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(Clinical Trial), Evaluation of a Practice Change to Include The MetaNeb System to Reduce Postoperative Pulmonary Complications, 18 Years and older (Adult, Older Adult), Burlington, Massachusetts, United States, 01805, Charlotte, North Carolina, United States, 28203, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States, 19104, Significant Postoperative Pulmonary Complication Incidence [TimeFrame:Occurs within seven (7) days of the post-surgical admission will be considered a Significant Postoperative Pulmonary Complication], Requirement for invasive mechanical ventilation for > 48 hours within seven (7) days of the post-surgical hospital admission [TimeFrame:from the time of the post-surgical admission to the hospital unit until discharge from the hospital, up to 8 weeks], Requirement for respiratory support > 48 hours within seven (7) days of the post-surgical hospital admission [TimeFrame:from the time of the post-surgical admission to the hospital unit until time of discharge from the hospital, up to 8 weeks], Length of ICU stay during initial hospital stay [TimeFrame:Total days/hours until time of discharge from the hospital, up to 8 weeks], Length of hospital stay during initial hospital stay [TimeFrame:Time of admission until time of discharge from the hospital, up to 8 weeks], Readmission to ICU and transfers to elevated level of care for pulmonary complications during initial hospital stay [TimeFrame:during hospital stay, up to 8 weeks], Readmission to hospital [TimeFrame:30 days following discharge from the hospital], Time on Mechanical Ventilation [TimeFrame:total hours/days from the time of the post-surgical admission to the hospital unit until time of discharge from the hospital, up to 8 weeks]. Although PPCs are an incompletely understood multifactorial syndrome, atelectasis is recognized as a critical component. Add 20 mL of normal saline or hypertonic saline to the medication cup. IPV is a pneumatic airway clearance device that combines mist with high flow pressurized jets of air to the airway at a rate of 100 to 300 cycles per minute via a mouthpiece, artificial airway, or placed inline a ventilator circuit. While oscillating technology is essential to secretion clearance, RTs and other clinicians have a number of options for the way it can be done, as the following representative devices from Hill-Rom, Philips Respironics, Electromed, and Monaghan Medical Corp illustrate. Patient Requires Prolonged Mechanical Ventilation, Patient requires prolonged respiratory support for > 24 hours post-surgery, Diagnosis of Pneumonia Within Seven (7) Days, Readmission to ICU (or transfer to an elevated level of care) for pulmonary complications within seven (7) days of discharge. When you take into account all of the different devices you have to have at the bedside, we really want to find the best value for our healthcare teams and the patient, and we really feel that we have combined all three therapies into one device that is simple to use and easy to use, has a great interface, and, from an effectiveness standpoint, is combining all these tried and true therapies into one simple package.. According to Skarvan, the device has been prescribed to patients ranging in age from newborns to senior citizens. CPEP mode provides aerosol combined with continuous positive pressure helping with lung expansion. %%EOF https://assets.hillrom.com/is/image/hillrom/MetaNeb_ai0444_0078_shadow?$recentlyViewedProducts$, /en/products/request-more-information/?Product_Inquiry_Type=More%20Information&I_am_most_interested_in=Non-Invasive%20Respiratory%20Therapy&Product_Name=MetaNeb_System, hillrom:care-category/non-invasive-respiratory-therapy, hillrom:sub-category/therapy-oscillation-lung-expansion,hillrom:care-setting/acute-care, https://www.hillrom.com/en/products/the-metaneb-system/#overview-0, https://www.hillrom.com/en/products/the-metaneb-system/#educationdocumentation-1, MetaNeb System Controller close-up, front facing, An older patient in a hospital bed receives therapy from the MetaNeb system, his clinician nearby, A clinician with a gloved hand adjusts a control knob on the MetaNeb System Controller, A clinician with a gloved hand adjusts the MetaNeb Circuit, patient in background, A clinician connects the MetaNeb system to administer therapy to a patient who has been intubated, A clinician with gloved hands connects the MetaNeb system for use with ventilation, A young patient in a hospital bed receives therapy from the MetaNeb system, with help from her clinician, Chronic Obstructive Pulmonary Disease (COPD), Patients who need Post Operative Airway Management, Patients who need Emergency Room Airway Management, Introduces continuous high-frequency oscillation (CHFO) therapy immediately after lungs have been expanded through continuous positive expiratory pressure (CPEP), Integrates aerosol delivery of medications for maximum efficiency. (2020, March 2). 