neb machine

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rubyroselee

New member
Hello,

I have gone through 2 neb machines and I've encountered the same problem with both. I start off my treatments with HTS. So I plug in the Pari LC Plus to the neb machine and NOTHING comes out. It makes a weak noise, but no'misting'. But if I leave it plugged in for about 5 minutes, it eventuallymists, just not very strong. So the treatment takes a long time.

I have replaced the Pari neb cups and the hose twice, but that doesn't help at all (I thought maybe something was plugged).

I had the exact same problem withmy last neb machine and I just decided to replace it with my current one - but now it's happening again! I have had this machine for less than a year. Could it be the filter? I don't want to have to replacethe machineagain already.

Any ideas?

Thanks!
 
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musclemania70

New member
Its the machine (compressor). They only last a year or so and are FAMOUS for this problem. Call the manufacturer and tell them it doesn't work. They should send out a replacement one. Is it made by Pari? If so, they are very good about mailing out a new one right away with a UPS label to return the disfunctional one.

its not the cups, its the machine. They are HORRIBLE!
 
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Beccamom

New member
We had the same problem with the Pari compressor and since my sinuses are as bad as my daughter's we could not smell it, but when my husband was home he thought the machine smelled like it was burning. The repair person came from the medical supply company we bought if from and he agreed it smelled like it was burning and replaced it. If you have a difficult time smelling it may be worth while to ask someone else if the machine smells like it is burning. Be careful.

Jen
 
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beleache

New member
What musclemania said.. I just got a brand spanking new Pari Vios & love it !! Its so quite & mike loves that it doesn't wake him up lol <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
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saveferris2009

New member
I gave up on my PARI compressors and upgraded to an Invacare Mobileaire for the exact reasons you are posting.

It's a bigger device and a bit louder, but man does it work well. You can adjust the PSI, and it doesn't give me the same problems that the PARI compressor did.

I've had the Mobileaire for 9+ months now and it's been great.
 
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scanboyd

Member
I have 3 Pulmo-Aide compressors, one in the office and one in the Tv room and one in the box never opened. The ones that I am useing are over 10 yrs. old, waiting for them to die but they keep runing and runing. My neb. rx take about 3-4 hr. a day, 2hr. am and 2 hrs. pm, really try to get as much mucous up and out. I use 7-9cc hts. 3%, 3 cc xopenex, 1 cc mucomyst, and 5 cc of Tobi when on Tobi month, for a total volume of around 13cc. per neb. rx. plux 5 cc when on Tobi month 18ccc per neb rx twice a day. I use the pari LC plus nebulizer.
The Pulmo-Aide is a work horse for me, never any problems, fairly inexpensive, around $100.00
Good luck!!
 
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saveferris2009

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>scanboyd</b></i> I have 3 Pulmo-Aide compressors, one in the office and one in the Tv room and one in the box never opened. The ones that I am useing are over 10 yrs. old, waiting for them to die but they keep runing and runing. My neb. rx take about 3-4 hr. a day, 2hr. am and 2 hrs. pm, really try to get as much mucous up and out. I use 7-9cc hts. 3%, 3 cc xopenex, 1 cc mucomyst, and 5 cc of Tobi when on Tobi month, for a total volume of around 13cc. per neb. rx. plux 5 cc when on Tobi month 18ccc per neb rx twice a day. I use the pari LC plus nebulizer. The Pulmo-Aide is a work horse for me, never any problems, fairly inexpensive, around $100.00 Good luck!!</end quote>

The problem with using an old compressor is that the PSI can decrease, decreasing the amount of respirable dose (aka the medication that can actually treat/impact your lungs).
So the CFF recommends that you change your compressor every 2-3 years to make sure you are getting optimal medication to your lungs.
A tiny PSI change may not seem like a big deal, but multiply that tiny change over 2x/day, 365 days/year, etc and all of a sudden you're missing a great deal of medication in your lungs.
My lungs are exremely important to me, and if I'm going to spend a few hours a day doing treatments, it might as well be the most effective it can possibly be.
I simply wouldn't rely on chance for these precious lungs....
 
