The MetaNeb® System Instructions for Use (174432 REV 10) 23
The MetaNeb® System In-Line with Ventilator Protocol
ASSESSMENT OF OUTCOME
Therapy will be discontinued per facility protocol or when one of these
occur:
• Secretion clearance is < 5 cc per treatment for a 24 hour period.
• The post therapy chest exam shows an absence of retained secretions
and atelectasis.
• Breath sounds have become clear or have improved.
RE-EVALUATION
Patients should be evaluated every 24 hours while on The MetaNeb®
System to make sure that an acute change has not occurred.
THE METANEB® SYSTEM IN-LINE WITH VENTILATOR
PROTOCOL
Warning—Only persons trained to use The MetaNeb® System and
ventilators should perform therapy on ventilated patients.
FREQUENCY
In-line use of The MetaNeb® System with a ventilator ranges in frequency
from four (4) to eight (8) times daily as determined by the patient's
response to the therapy.
There is no need for CPEP, as this therapy can be accomplished with the
ventilator.
PROCEDURE
1. Make sure the unit operates correctly. See “Pre-Use Check” on page
20.
2. Follow your institutional guidelines for infection control.
3. Introduce yourself, and explain the procedure to the patient.
4. Make a note of the current ventilator alarm and mode settings.
5. The patient should be in a position to maintain the head of the bed
angle at > 30 degrees if possible.
6. Assess the patient per institutional guidelines.
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