0000014570 00000 n The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. Often, patients who need Metaneb therapy are also on non-invasive support. The MetaNeb System has been shown to treat pneumonia, trauma, post-op, chronic respiratory conditions, and other conditions to improve respiratory status and reduce pulmonary complications. https://doi.org/10.1097/BCR.0b013e318257d83e. Study record managers: refer to the Data Element Definitions if submitting registration or results information. You add on top of that the nebulizer and you have that three in one benefit. A lung-expansion therapy, MetaNeb enhances mucus clearance and helps resolve or fully prevent patchy atelectasis. What is the Intrapulmonary Percussive Ventilation (IPV). As such, certain precautions must be taken (airborne precautions) when treating these patients. At the same time, the nebulizer is running throughout the entire therapy session. Information provided by (Responsible Party): To determine if a therapy regimen including treatment with The MetaNeb System has a positive impact on the rate of pulmonary complications that occur in high risk post-operative patients. 0000007907 00000 n A wealth of home building and renovating wisdom from years of experience. The Matter of Pressure- ETT Cuff Pressures, Catecholaminergic Polymorphic Ventricular Tachycardia: Recognize And Treat It Early, 4Ts versus 3Ls: heparin induced thrombocytopenia probability scoring, Docusate for Cerumen Impaction? With new emphasis on reducing and preventing hospital readmissions as a result of the Affordable Care Act, secretion clearance will undoubtedly play a key role in keeping patients from making repeat hospital visits. A., & Jones, S. W. (2013). The MetaNeb System combines lung expansion, secretion clearance, and aerosol delivery into a single integrated therapy sessionwithout having to switch between different devices. St. Paul, MN. All rights reserved. Metaneb is utilized for mobilization of secretions, lung expansion, and can be used for the prevention and treatment of atelectasis. It is designed to maximize treatment by combining three therapies in onevolume expansion, secretion clearance, and nebulizer therapy. One each from columns A and B. 2019;229(5):458-466. CT Imaging of the 2019 Novel Coronavirus (2019 . What you have with a patient who needs to have their airways clear are small microbursts of air that are attenuated through the airways, explained Sean Mellor, BSRT, RRT. Improve respiratory status and reduce pulmonary complications 1,2; The Vest Airway Clearance System and The MetaNeb System provide therapy using single patient use disposable wraps and circuits. Journal of burn care & research : official publication of the American Burn Association, 34(2), e112e115. All Rights Reserved. hb```c````e`jab@ !G#b.S.KusL7X:b6K*}z:q[hG[jAH60mFl&@HGGZdx2+00OdZFUU5Ed83mePp'ຣ@ 3I Webinar: MetaNebSystem OLE Therapy in the COVID-19 Pandemic. al. For general information, Learn About Clinical Studies. The study will be conducted in two stages. Meanwhile, Electromeds Skarvan advises clinicians to look for a device that fits the patients needs in order to improve their quality of life and reduce the number of their hospital visits. RT, _________________________________________________________________, C.A. Save my name, email, and website in this browser for the next time I comment. (2006). PURPOSE: The management of pulmonary complications of patients with chronic debilitation conditions such as cerebral palsy . Indications would be worsening oxygenation, increasing FIO2 and/or PEEP, evidence of lung collapse or mucus plugging, and/or retained pulmonary secretions in the absence of an effective cough. %%EOF Hospitalized COVID-19 patients are often in need of respiratory support.1. 