Presentation on theme: "Best Practices in Lung Management Experiences using MetaNeb"— Presentation transcript:
1Best Practices in Lung Management Experiences using MetaNeb Paula Abbas, BSN, RN, CPTC LifeSource Donation Coordinator Region 7 Meeting February 13, 2015
2Current options for CPT Metaneb 4.0Vest therapy CPTManual CPT
3Downfalls of manual and vest CPT Time consuming (manual)Often not performed correctly or frequently enoughVest stays on patient, potentially interfering with other treatmentsDisturbing to families/seen as violent (vest)Limited to loosening secretions
4The MetaNeb® System Description 4/15/2017The MetaNeb® System DescriptionThe 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:Continuous Positive Expiratory Pressure (CPEP)Lung expansion therapy for the treatment and prevention of pulmonary atelectasisContinuous High Frequency Oscillation (CHFO)Secretions mobilization therapyAerosol ModeAerosol TherapyProvides supplemental oxygen when used with compressed oxygenThe MetaNeb System is a therapeutic device, available in acute care settings, which uses a systematic approach to enhance secretion clearance and resolve or prevent patchy atelectasis.The three therapies provided within A MetaNeb Treatment include:CHFO Therapy, which stands for Continuous High Frequency Oscillation and provides secretion clearanceCPEP Therapy, which stands for Continuous Positive Expiratory Pressure, and provides lung expansion therapyAerosol Therapy, which is continuously delivered in any of the modesIt also provides Supplemental oxygen when connected to your 50 psi oxygen gas source
5Absolute Contraindications The MetaNeb® SystemAbsolute ContraindicationsUntreated tension pneumothoraxUntrained or unskilled operatorThere are absolute contraindication for airway clearance which are listedAnd for the MetaNeb System which are listedWe have listed some relative contraindications specific to the MetaNeb SystemThese reflect conditions that should cause pause since it is a prescription device the physician must weigh the benefit against any risk to the patient.
6LifeSource’s Experience Device became available through Hill Rom in 2012/2013 and several hospitals in our region began using the device in 2013Lifesource worked with Hill Rom rep and hospital RTTs to begin using the device on organ donorsNoted decreased atelectasis and better secretion removal with use
7LifeSource Experience cont. Hill Rom rep came to LifeSource skills day to demonstrate set up and use of Metaneb to clinical staff in 2014.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.
8LifeSource Experiences cont. The 2 hospitals with the rental agreements LOVE the metaneb and are considering purchasing the equipmentRTTs 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.
9LifeSource Experiences cont. Treatment not as violent as the vest. Families not bothered by treatmentEasy to useRTTs with overwhelming positive feedback regarding deviceResearch data available on Hill-Rom website
10LifeSource MetaNeb Protocol 10 minute treatment q 2 hrsUsed with neb q 4 hrs, and q 2 hrs prnHOB up 30 degrees during treatmentUsed in conjunction with q 4 hr recruitment maneuvers and O2 challengesUsed also in non-lung donors to improve oxygenation and secretion clearance