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4. Only a HME approved for use with a nebulizer should be used in this
configuration (Figure 9). Follow the HME manufacturer instructions
regarding use with a nebulizer. Ensure the combination of nebulizer,
T-piece and HME volumes is suitable for the tidal volume being
delivered. See Table 3 for T-piece volumes.
Figure 9. The Aerogen Solo placed between the HME and endotracheal
tube.
5. Follow ventilator manufacturer instructions for performing a leak test
after inserting or removing the nebulizer.
Warnings
• Only use with HME devices whose manufacturer’s instructions allow
use with a nebulizer, and always follow the HME manufacturer’s
instructions.
• Ensure that the total combined volume of nebulizer, T-piece and HME
is suitable for the tidal volume being delivered and does not increase
dead space to the extent that it adversely impacts the ventilatory
parameters of the patient.