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scanboyd

Member
I do check my compressors every six months (compare it to the new one, time it takes to neb 1 cc hts) to be sure it working properly. If you can not inhale much volume I agree you need a higher PSI out put compressor; for me my FVC is 4.9 liters,100%. As far as missing medicaion, if theneb cup is empty, you get your medication.
Taking my timewith neb. rx by not turning up the psi to get through in a hurry is very important.The quality of a neb. rx for me is to getas much mucous up and out,regardless of how long it takes, with in a reasoable amount of time.
As regards to the Pulmo Aide compressor, for me it is a work horse. I you want to change compressors every 2-3 yrs. that is your decision, for me I change when I need to. Have been doing neb. rx. 52 yrs.
Have a great day.
 
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anonymous345

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>saveferris2009</b></i> I gave up on my PARI compressors and upgraded to an Invacare Mobileaire for the exact reasons you are posting. It's a bigger device and a bit louder, but man does it work well. You can adjust the PSI, and it doesn't give me the same problems that the PARI compressor did. I've had the Mobileaire for 9+ months now and it's been great.</end quote>
What PSI do you keep your meds on? I can't seem to get any info on the ideal settings for Pulmozyme, albuterol and HTS. I'm getting one next week because my Pari is having problems.
 
2

2005CFmom

Super Moderator
We use the Mobilaire also. Albuterol and Hypersal we do at 30 psi, Pulmozyme at 25 PSI. We don't do TOBI, but I believe that is supposed to be at 25 PSI.
 
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saveferris2009

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>scanboyd</b></i> As far as missing medicaion, if theneb cup is empty, you get your medication. </end quote>

that's actually not true. all medication that is nebulized is in a bell curve - with non respirable droplets on either end of the curve, and respirable droplets in the middle. This curve can widen quite a bit without the proper PSI, so although you medication may be gone from your neb cup, the medication may not have made it to your lungs in a droplet size that can be utilized in your lungs.
This is why, for example, you can use a much small dose of medication in the eFLow vs. a tranditional compressor. The eFLow works in such a way that there is a higher respirable dose of any given liquid, that you can get the equivalent impact on your lungs with much less medication - because most of the medication in the eFlow is steamed at a respirable droplet size.
These links will illustrate what I'm saying. I'm not saying to get an Eflow, I'm simply illustrating the concept of respirable doses aka what size droplets medication has to be to actually be utilized by your lungs.

http://i33.photobucket.com/albums/d85/sakasuka/eflow1.jpg
http://i33.photobucket.com/albums/d85/sakasuka/eflow5.jpg
http://i33.photobucket.com/albums/d85/sakasuka/PARI_NACF_04_poster_Pulmozyme_eFlow.jpg
http://i33.photobucket.com/albums/d85/sakasuka/eflow2.jpg
http://i33.photobucket.com/albums/d85/sakasuka/eflow3.jpg
http://i33.photobucket.com/albums/d85/sakasuka/eflow4.jpg

Bottomline is, I'm not targeting this info at you - but hopefully other people that will track the life of their compressor much more closely after 2-3 years and realize that if just looking at the amount of liquid left in the neb cup isn't enough to verify that you are getting the most bang for your buck.
The CFF recommends replacing your compressor every 2-3 years for a reason.
 
