Help - new to vest. Need advice

Bridge76 · Sep 27, 2010

Hi all
I'm in the UK and have been given a vest to try whilst I'm in hospital on IVs. I normally do flutter and autogenic drainage, which tends to be quite effective, but I need to do 3 hour long sessions each day (even when 'well').

My question is, does anyone have advice beyond: stop to cough/huff, do flutter whilst on it, and hypertonic saline on neb during vest time? The model I have goes up to 20hz and you can heighten the pressure, but no program facility.

I believe saveferris has some advice about using this on her blog, but my laptop can't access blogs whilst using the hospital wireless. If anyone could copy and paste helpful info to me, it would be much appreciated.

Basically, I'm still struggling to get gunk up with vest, HTS and flutter, despite not taking a paasive role whilst sitting on the vest. If anyone could suggest a program (list of settings and timings) to try, it would be greatly appreciated. I really think my mucous just lurks so deep down, it is super hard to get up.

Thanks in advance, Sarah

Bridge76 · Sep 27, 2010

Hi all
I'm in the UK and have been given a vest to try whilst I'm in hospital on IVs. I normally do flutter and autogenic drainage, which tends to be quite effective, but I need to do 3 hour long sessions each day (even when 'well').

My question is, does anyone have advice beyond: stop to cough/huff, do flutter whilst on it, and hypertonic saline on neb during vest time? The model I have goes up to 20hz and you can heighten the pressure, but no program facility.

I believe saveferris has some advice about using this on her blog, but my laptop can't access blogs whilst using the hospital wireless. If anyone could copy and paste helpful info to me, it would be much appreciated.

Basically, I'm still struggling to get gunk up with vest, HTS and flutter, despite not taking a paasive role whilst sitting on the vest. If anyone could suggest a program (list of settings and timings) to try, it would be greatly appreciated. I really think my mucous just lurks so deep down, it is super hard to get up.

Thanks in advance, Sarah

Bridge76 · Sep 27, 2010

Hi all
 I'm in the UK and have been given a vest to try whilst I'm in hospital on IVs. I normally do flutter and autogenic drainage, which tends to be quite effective, but I need to do 3 hour long sessions each day (even when 'well').
 
 My question is, does anyone have advice beyond: stop to cough/huff, do flutter whilst on it, and hypertonic saline on neb during vest time? The model I have goes up to 20hz and you can heighten the pressure, but no program facility.
 
 I believe saveferris has some advice about using this on her blog, but my laptop can't access blogs whilst using the hospital wireless. If anyone could copy and paste helpful info to me, it would be much appreciated.
 
 Basically, I'm still struggling to get gunk up with vest, HTS and flutter, despite not taking a paasive role whilst sitting on the vest. If anyone could suggest a program (list of settings and timings) to try, it would be greatly appreciated. I really think my mucous just lurks so deep down, it is super hard to get up.
 
 Thanks in advance, Sarah

Ratatosk · Sep 27, 2010

I did a quick search here on vest settings and came up with these two:

<a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=5&threadid=56047&highlight_key=y&keyword1=vest%20settings
">http://www.cysticfibrosis.com/...word1=vest%20settings
</a>
<a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=5&threadid=47993&highlight_key=y&keyword1=vest%20settings">http://www.cysticfibrosis.com/...yword1=vest%20settings</a>

Ratatosk · Sep 27, 2010

I did a quick search here on vest settings and came up with these two:

<a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=5&threadid=56047&highlight_key=y&keyword1=vest%20settings
">http://www.cysticfibrosis.com/...word1=vest%20settings
</a>
<a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=5&threadid=47993&highlight_key=y&keyword1=vest%20settings">http://www.cysticfibrosis.com/...yword1=vest%20settings</a>

Ratatosk · Sep 27, 2010

I did a quick search here on vest settings and came up with these two:
 
 <a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=5&threadid=56047&highlight_key=y&keyword1=vest%20settings
">http://www.cysticfibrosis.com/...word1=vest%20settings
</a> 
 <a target=_blank class=ftalternatingbarlinklarge href="http://www.cysticfibrosis.com/forums/messageview.cfm?catid=5&threadid=47993&highlight_key=y&keyword1=vest%20settings">http://www.cysticfibrosis.com/...yword1=vest%20settings</a>

badcheesemomma · Oct 1, 2010

Hello. I don't know if you've figured it out, but typically the hz run between 10 and 14, they say anything over 16 hasn't shown to do anything. So you would space out your intervals, and stop to huff between each cycle. The pressure should be as high as you can handle. Hope that helps!

badcheesemomma · Oct 1, 2010

Hello. I don't know if you've figured it out, but typically the hz run between 10 and 14, they say anything over 16 hasn't shown to do anything. So you would space out your intervals, and stop to huff between each cycle. The pressure should be as high as you can handle. Hope that helps!

badcheesemomma · Oct 1, 2010

Hello. I don't know if you've figured it out, but typically the hz run between 10 and 14, they say anything over 16 hasn't shown to do anything. So you would space out your intervals, and stop to huff between each cycle. The pressure should be as high as you can handle. Hope that helps!

hmw · Oct 1, 2010

The extensive research that Dr. Warwick has done (he is the inventor of the vest) has basically shown the opposite. The frequencies between 10-17hz were shown to be the least effective for vests such as the HillRom. Minnesota protocol, based on Dr. Warwick's research calls for using the frequencies of 6, 8, 9, 18, 19 and 20. Pressure will vary based on individual tolerance, but a higher pressure is used w/the lower hz and it is reduced somewhat at the higher hz.

The cycle using the InCourage vest is different, as it's a different waveform type than the HillRom vest. The hz does not go as high; there is a different recommended protocol for that one that, I believe, is available as an automatically programmed option complete with pauses for coughing, etc.

Detailed information about his recommendations can be found on Amy (no excuses's) blog in the above-cited threads. She has a letter from Dr. Warwick in there w/ this information.

hmw · Oct 1, 2010

The extensive research that Dr. Warwick has done (he is the inventor of the vest) has basically shown the opposite. The frequencies between 10-17hz were shown to be the least effective for vests such as the HillRom. Minnesota protocol, based on Dr. Warwick's research calls for using the frequencies of 6, 8, 9, 18, 19 and 20. Pressure will vary based on individual tolerance, but a higher pressure is used w/the lower hz and it is reduced somewhat at the higher hz.

The cycle using the InCourage vest is different, as it's a different waveform type than the HillRom vest. The hz does not go as high; there is a different recommended protocol for that one that, I believe, is available as an automatically programmed option complete with pauses for coughing, etc.

Detailed information about his recommendations can be found on Amy (no excuses's) blog in the above-cited threads. She has a letter from Dr. Warwick in there w/ this information.

hmw · Oct 1, 2010

The extensive research that Dr. Warwick has done (he is the inventor of the vest) has basically shown the opposite. The frequencies between 10-17hz were shown to be the least effective for vests such as the HillRom. Minnesota protocol, based on Dr. Warwick's research calls for using the frequencies of 6, 8, 9, 18, 19 and 20. Pressure will vary based on individual tolerance, but a higher pressure is used w/the lower hz and it is reduced somewhat at the higher hz.
 
 The cycle using the InCourage vest is different, as it's a different waveform type than the HillRom vest. The hz does not go as high; there is a different recommended protocol for that one that, I believe, is available as an automatically programmed option complete with pauses for coughing, etc.
 
 Detailed information about his recommendations can be found on Amy (no excuses's) blog in the above-cited threads. She has a letter from Dr. Warwick in there w/ this information.

badcheesemomma · Oct 1, 2010