0000027969 00000 n outcomes data with the MetaNeb System, the intended use of MetaNeb System therapy is for lung expansion and secretion clearance treatments regardless of etiology. The SmartVest is also used in acute care settings, where it is administered by RTs. trailer <]/Prev 63883>> startxref 0 %%EOF 70 0 obj <>stream MedTech 100 is a financial index calculated using the BIG100 companies covered in Complication, Journal of the American College of Surgeons (2019) 2 Restrepo R, Braverman J. Please remove one or more studies before adding more. In conjunction with mechanical ventilation, IPV has been shown to improve patients presenting with ARDS. 0000010608 00000 n Listing a study does not mean it has been evaluated by the U.S. Federal Government. doi: 10.1016/j.jamcollsurg.2019.06.004. A typical patient might be someone with cystic fibrosis, which required hand manipulating and pounding the chest area to break the mucus from the lung wall and allow the patient to expectorate it. %PDF-1.5 % Expert Rev Respir Med. Attention: Not all products/options are available in all countries. hb```B eaq]w,y{9 Y :Y-P%?: - Explore Hillrom's products and medical technologies across the health care industry. (2020). Nov 1, 2014 | Clinical, COPD, Cystic fibrosis, Monitoring & Treatment, Other Chronic Diseases, Therapy Devices |. Accept Read More. Simplify Clinical Communication & Collaboration. Talk with your doctor and family members or friends about deciding to join a study. Draining and monitoring of cerebrospinal fluid (CSF) flow from the lateral ventricles or lumbar subarachnoid space is indicated in selected patients to: Reduce intracranial pressure (ICP), eg, pre-, intra-, or postoperative. The study will be conducted in two stages. mitigate complications associated with secretion retention. Set CPEP 10-30 based on patient tolerance. The device begins by offering continuous positive expiratory pressure (CPEP) therapy, which helps expand the lungs, and then seamlessly moving on to the secretion clearance part of the treatment, which the company refers to as continuous high frequency oscillation (CHFO) therapy, at regular intervals. Metaneb is utilized for mobilization of secretions, lung expansion, and can be used for the prevention and treatment of atelectasis. Additionally, the CoughAssist T70 incorporates a new feature called Cough-Trak, which gives patients the ability to synchronize the treatment with their own breathing pattern for optimal comfort, explained Eli Diacopoulos, VP, general manager, Home Respiratory for Philips. Using the MetaNeb System During the COVID-19 Pandemic 1. 0000028659 00000 n If done in line with ventilation then the clinician can leave fragment in the CHFO mode. 2014:1-11. hVn6l1d'R$E[`Z.`$*Dq~w&:$:>E,b|qO4A3 The company supports the CoughAssist T70 with numerous training options, including videos, clinician guides, quick start guides, and continuing education programs. 0000034614 00000 n Start the rotator ring in easy mode (1dot) and adjust higher as patient tolerance allows. The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. 0000041216 00000 n A Comparison of High Frequency Chest Wall Oscillation and MetaNeb System for Airway Clearance in Tracheostomy Dependant Pediatric Patients Author: Aneela Bidiwala MD* Subject: CHEST, 150 (2016) 963A. The SmartVest SQL Airway Clearance System from Electromed is a wearable garment surrounding an inflatable air bladder and a programmable air pulse generator. The CoughAssist T70 clears secretions from the lungs by gradually applying positive air pressure (insufflation) to the airway and then rapidly shifting to negative air pressure (exsufflation). Copyright 2023 WTWH Media, LLC. Choosing to participate in a study is an important personal decision. 0000002608 00000 n Monitor CSF chemistry, cytology, and physiology. 0000003127 00000 n In studies of The CoughAssist T70 is designed for use with any patient unable to cough or clear secretions effectively due to reduced peak cough expiratory flow (less than 5-6 liters per second), resulting from high spinal cord injuries, neuromuscular deficits, or severe fatigue associated with intrinsic lung diseases. OLE therapy delivered by The MetaNeb System helps expand the lungs and mobilize secretions using Continuous Positive Expiratory Pressure (CPEP), and Continuous High Frequency Oscillation (CHFO). 0000006477 00000 n Pulmonary Complications in High-Risk Patients 2/26/2018 CHICAGO , Feb. 26, 2018 /PRNewswire/ -- A group of researchers have reported that aggressive treatment after surgery using the Hill-Rom MetaNeb System may reduce the incidence of post-operative pulmonary complications (PPCs) in high-risk surgical patients. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. https://assets.hillrom.com/is/image/hillrom/MetaNeb_ai0444_0078_shadow?