pulmonary utilizing the MetaNeb system. ACT uses physical or mechanical means to manipulate air flow,tomobilizesecretionscephalad,andtofacilitateevac-uation by coughing.11 Breathing maneuvers, gravity as-sisted drainage, manual techniques, and mechanical de-vices can be used in an effort to facilitate secretion mobilization. The study included 417 patients and found that use of the MetaNeb system decreased PPCs from 22.9 percent to 16.4 percent. Higher. Lei, J., Li, J., Li, X., & Qi, X. An albuterol dose can be added in conjunction. Registered Respiratory Therapist with a diverse background in healthcare but a keen interest in trauma intensive care. However,SARS-CoV while still classified as a droplet, is estimated to travel anywhere from 6ft. Background: Metaneb intrapulmonary percussive ventilation device is utilized in pediatric patients as an airway clearance therapy used to clear secretions and promote lung expansion. Epub 2019 Jul 27. It is designed to maximize treatment by combining three therapies in onevolume expansion, secretion clearance, and nebulizer therapy. The MetaNeb System therapy be used in appropriate patients with an indication for airway clearance and/or lung expansion therapy. doi: Siegel JD, Rhinehart E, Jackson M, Chiarello L, and the Healthcare Infection Control Practices Advisory Committee, 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, Ferguson, N. M. et. The therapy can be administered by the patient or the RT. 0000004719 00000 n (2020). With any therapy, the key is to ensure quality of life and so we have uniquely designed our device with a single hose, which helps us accommodate a softer start and an active inflate and deflate. Although PPCs are an incompletely understood multifactorial syndrome, atelectasis is recognized as a critical component. While the MetaNeb is currently only for use in hospital settings, Mellor said that the long-term goal is for the device to be offered for home use. Choosing to participate in a study is an important personal decision. Your email address will not be published. The MetaNeb System, by mobilizing mucous secretions and lung expansion, may have contributed to these clinical improvement, Huynh says. Metaneb has a fixed orifice while IPV has a sliding venturi which facilitates the oscillations. As you percuss those secretions with the oscillation technology, that flow is disrupted across the surface area of the secretionthink of it as viscosityyoure almost beating the secretion up and making it more watery. The treatment protocol used for Respiratory Care during the CHANGE IN PRACTICE period of the Study will be that prescribed by the patient's health care team in the routine standard care of each patient. The MetaNeb System combines lung expansion, secretion clearance, and aerosol delivery into a single integrated therapy sessionwithout having to switch between different devices. Start the rotator ring in easy mode (1dot) and adjust higher as patient tolerance allows. Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand. Get in the know to get the most value out of your solution. The soft start helps people to better acclimate to the therapy so it doesnt give them an abrupt sharp hug, and the active inflate and deflate acclimates the patient to therapy by allowing the garment to contour to the chest cavity and the pulse amplitude remains more constant during the inhalation and exhalation so you dont have an uncomfortable bear hug.. Per CDC guidance to Infection Control, health care providers take airborne precautions when performing any aerosol-generating procedures in known or suspected COVID-19 patients.5When performing aerosol generating procedures: The MetaNeb System therapy along with other bronchial hygiene therapies, is an AGP. To watch the webinar, follow the link below to register, and you will receive a link to view the video. Retrieved from. Learn how your comment data is processed. (2020). Intrapulmonary percussive ventilation (IPV) devices have been in use for more than 25 years and are used widely in the acute care, post-surgical, and homecare setting. The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. Retrieved from. Please remove one or more studies before adding more. endstream endobj startxref Such devices provide both LE and airway clearance therapy (ACT) for patients with obstructive and/or restrictive lung diseases and conditions. Droplets are considered particles secreted from a patients respiratory tract that are no smaller than 5m in diameter and travel shorter distances (defined as 3ft) because they cannot stay suspended in air for long periods of time. Metaneb is utilized for mobilization of secretions, lung expansion, and can be used for the prevention and treatment of atelectasis. What you have with a patient who needs to have their airways clear are small microbursts of air that are attenuated through the airways, explained Sean Mellor, BSRT, RRT. J Am Coll Surg. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media. Today, high-frequency oscillation forms the cornerstone of secretion clearance techniques. This surgical robotic arm could 3D bioprint inside the human body, Medtechs top R&D spenders and the projects they launched, How Penumbras smart-sucking algorithms and catheters speed up clot removal, IBS researchers develop high-resolution ultra-thin endoscope. Indications. Sometimes pressure trauma in your lung may cause pneumothorax. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This site uses Akismet to reduce spam. Use of The MetaNeb System will follow the labeling of the device. Paul, MN 55126, PatientsImportance of Respiratory HealthManage My TherapyProductsPatient Stories, Healthcare ProfessionalsBreak the Vicious CycleManage My PatientsProductsVA Government Options, ResourcesVideo LibraryEducation OptionsReimbursement ServicesInsurance CoverageGlossary of Terms, About UsInnovation MilestonesOur VisionCustomer ServiceIn the NewsEvents, Privacy Policy | Terms of Use | HIPAA Notice of Privacy Practices. Learn how your comment data is processed. 27 0 obj <> endobj xref hbbd```b``v /d-lW0yDy`DrEHQVV&@Z0; ArN2qL %1m The device can be used in a number of other scenarios including those patients who have tracheostomies or patients who are ventilator dependent. The device can be used in treating patients with a number of respiratory diseases and conditions, including cystic fibrosis and COPD. Audience Add normal saline, hypertonic saline, and/or albuterol to the medication cup. Care should be taken when doing any AGP (including The MetaNeb System therapy) in patients with COVID-19. Earlier this year, the Aerobika received the Gold award at the Medical Design Excellence Awards (MDEA). A hose connects the generator and the garment. Early publications and reports on the clinical manifestations of COVID-19 suggest that up to 30 % of patients with severe disease have significant pulmonary mucus production.4Additionally, lung disease in many of these patients progresses to acute respiratory distress syndrome (ARDS). 0000011922 00000 n 0000024185 00000 n Elderly patients and those with underlying conditions like hypertension, cardiovascular disease With the MetaNeb, you can seamlessly switch between recruiting an expansion of the lung, which is ultimately what patients need, to take a deep breath, through CPEP, and transition over to CHFO and pull those secretions from that expanded air space and clear their lungs, Mellor said. (2020, March 2). I think it is important to note that a large majority of that therapy relies on that expansion to get that air space opened up.. Explore Hillrom's products and medical technologies across the health care industry. Expert Rev Respir Med. Like most modalities, Chest Physiotherapy is not only dependent on the practitioner performing it but the patients willingness to have it done and work with the practitioner. Medical Design and Outsourcing. The use of oscillatory therapy also helps promote lung expansion, No major difference has shown between choosing over the other as the method of therapy, Both therapies have shown to be helpful in patients with chest wall complications. A lung-expansion therapy, MetaNeb enhances mucus clearance and helps resolve or fully prevent patchy atelectasis. Huynh TT, Liesching TN, Cereda M, et. Add 20 mL of normal saline or hypertonic saline to the medication cup. The CoughAssist T70 is designed for use with any patient unable to cough or clear secretions effectively due to reduced peak cough expiratory flow (less than 5-6 liters per second), resulting from high spinal cord injuries, neuromuscular deficits, or severe fatigue associated with intrinsic lung diseases. I Sh*t You Not, Adrenal Crisis: Early Recognition and Management Save Lives, Prehospital Management of Traumatic Brain Injury, Differentiating Peak and Plateau Pressures, Sodium Bicarbonate for cardiac arrest: Time to put it away. F/ `X 0000039345 00000 n We'll assume you're ok with this, but you can opt-out if you wish. Age 18 years Post-thoracic, -upper abdominal or -aortic surgery Open surgical procedure Incision at or above the umbilicus. These results have significant implications in the care of surgical patients who are at high risk for postoperative pulmonary complications, since the integration of MetaNeb System into the respiratory care not only results in reduced complications, but also reduced ventilator time and length of stay in the hospital, notes Huynh. 0000004067 00000 n hb```B eaq]w,y{9 Y :Y-P%?: - Hillrom. scopic" procedure. When treating many chronic respiratory diseases, one of the key elements of therapy is clearing lung secretions, which helps to minimize infections and to limit return hospital stays. 0000001176 00000 n 0000027826 00000 n Webinar: MetaNebSystem OLE Therapy in the COVID-19 Pandemic. With new emphasis on reducing and preventing hospital readmissions as a result of the Affordable Care Act, secretion clearance will undoubtedly play a key role in keeping patients from making repeat hospital visits. You have reached the maximum number of saved studies (100). Therapy with the MetaNeb. Pathology can be described as a respiratory disease that often progressed into pneumonia with bilateral ground-glass opacities.

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