Published Sep 3, 2012
hazelnutbeach
3 Posts
How do you attach a cough assist machine to a ventilator that has in-line suctioning?
Thankyou!
:)Hazelnutbeach
Sun0408, ASN, RN
1,761 Posts
Interesting, never seen one or heard of one.. Gonna keep an eye on this thread.
Thanks...The ventilator is hooked to a trach with in-line suction and the cough assist machine is by Respironics which says you can attach this to the vent tubing, using both at the same time, but there is no demonstration or picture in the manual or on-line.
TraumaSurfer
428 Posts
This is not recommended or the manual would have mentioned it.
http://www.ppsmanager.com/PPSM_2012/files/UserGuideCoughAssist.pdf
You can call or email their website for more information. There are alot of devices out there and whoever told you this might have been confused. The device can be connected using some existing pieces of the vent circuit but is not designed to be used with the vent inline. Some reps are just sales people and don't ever realize airway tubes such as trachs are 15 mm for universal fitting of most devices.
Other devices such as the MetaNeb and IPV can be used with a ventilator but have valves or a pressure relief manifold and specific instructions to prevent over pressuring the lungs.
http://tlforrette.com/IPV%20Clinical%20Application%20Guide.pdf
http://www.metaneb.com/index.html
But both of these devices are for secretions although they do not have the same mechanism to assist a cough for clearance.
I appreciate your feedback, and agree...how would all the different pressures balance themselves out?...let alone inside a person's lung with fragile tissue? I spoke to the person who told me this could be done, and made the same suggestion.
Hazelnutbeach