$recentlyViewedProducts$, /en/products/request-more-information/?Product_Inquiry_Type=More%20Information&I_am_most_interested_in=Non-Invasive%20Respiratory%20Therapy&Product_Name=MetaNeb_System, hillrom:care-category/non-invasive-respiratory-therapy, hillrom:sub-category/therapy-oscillation-lung-expansion,hillrom:care-setting/acute-care, https://www.hillrom.it/en/products/the-metaneb-system/#overview-0, https://www.hillrom.it/en/products/the-metaneb-system/#educationdocumentation-1, MetaNeb System Controller close-up, front facing, An older patient in a hospital bed receives therapy from the MetaNeb system, his clinician nearby, A clinician with a gloved hand adjusts a control knob on the MetaNeb System Controller, A clinician with a gloved hand adjusts the MetaNeb Circuit, patient in background, A clinician connects the MetaNeb system to administer therapy to a patient who has been intubated, A clinician with gloved hands connects the MetaNeb system for use with ventilation, A young patient in a hospital bed receives therapy from the MetaNeb system, with help from her clinician, Chronic Obstructive Pulmonary Disease (COPD), Patients who need Post Operative Airway Management, Patients who need Emergency Room Airway Management, Introduces continuous high-frequency oscillation (CHFO) therapy immediately after lungs have been expanded through continuous positive expiratory pressure (CPEP), Integrates aerosol delivery of medications for maximum efficiency. (2020). 0000024185 00000 n al. 10. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media. The endstream endobj 166 0 obj <>>> endobj 167 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 648.0 864.0]/Type/Page>> endobj 168 0 obj <>stream No The MetaNeb System may be used in appropriate patients with an indication for airway clearance and/or lung expansion therapy. Unlike the former, manual approach, oscillation technology affords a more consistent, uniform, and gentle approach to secretion clearance. metaneb treatment on ventilator (-)should be ordered 6-8 times daily (1) remove blue selector ring & replace it with the black occlusion ring to make sure the exhalation orifice is blocked U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Similar to the IPV, Metaneb employs the same type of High Frequency Oscillatory action. 0000026667 00000 n Image from Lei et al. And then youre able to loosen it and bring it up through the airway. For further information, contact [emailprotected]. A variety of strategies have been shown to reduce the risk for development of post-operative atelectasis including lung expansion (LE) therapies. When treating many chronic respiratory diseases, one of the key elements of therapy is clearing lung secretions, which helps to minimize infections and to limit return hospital stays. Among its benefits for patients are its simplicity of use, portability, accessory options (oximetry accessory, remote control accessory, external suctioning accessory interface), and power management options (detachable battery, external DC battery, universal battery pack). 0 0000011922 00000 n To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Skarvan noted that in these cases it may be used as a preventative treatment to help keep hospital patientsincluding those who will be prone for long periods of timeclear of secretions and possible infections. to 10ft. Get in the know to get the most value out of your solution. Background: Metaneb intrapulmonary percussive ventilation device is utilized in pediatric patients as an airway clearance therapy used to clear secretions and promote lung expansion. NOTE: There is no need for CPEP as this therapy can be accomplished with the ventilator. The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. 0000023728 00000 n With the MetaNeb, you can seamlessly switch between recruiting an expansion of the lung, which is ultimately what patients need, to take a deep breath, through CPEP, and transition over to CHFO and pull those secretions from that expanded air space and clear their lungs, Mellor said. 509 0 obj <>stream F/ `X endstream endobj startxref However,SARS-CoV while still classified as a droplet, is estimated to travel anywhere from 6ft. Atelectasis and secretion retention in combination are major risk factors for those prone to alveolar collapse such as those with muscular weakness, patients on ventilators, and the pediatric population. Restrictive lung disease with recurrent atelectasis, Mechanically ventilated patients with atelectasis, Patient refractory to traditional bronchial hygiene methods, IPV/Metaneb both utilize High Frequency Oscillatory therapy in conjunction with aerosol therapy to facilitate secretions from smaller airways to larger airways where it can then be expectorated or suctioned. endstream endobj startxref Connect the MetaNeb. 