Name of the Procedure:

Common name(s): Large volume nebulizer
Technical or medical term: Disposable, prefilled large volume nebulizer used with an aerosol compressor (A7008)

Summary

A large volume nebulizer is a device used to deliver medication in the form of a mist to the lungs. The device is disposable and comes prefilled with medication. It works in conjunction with an aerosol compressor to provide treatment for various respiratory conditions.

Purpose

The large volume nebulizer helps manage and treat respiratory conditions by delivering medication directly into the lungs. The primary goal is to improve breathing and alleviate symptoms associated with these conditions.

Indications

• Chronic Obstructive Pulmonary Disease (COPD)
• Asthma
• Bronchitis
• Cystic Fibrosis
• Other respiratory disorders that respond to nebulized medication

Patient criteria include individuals experiencing difficulty breathing, wheezing, chest tightness, or chronic cough that requires inhaled medication.

Preparation

• Patients should follow their physician's instructions regarding specific medication to be used.
• No special preparation like fasting is usually required.
• Ensure the aerosol compressor and the disposable nebulizer are clean and functioning properly.

Procedure Description

1. Setup: Attach the prefilled, disposable nebulizer to the aerosol compressor.
2. Starting the Device: Turn on the compressor to begin aerosolizing the medication.
3. Inhalation Therapy: The patient breathes in the medicated mist through a mouthpiece or mask for the duration of the treatment.

4. Completion: The session typically ends when the medication in the nebulizer is fully consumed.

   No anesthesia or sedation is needed as the process is non-invasive and painless.

Duration

The treatment session typically lasts between 10 to 20 minutes.

Setting

The procedure can be performed at home, in a hospital, outpatient clinic, or in a doctor’s office.

Personnel

The procedure is generally administered by the patient, but a respiratory therapist, nurse, or physician may provide initial instructions or assistance as needed.

Risks and Complications

Common risks:

• Mild throat irritation
• Dry mouth
• Slight tremors (depending on the medication used)

Rare risks:

• Allergic reactions to the medication
• Infections if the device is not properly sanitized

Benefits

• Rapid delivery of medication to the lungs
• Effective relief from symptoms like wheezing, shortness of breath, and chest tightness
• Improved breathing within minutes to hours after treatment

Recovery

• Patients can usually resume normal activities immediately after a nebulizer session.
• Follow any specific post-treatment instructions such as rinsing the mouth or cleaning the device.

Alternatives

• Metered-dose inhalers (MDIs)
• Dry powder inhalers (DPIs)
• Oral or intravenous medications

Pros of nebulizers: Suitable for patients who have difficulty using inhalers correctly.
Cons: Requires an electrical source and more time compared to inhalers.

Patient Experience

During the procedure, patients may feel a mist in their mouth and lungs as they breathe in. They might also notice a slight taste from the medication. The goal is to stay relaxed and maintain steady breathing. Comfort measures may include positioning adjustments and a reassuring presence from a caregiver if needed.