Name of the Procedure:

• Common Name: Disposable Corrugated Tubing
• Medical Term: Corrugated Tubing for Large Volume Nebulizers (HCPCS A7010)

Summary

Disposable corrugated tubing is used with large volume nebulizers to deliver a continuous supply of medication in mist form directly to a patient's lungs. This tubing is 100 feet long and is designed to be used once and then discarded to prevent infection.

Purpose

Corrugated tubing is essential for the administration of aerosol therapy in patients with respiratory conditions. It ensures the effective delivery of medications to improve lung function, reduce symptoms, and prevent complications associated with chronic respiratory diseases.

Indications

• Chronic Obstructive Pulmonary Disease (COPD)
• Asthma
• Cystic Fibrosis
• Bronchiectasis
• Pneumonia
• Any respiratory condition requiring aerosolized medication

Preparation

Patients may not need specific preparation for using disposable corrugated tubing. However, healthcare providers must ensure the proper setup of the nebulizer system. Periodically monitoring the device's functionality and replacing the tubing as specified can maximize treatment efficiency.

Procedure Description

1. Setup: The healthcare provider connects the disposable corrugated tubing to the large volume nebulizer.
2. Connection: The other end of the tubing is connected to the patient interface, typically a mask or mouthpiece.
3. Medication Delivery: Medication is placed in the nebulizer chamber, and the device is turned on to aerosolize the drug.
4. Patient Use: The patient inhales the aerosolized medication through the mask or mouthpiece.
5. Disposal: After usage, the corrugated tubing is carefully removed and disposed of according to medical waste protocols.

Duration

The preparation and setup process takes only a few moments. The actual nebulization session typically lasts between 10 to 20 minutes, depending on the volume of medication prescribed.

Setting

This procedure is usually conducted in hospitals, outpatient clinics, or in the patient’s home.

Personnel

• Respiratory Therapists
• Nurses
• Physicians or Specialists in Respiratory Medicine

Risks and Complications

Using disposable corrugated tubing minimizes risks of infection. However, improper disposal can lead to cross-contamination, bacterial growth, and respiratory infections. Ensuring correct usage and disposal protocols mitigates most risks.

Benefits

Patients can expect improved lung function and relief from respiratory symptoms shortly after treatments. Regular usage of well-maintained equipment can greatly enhance a patient's quality of life.

Recovery

There is no significant recovery period required post-nebulization. Patients can generally resume their normal activities immediately but should follow their health provider's recommendations for ongoing respiratory care.

Alternatives

Alternatives include:

• Metered-Dose Inhalers (MDIs): Portable and easy to use but may not deliver as much medication as nebulizers.
• Dry Powder Inhalers (DPIs): Also portable and effective but require adequate inhalation technique. Each alternative has its own benefits and may be more suitable depending on the patient's ability to use the device properly and the required medication dosage.

Patient Experience

During the procedure, patients typically feel a cool mist and may experience some relief from their breathing difficulties. Post-procedure, there should be little to no discomfort, and any side effects are generally related to the medication rather than the tubing itself. Pain management and comfort are usually not major concerns with this procedure.