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saveferris2009

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>anonymous345</b></i> <div class="FTQUOTE"><begin quote><i>Originally posted by: <b>saveferris2009</b></i> I gave up on my PARI compressors and upgraded to an Invacare Mobileaire for the exact reasons you are posting. It's a bigger device and a bit louder, but man does it work well. You can adjust the PSI, and it doesn't give me the same problems that the PARI compressor did. I've had the Mobileaire for 9+ months now and it's been great.</end quote> What PSI do you keep your meds on? I can't seem to get any info on the ideal settings for Pulmozyme, albuterol and HTS. I'm getting one next week because my Pari is having problems.</end quote>

30 PSI for every medication but TOBI, as stated.
Don't be fooled - PSI matters. It's not about time - it's about creating the proper size droplets so that your lungs can maximize benefit from the medication.
 
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scanboyd

Member
FYI

The DeVilbiss -Aide has been providing effective aerosol treatments for more than 30 years. The Pulmo-Aide is the only approved compressor for use with TOBI (tobramycin solution for inhalation). The DeVilbiss Pulmo-Aide is unmatched in quality and performance.
 
Product Highlights
 
Maximum compressor pressure - 35 psig or greater
Compressor free air flow - 9 lpm or greater
Longest lasting compressor on the market with an average product life of ten years
Metal frame motor construction
Unique four-pole motor design extends life of the unit
Large built-in compartment for storing nebulizers and tubing
Built-in nebulizer holder
Five-year-warranty
 
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scanboyd

Member
FYI


LC® Plus Reusable Nebulizer

The gold standard in reusable nebulizers delivering fast, efficient treatments and optimal particle size.
Part No.: 022F81
NDC No.: 83490-0220-28
HCPCS Code: A7005


Performance data

PARI LC®  Plus Performance1
Total Output Rate (TOR) = 440 mg/min
Mass Median Diameter (MMD) = 3.8 µm
Percentage Respirable Fraction (%RF) = 65 %
Average Treatment Time (ATT) = 6-7 min
The Difference is in the Delivery

PARI Reusable Nebulizers vs Respironics Sidestream® Plus

Drug Delivered to the Lungs2

Respirable dose delivered (RDD) is the total dose of drug available for inhalation within the respirable range of 1 to <5µm.

Drug Delivered to the Lungs per Minute2

Respirable Dose Delivery Rate (RDDR) indicts how much drug deposits in the lung and how fast it deposits. A larger RDDR indicates more drug delivery to the mid or lower airways per minute.

 
1Tested with a 1.2 bar compressor.  Measured with Malvern MasterSizer X at 50% relative humidity, 0.9% NaCl solution, inspiratory flow 20 liters/minute, continuous nebulization, 23° C, fill volume 2.5 ml.
2A.N. Weigand, et al. Using RDDR to Compare Delivery Efficiency of Three Commercially Available Breath-Enhanced Nebulizers with Budesonide. American College of CHEST Physicians. October 2008.
*All registered marks and trademarks belong to their respective companies.

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R

robert321

New member
I don't know about everyone else but I've never had a nebulizer compressor last long enough to need to replace the filter in it more than once. It seems like I toast one about every 18 months, but insurance will pay for one once a year. They're cheap built, quite honestly no more than they are I don't understand why they are so expensive. It can't possibly cost more than about $10 to build them It always seems like when they go bad they do it suddenly so I keep an old one around for when it does. It will have been long enough in a couple of months to get a new compressor, I think I'm going to shoot for a mobilaire this time around. Everyone says they are a beast of a machine. Then hopefully it'll be the last one I need for a good while and next year when I can upgrade I can get a portable <img src="i/expressions/face-icon-small-wink.gif" border="0">
 
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Incomudrox

New member
I like my Inspiration Elite from Phillips Respironics. So much faster than the junk that is PARI Pro Neb Ultra. It's also better looking.. I think.
 
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Hardak

New member
Pulmo-Aide for the win, I've got 2 that are pushing 20 years old and they keep trucking right along.
 
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saveferris2009

New member
And once again, just because it turns on doesn't mean it's giving you the proper dose of medication.

Just because the neb cup is empty, doesn't mean your lungs received the medication.

Blows my mind how many people may not be getting the medication they think they are .... what a waste of possible time, money and effort
 
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