Search found 18 matches

by lousaporito
Sat Mar 04, 2017 10:15 am
Forum: General Discussion About Noninvasive Ventilatory Support (NVS)
Topic: Equipment for neuromuscular respiratory care
Replies: 1
Views: 1932

Re: Equipment for neuromuscular respiratory care

Yes they are available, try Ferraris Medical for info online
by lousaporito
Fri Jan 20, 2017 4:58 pm
Forum: Spinal Muscular Atrophy (SMA)
Topic: PROBLEM WITH THE NOSE (urgent)
Replies: 2
Views: 1282

Re: PROBLEM WITH THE NOSE (urgent)

Hi, Welcome to the forum. Don't know your complete situation but if you're using a ventilator you should be using a heated humidifier. You can also use a nebulizer with normal saline through the vent circuit to deposit mist into the nose then follow by use of cough assist.
by lousaporito
Wed Nov 30, 2016 3:32 pm
Forum: Amyotrophic Lateral Sclerosis (ALS)
Topic: Ideal ventilator settings for ALS and follow up
Replies: 4
Views: 3544

Re: Ideal ventilator settings for ALS and follow up

Thank you so much. And by the way: under which conditions do you consider end-tidal CO2 to be a reliable surrogate, e.g. normal A-a difference; During normal spontaneous breathing, an un-impaired adult will have an EtCO2 that is 3-5 mmhg less than a concurrent arterial CO2 due airway dilution. The ...
by lousaporito
Sat Sep 10, 2016 9:08 am
Forum: General Discussion About Noninvasive Ventilatory Support (NVS)
Topic: What are the pieces I need for using Ambu bag air stacking?
Replies: 9
Views: 3661

Re: What are the pieces I need for using Ambu bag air stacking?

Hi Vin, All Ambu bags have a 22mm OD output and can connect to a piece of 22 mm corregated tubing to which a mouthpiece with a 22mm end is added. The easiest way to get these 2 items is to get a nebulizer set which usually contains a mouthpiece and 6" piece of tubing, as you mentioned the same...
by lousaporito
Tue Aug 16, 2016 1:44 pm
Forum: Duchenne Muscular Dystrophy (DMD)
Topic: Swallowing
Replies: 1
Views: 1136

Re: Swallowing

Hi Chuck, I usually recommend increasing the vent rate during a meal so that the user doesn't have to wait long for the vent to deliver a breath after chewing and swallowing then " catching his breath " when going back to the mouthpiece. Also hyperventilation at the higher rate can allow ...
by lousaporito
Sun Jul 31, 2016 9:33 am
Forum: Off Topic
Topic: Welcome to The BreatheBB Forum!
Replies: 23
Views: 15567

Re: Welcome to The BreatheBB Forum!

Hi Simon and welcome to the forum. Your VC is the amount of air you can exhale after a maximum deep deep breath without mechanical assistance or frog breathing. VC + air stacking by which ever method works best is called Maximum Insuflation Capacity or MIC. Your Mic of 1.7 L is not bad but you shou...
by lousaporito
Thu Jun 23, 2016 6:44 pm
Forum: Post-Poliomyelitis
Topic: Ambu bag
Replies: 1
Views: 1280

Re: Ambu bag

Without a picture of your bag I can't be sure but tubing attachments are for adding oxygen which is rarely needed and these can be removed without affecting the basic function of the bag which is to provide manual ventilation in the event of a ventilator malfunction if you are very dependent and/or...
by lousaporito
Tue Jun 21, 2016 6:13 pm
Forum: Post-Poliomyelitis
Topic: Air travel with vent
Replies: 2
Views: 1842

Re: Air travel with vent

Unless regulations have changed recently you should be able to fly with the LTV Sprint pack but to be certain you should check with Airline and also carry a letter from your Dr
Lou Saporito BA, RRT
by lousaporito
Tue Jun 07, 2016 9:04 am
Forum: General Discussion About Noninvasive Ventilatory Support (NVS)
Topic: What is maximum insufflation capacity (MIC)?
Replies: 5
Views: 3374

Re: What is maximum insufflation capacity (MIC)?

