Your clinician may recommend the use of a nose clip if necessary.It can be used in virtually any position allowing patients to move freely and sit, stand or recline.
Acapella inhaler facilitates opening of airways in patients having lung diseases with secretory problems such as COPD, asthma and Cystic Fibrosis. It gives independence to patients with chronic respiratory diseases as the therapy can be done when convenient for the patient and without the need for an assistant. Acapella PEP Therapy System Highlights Clears airways of secretions Improves bronchial hygiene Accommodates virtually any lung capacity Comes in color-coded units Green for high flow Blue for low flow. Mouthpiece (detachable) How does the Acapella Device work Acapella by Smiths Medical directs exhaled air through an opening which is periodically closed by a pivoting cone. ![]() For most users, frequencies between 0-30 Hz are obtained while maintaining positive pressure throughout the exhalation process. Through adjusting the dial, the frequency of the vibrating pressure-waves and the resistance of the opening changes. Acapella Vibratory PEP Therapy System User Guide When to use Acapella Respiratory Device Acapella is intended for use as a single patient use device that provides Positive Expiratory Pressure (PEP) Therapy for patients who have Cystic Fibrosis, COPD, asthma, and lung diseases with secretory problems, and patients with atelectasis. It may also be used simultaneously with nebulized aerosol drug delivery. ![]() Blue: Acapella DM is recommended for patients capable of less than 15 liters per minute for 3 seconds. Contraindications of Acapella PEP Device Although no absolute contraindications to the use of PEP Therapy have been reported, the following should be carefully evaluated before a decision is made to initiate therapy: Inability to tolerate increased work of breathing Known or suspected tympanic membrane rupture or other middle ear pathology Hemodynamic instability Intracranial pressure (ICP) 20 mm Hg Acute sinusitis Recent facial, oral or skull surgery or trauma Epistaxis Esophageal surgery Active hemoptysis Untreated pneumothorax Nausea What to Buy with Acapella Vibratory PEP Therapy System. Instruct the patient to relax while performing diaphragmatic breathing and inspiring a volume of air larger than normal tidal volume (but not to total lung capacity). Direct the patient to exhale to functional residual capacity (FRC) actively, but not forcefully through the device. The patient should be able to exhale for 3-4 seconds while the device vibrates. ![]() Clockwise adjustment increases the resistance of the vibrating orifice, which will allow the patient to exhale at a lower flow-rate. Selection of the proper resistance range produces the desired inspiratory to expiratory (I:E) ratio of 1:3 to 1:4. Note: If the desired resistance and I:E ratio cannot be achieved, consider use of an Acapella device designed for alternate flow ranges. Once the proper range has been identified, the patient may be instructed to exhale harder or softer, or dial adjustments may be made to optimize the response the user feel from the vibratory pressure. Several uses may be needed to ensure that the individual patient needs are being met. Procedure for the User - Ensure the adjustment dial is set to correct range as identified by your clinician. Be sure to maintain a tight seal on the mouthpiece during exhalation.
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