How to use ventilator for stacked breathing

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Bill38
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How to use ventilator for stacked breathing

Postby Bill38 » Wed Mar 23, 2016 8:02 pm

Hey Lou. Met with you this week. Need help with ventilator assisted stack breathing. Re using mouth piece on vent hose.

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lousaporito
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Re: How to use ventilator for stacked breathing

Postby lousaporito » Thu Mar 24, 2016 8:50 am

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 holding all the air they are currently capable of. If you are already using a ventilator, it can be used instead of the bag by simply adapting a mouth piece, like one from a nebulizer kit or the preferred 15 mm angled one made by Phillips/Respironics,but the ventilator needs to be in volume mode. You then just hold as many stacked breaths as you're able to until full, then release the air and repeat the process several times. I hope this was helpful and welcome to the forum.
Lou Saporito BA,RRT
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Technical Director, Center for Ventilator Management Alternatives

Bill38
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Re: How to use ventilator for stacked breathing

Postby Bill38 » Thu Mar 24, 2016 8:57 am

How do we access volume mode on Trilogy? Under mode I see AC.

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lousaporito
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Re: How to use ventilator for stacked breathing

Postby lousaporito » Thu Mar 24, 2016 10:07 am

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 changes. Lou Saporito
Lou Saporito, BA, RRT
Technical Director, VentilaMed BreatheNVS
Technical Director, Center for Ventilator Management Alternatives

Bill38
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Re: How to use ventilator for stacked breathing

Postby Bill38 » Thu Mar 24, 2016 7:36 pm

Thank you for your advice. We had a visit from our home care provider. He has worked with Dr. bach before and will be in touch. (Rick Rogers) the use of the vent for stacking is easier than we thought. The vent provides the input, Bill the exhale. Good numbers.

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Re: How to use ventilator for stacked breathing

Postby Bill38 » Tue Apr 19, 2016 3:33 am

Need to know when stacked breathing, using mouth piece on ventilator, do I exhale back into hose or remove mouth from mouthpiece and exhale forcefully away from hose?

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Re: How to use ventilator for stacked breathing

Postby bachjr » Tue Apr 19, 2016 11:00 am

When you air stack you exhale into the air (around the mouthpiece or release it) and force is unnecessary. Just exhale naturally.
John R. Bach MD
Medical Director, VentilaMed BreatheNVS
Medical Director, Center for Ventilator Management Alternatives
Professor of Physical Medicine and Rehabilitation, Professor of Neurology, Rutgers New Jersey Medical School

Bill38
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Re: How to use ventilator for stacked breathing

Postby Bill38 » Tue Apr 19, 2016 11:29 am

Seem to be having readings 77 to 93, depending on physical exertion. Stacking 3 x a day. Could this be reason I am feeling weaker?

Bill38
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Re: How to use ventilator for stacked breathing

Postby Bill38 » Tue Apr 19, 2016 8:21 pm

Extreme nasal congestion every morning. Takes about two hours to clear. Local doc returned my call on Mon. At 6 pm, said he would order a steroid nasal spray. Guess what it is Tues. 8 pm, no order yet and tomorrow Weds, office is closed. My wife wants to try petti pot. We are not sure if I can handle it. We will call him again in am. Office may be able to reach him.

Bill38
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Re: How to use ventilator for stacked breathing

Postby Bill38 » Tue Apr 19, 2016 8:44 pm

Meant neti pot, not petti.


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