Start the conversation by showing your dr the conversation here but don't be surprised if met with skepticism or complete opposition especially if they're a Pulmonary Dr since they've been trained to a a avoid high airway pressures which can damage diseased lungs. You need to point out that you don...
by lousaporito
Wed Mar 30, 2016 5:35 pm
Forum: General Discussion About Noninvasive Ventilatory Support (NVS)
Topic: What is maximum insufflation capacity (MIC)?
Replies: 5
Views: 3374

Re: What is maximum insufflation capacity (MIC)?

Maximum insufflation capacity (MIC) is the maximum volume of air that the glottis can hold after air stacking. It is commonly performed by using an ambu bag to deliver a maximum volume of air above a patient’s vital capacity. Then, the volume is measured with a spirometer. Routine MIC measurements ...
by lousaporito
Fri Mar 25, 2016 9:03 am
Forum: General Discussion About Noninvasive Ventilatory Support (NVS)
Topic: CMT & Cough Assist - Oximeter
Replies: 2
Views: 2876

Re: CMT & Cough Assist - Oximeter

Hi Michael and welcome to the forum. An oximetry reading of 92 while awake is definitely abnormal, even 94 is not quite normal, 95 and above is normal unless she was previously diagnosed with a chronic lung condition such as COPD. If she appears to be struggling to cough then it is most likely due ...
by lousaporito
Thu Mar 24, 2016 10:07 am
Forum: Post-Poliomyelitis
Topic: How to use ventilator for stacked breathing
Replies: 9
Views: 2500

Re: How to use ventilator for stacked breathing

You may already be set on volume but you can check by pressing the up button then select Menu, scroll down to Settings and alarms, select and your settings are displayed, look for Tidal volume, ie: 800 cc. You should ask your home care provider for help if you have difficulty checking or making any...
by lousaporito
Thu Mar 24, 2016 8:50 am
Forum: Post-Poliomyelitis
Topic: How to use ventilator for stacked breathing
Replies: 9
Views: 2500

Re: How to use ventilator for stacked breathing

Hi Bill? Dr Bach and I would have evaluated and trained you in air stacking during your clinic visit. I usually use an "Ambu Bag" with a mouth piece to deliver a sequence of breaths which I would ask you to hold, one on top of another, to "Stack" them until your lungs are holdin...
by lousaporito
Mon Jan 25, 2016 9:00 am
Forum: Other Myopathies and Muscular Dystrophies
Topic: Sleep study just done
Replies: 1
Views: 1519

Re: Sleep study just done

Hi Eileen and welcome to the forum. We generally do not recommend sleep studies or polysomnograms as they are technically known, but since it was done it could be helpful to know about the results. A more useful study is to measure just Oxygen and Carbon Dioxide during sleep. Oxygen always is but c...
by lousaporito
Fri Jan 22, 2016 8:53 am
Forum: Post-Poliomyelitis
Topic: Flu with mucous in chest (with vaccine-associated polio)
Replies: 1
Views: 1489

Re: Flu with mucous in chest (with vaccine-associated polio)

Hi Beth, I spoke with you and your dad by phone a few days ago and if your O2 sat on room air is still in the same range you are doing ok. Adequate fluid intake will help with difficult to clear secretions and expectorants are rarely needed, in fact sections that are too thin can actually be more d...
by lousaporito
Sun Jan 03, 2016 3:20 pm
Forum: Other Myopathies and Muscular Dystrophies
Topic: Mitochondrial myopathy
Replies: 2
Views: 1772

Re: Mitochondrial myopathy

Hi, our primary focus as the site name is breathing which if abnormal due your Dx can be a major problem , so you should have your breathing function evaluated at a recommended center available on this site. Lou Saporito RRT
by lousaporito
Wed Dec 02, 2015 7:00 am
Forum: Duchenne Muscular Dystrophy (DMD)
Topic: Is there an easier way to use the mouthpiece?
Replies: 3
Views: 2000

Re: Is there an easier way to use the mouthpiece?

If your mouth is strong enough to maintain a reasonable seal then the mouthpiece can be held within reach using a flexible metal or plastic support arm such as a microphone support arm available at stores like Radio Shack or Musical equipment outlets. LS

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