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Best Practices in Lung Management Experiences using MetaNeb Paula Abbas, BSN, RN, CPTC LifeSource Donation Coordinator Region 7 Meeting February 13, 2015.

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Presentation on theme: "Best Practices in Lung Management Experiences using MetaNeb Paula Abbas, BSN, RN, CPTC LifeSource Donation Coordinator Region 7 Meeting February 13, 2015."— Presentation transcript:

1 Best Practices in Lung Management Experiences using MetaNeb Paula Abbas, BSN, RN, CPTC LifeSource Donation Coordinator Region 7 Meeting February 13, 2015

2 Current options for CPT Metaneb 4.0 Manual CPT Vest therapy CPT

3 Downfalls of manual and vest CPT Time consuming (manual) Often not performed correctly or frequently enough Vest stays on patient, potentially interfering with other treatments Disturbing to families/seen as violent (vest) Limited to loosening secretions

4 The MetaNeb ® System Description The MetaNeb® System is a therapeutic device that uses a systematic approach to enhance mucus clearance and resolve or prevent atelectasis. The MetaNeb ® System offers 3 therapies: 1.Continuous Positive Expiratory Pressure (CPEP) – Lung expansion therapy for the treatment and prevention of pulmonary atelectasis 2.Continuous High Frequency Oscillation (CHFO) – Secretions mobilization therapy 3.Aerosol Mode – Aerosol Therapy Provides supplemental oxygen when used with compressed oxygen

5 The MetaNeb® System Absolute Contraindications ‒ Untreated tension pneumothorax ‒ Untrained or unskilled operator

6 LifeSource’s Experience  Device became available through Hill Rom in 2012/2013 and several hospitals in our region began using the device in 2013  Lifesource worked with Hill Rom rep and hospital RTTs to begin using the device on organ donors  Noted decreased atelectasis and better secretion removal with use

7 LifeSource Experience cont.  Hill Rom rep came to LifeSource skills day to demonstrate set up and use of Metaneb to clinical staff in  LifeSoure worked with Hill-Rom legal rep to set up an exclusive rental program for use at 2 of our donor hospitals. (for use exclusively for organ donors) Unusual rental circumstances for organ donors requiring daily rental rate.

8 LifeSource Experiences cont.  The 2 hospitals with the rental agreements LOVE the metaneb and are considering purchasing the equipment  RTTs verbalize use of this device has prevented escalation of care to oscillators or other High frequency ventilator modes.  Significant reduction of atelectasis and increase in secretion removal noted by staff, demonstrated by CXR improvement, better oxygenation, and decreased secretions.

9 LifeSource Experiences cont.  Treatment not as violent as the vest. Families not bothered by treatment  Easy to use  RTTs with overwhelming positive feedback regarding device  Research data available on Hill-Rom website

10 LifeSource MetaNeb Protocol  10 minute treatment q 2 hrs  Used with neb q 4 hrs, and q 2 hrs prn  HOB up 30 degrees during treatment  Used in conjunction with q 4 hr recruitment maneuvers and O2 challenges  Used also in non-lung donors to improve oxygenation and secretion clearance

11 Questions?


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