Acute Care

• 

  Current Challenges in the Recognition, Prevention and Treatment of Perioperative Pulmonary Atelectasis

  Restrepo RD, et al. | Informa Healthcare | 2014

  Post-operative pulmonary complications (PPCs) are associated with increased cost and poor outcomes. Atelectasis contributes significantly to PPCs in the acute care setting.  Effective interventions may help decrease the incidence and cost burden. This review article reviews challenges encountered in the recognition, prevention, and management of perioperative atelectasis.

  View Content 70% 70%
• 

  Pressure Attenuation Across an ETT During CHFO with the MetaNeb System in a Pediatric Lung Model

  Bullock K, et al. | Critical Care Medicine | 2014

  The goal of this bench study was to look at the pressure attenuation observed by using The MetaNeb(R) System with various size endotrachael tubes. In an in vitro model, the study explored the differenece in peak inspiratory pressure at both proximal and distal ends of the endotrachael tube. The study found Continuous High-Frequency Oscillation (CHFO) may be safe when used with an artificial airway.

  View Content 70% 70%
• 

  The MetaNeb® System in an Acute Care Hospital Setting: An Assessment of Impact on Hospital Length of Stay Using A Failure Mode and Effects Analysis

  Grasley T. | 2012

  An assessment of the impact on hospital length of stay using a failure mode and effects analysis (FMEA) found the MetaNeb® System had a statistically significant effect on reducing the mean length of stay observed to expected ratio. 

  Login to Download 70% 70%
• 

  The Utility of High Frequency Chest Wall Oscillation Therapy in the Post-Operative Management of Thoracic Surgical Patients

  Allan JS, et al. | Journal of Respiratory Care | 2009

  This study assesed the feasibility of high frequency chest wall oscillation (HFCWO) after thoracic surgery. The result of the study found  84% of patients reported little or no discomfort during therapy.  HFCWO was preferred to conventional chest physiotherapy by a 2:1 margin.

  View Content 70% 70%
• 

  Aggressive Pulmonary Secretion Clearance Intervention in Long-term Acute Care (LTAC): A Treatment Protocol Using the MetaNeb System

  Coleman E, et al. | Advance for the Long-Term Care Mangement | 2011

  This article describes the impact of a device delivering continuous high-frequency oscillation (CHFO) therapy and aerosol therapy and continuous positive expiratory pressure (CPEP) in mechanically ventilated patients by evaluating quality improvement records from 2009-2010 and during the first 5 months of 2011. The incorporation of this device improved rates of weaning from mechanical ventilation from 82% to 88%. In the first 5 months of 2011, 100% of patients were successfully weaned from mechanical ventilation. Furthermore, the need for therapeutic bronchoscopy decreased from 2009-2011.

  View Content 70% 70%
• 

  Introduction and Evaluation of MetaNeb® Intrapulmonary Percussive Device in a Pediatric Model

  Hejl C, et al. | Journal of Respiratory Care | 2011

  Intrapulmonary percussive ventilation via a system that delivers CHFO and CPEP was evaluated in 75 acute and critical care patients aged 4 weeks to 22 years. 70% demonstrated significant improvement in chest x-ray within 48 hours of starting therapy and 78% demonstrated a decrease in secretion burden after 24 hours of therapy.

  View Content 70% 70%
• 

  In-line Application of Continuous High Frequency Oscillation by MetaNeb®

  Graham R, et al. | Journal of Respiratory Care | 2008

  This abstract describes an in vitro study of an intrapulmonary percussive ventilation system attached in-line to a ventilator. An intubated mannequin was used to collect measurements for assessing of CFHO. This system was successful in generating significant changes in flow/pressure and in generating chest "wiggle" factor

  View Content 70% 70%
• 

  A Case Study: The Use of MetaNeb to Improve Secretion Removal and Reverse Atelectasis

  Bocci M, et al. | Journal of Respiratory Care | 2006

  This case study describes the impact of a pneumatic chest physiotherapy treatment in managing bronchial hygiene in an 80-yo patient post-operative for thoracoscopic surgery. Within 8 hours of therapy, improvement in breath sounds, decrease in use of supplemental oxygen, and improved aeration were noted.

  View Content 70% 70%