0000003919 00000 n IPV utilizes short fast pressurized bursts of flow to deliver aerosolized medication to the airways and alveoli in efforts of lung recruitment and mobilization of secretions. The MetaNeb System is indicated for the mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and has the ability to provide supplemental oxygen when used with compressed oxygen. Chest high-frequency oscillatory treatment for severe atelectasis in a patient with toxic epidermal necrolysis. 0000005309 00000 n Hill-Rom reserves the right to make changes without notice in design, specifications and models. The MetaNeb System, offered by Hill-Rom, addresses post-surgical respiratory problems that can impair a patient's recovery. Intrapulmonary percussive ventilation (IPV) devices have been in use for more than 25 years and are used widely in the acute care, post-surgical, and homecare setting. Learn how your comment data is processed. Learn more about the Center of Disease Control and Society (CDC) of Critical Care Medicine (SCCM) guidelines. As with the MetaNeb, the SmartVests oscillations thin the mucus and then propel it to the larger airways where it can be expectorated or coughed out. Epub 2019 Jul 27. CHFO. The MetaNeb System Three therapies. It contains 10 distinct measures: Speech Salivation Swallowing Handwriting Cutting food and handling utensils (with or without gastrostomy) Dressing and hygiene turning in bed and adjusting bed clothes Walking Breathing Climbing stairs These 10 parameters are scored on a scale of 0-4, based on the patients' ability to perform tasks. Please do not continue treatment with an empty medication cup as this can cause irritation. Cytokinetics Enrolls 700 ALS Patients in Phase 3 Study of Tirasemtiv, Praxair Approved to Market Inhaled Nitric Oxide in Canada, aTyr Announces Phase 2 Study of SSc-ILD Drug, Mercks Keytruda Meets Primary Endpoint in Phase 3 Trial for Lung Cancer, Dynarex Accepting Applications for 2023 Scholarship Program, Bacteremia with COVID-19 More Deadly Than Known Risk Factors Like Age and Sex, Toolkit to Support Clinicians in Quicker Diagnosis of ILDs, RT: For Decision Makers in Respiratory Care. MetaNeb Therapy Effective: 07/20/2018 Revised: Continued next page MetaNeb Therapy Purpose The Meta Neb System facilitates mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis and also has the ability to provide supplemental oxygen when used with compressed oxygen. One device. Designed and Developed by Scimple Education, LLC for CriticalCareNow, This website uses cookies to improve your experience. I Sh*t You Not, Adrenal Crisis: Early Recognition and Management Save Lives, Prehospital Management of Traumatic Brain Injury, Differentiating Peak and Plateau Pressures, Sodium Bicarbonate for cardiac arrest: Time to put it away. We have designed our system to maximize the comfort and assure that it is easy to use, said Kathleen Skarvan, CEO of Electromed. Such devices provide both LE and airway clearance therapy (ACT) for patients with obstructive and/or restrictive lung diseases and conditions. As you percuss those secretions with the oscillation technology, that flow is disrupted across the surface area of the secretionthink of it as viscosityyoure almost beating the secretion up and making it more watery. In Stage I of the study, a retrospective review of medical records for post-surgical patients, who received STANDARD THERAPY as defined by current hospital and respiratory care department policies and procedures will be performed. 0000027091 00000 n 189 0 obj <>/Filter/FlateDecode/ID[<087C52A1184D40B4B8A759C2FEB6BFAB>]/Index[165 49]/Info 164 0 R/Length 112/Prev 857759/Root 166 0 R/Size 214/Type/XRef/W[1 3 1]>>stream Wolski is a contributing writer to RT magazine. https://doi.org/10.1148/radiol.2020200236, https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html, https://www.imperial.ac.uk/media/imperial-college/medicine/sph/ide/gida-fellowships/Imperial-College-COVID19-NPI-modelling-16-03-2020.pdf, https://doi.org/10.1016/S0140-6736(20)30183-5, https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html, Wear appropriate personal protective equipment (PPE) including, but not limited to an N95 fit tested respirator, gown, gloves, and face shield/eye protection, Follow cleaning and disinfection procedures promptly in guidance with hospitals protocols, Refer to facility specific Infection Control guidelines for full recommendations.