Safer Nebulization of the COVID-19 Patient
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- čas přidán 5. 04. 2020
- In a recent video we demonstrated how to set up a system that reduced the amount of aerosol released during nebulization of suspected COVID-19 patients. In this video we correct an oversight that we recognized when we tried to use multiple sized masks with our mask, viral filter, nebulization canister and tubing.
- Věda a technologie
nebulizing colloidal silver helped me thru covid immenseley
How many drops of silver did you use for this nebulizer cup? Thanks for sharing?
This is a great idea to help keep those around the patient safer.
Dr. Mellick, this is my daughter's CZcams account but I used to be one of the FBI guys who trained with you at MCG. Thank you for teaching us! Retired in September and returned to EMS management in Tuscaloosa. I frequently forward your videos to my troops. Please keep up the great work.
Addison Esslinger That is so neat to hear from you. I thoroughly enjoyed those days of working with you guys. I still wear my 511s all the time and my FBI academy sweatshirts at times. Congratulations on your “retirement”!
We've been using the adapter piece for quite a while in EMS for running an inline neb with BVM. I think it is something that can be easily made with a 3D printer instead of ordering from a manufacturer/supplier. Have you tried attaching the setup with a CPAP mask so you can be hands free from the pt if necessary?
Could you provide us with any further details about "these connectors"? What are their technical name, if I were to search for them on a medical component site?
What is the Metric size for the adapter, and also the brand name of the viral filter please... thanks for this helpful video!
Ehy unit use standard nebulizer masks vs the BVM masks? Fit around the face or why
Great video
Thank you so much!!!
Hey Dr, why not try a pedi or adult trach mask? It’s has the connections at the bottom and then just add the birdie adapter.
Good info in this video even though I'm not a respiratory person. Great music because I know you composed it! Jim
Thanks Jim, actually I don't have to do my own music anymore, because canned music became more available.
Thanks Prof Larry.
You are welcome!
I am a paramedic in rural Pennsylvanians. The adapters come in two sizes. 10id to 15od. And 15id to 22od. They are using the 15mm od one has it will fit most commercial mask and also fit on ET tubes. We use a cpap system that is directly compatible with our neb t's. So we don't have to use adapters.
Thanks for the tip
Great. I didn’t know they had viral filters. Supervising that the patient keeps it on their face is key.
Agree!
Are those 15mm adapters? They look what we carried for a in-line BVM/neb set-ups.
I think so, but not sure.
As an Asthma patient, I hope those are the spill proof nebulizer cups. I like the spill proof when I am sick. That way I can recline and take my Albuterol and Ipratropium Bromide.
Lol. I don’t think you’re going to care about reclining if you’re an asthmatic with Covid. I’d be more concerned about living
Stacey 808 true but, laboring to breathe takes a lot out of you. I know from experience. with Covid patient you are right. The albuterol will not provide much relief.
Hello sir I have a question is budicort 0.5 is reuseable like I open the bottol and I use half of this so can I use it tomorrow
it generally isn't recommended to save an ampule that has been opened for later use due to the possibility for contamination. The wet environment provides a home for germs, which will soon be inhaled directly into the lungs. Not ideal.
Then again, it is reasonable to ask how risky it really is. Do you routinely clean and sanitize your hoses and mouthpiece and medication cup? Do you dry your equipment after use? If not, the breeding ground probably already exists in places other than the unused medication.
Also, another thing to consider is the burden medication waste puts on you. Does it mean you are significantly less able to afford your medication? Does it mean you have to get your medication more frequently? Do you have easy access to the pharmacy? Non ideal medication is almost always preferable to no medication, so if it means you won't be taking the medication if you don't reuse, you should reuse.
Also, talk to your pharmacist or doctor about this issue, people on the internet don't know you or your situation, they can't give great advice for you.
I was wondering if the nebulizer works
So what did you put in the Nebulizer?
There are many drugs that can be put in the nebulizer.
What is the disease to be treated?
Each disease (asthma [exacerbations], COPD [exacerbations], cystic fibrosis, bronchiectasis, bronchitis, etc.) has its own drugs.
Terrific idea to how one can save more of the aerosol as it's going into the patient. He/she can then receive all of the medicine to breathe!!
Yes, that is exactly what happens.
Add 1 drop of 5% Lugols iodine + 1 drop of 1%-2% Food Grade Hydrogen peroxide, twice a day & watch the lung infections disappear in 24 to 72 hours
Holi Yo sounds fantastic! I’ll definitely try it!! Thanks😀😀
Study after study has proven that only about 10% of the mediation gets delivered via Hand Held Nebulizer. Even with the specialty breath actuated nebulizers, the parentage only improves marginally. The vast majority is ventilated to the atmosphere. The drug and device manufacturers have taken that into account decades ago, hence the huge dosage difference between nebulizers vs metered dose inhalers. If you want about 80% delivery, use a MDI with spacer and proper technique.
On a side note in this time of pandemic, a virus will very happily float around the room attached to exhaled particulate aerosol for someone else to inhale.
@@wintermoon5194 It means Metered Dose Inhaler.
Genius. Patent it quick.
Where can we get a hold of those virus filters? Our hospital refuses to give our son a nebulizer treatment because of the aerosol. We have requested they treat our son with budesonide but they refuse. Once I showed them your video they quickly claimed they do not have the adapters or the virus filter.
I'm not sure where you live, but if they have ventilators, these filters are used commonly. Additionally, all of this equipment is very easy to obtain and is actually pretty standard. Is this respiratory therapy telling you this. Something isn't making sense or someone is just being lazy. (Don't quote me to them.) :-)
Actually the RT supervisor said she was very amazed with your video and how simple it was, but one of the Hospitalist is the one claiming they do not have the adapters and filters readily available. Honestly I think he did not know what I was talking about.
I am in a small Texas Border town about 150 miles from San Antonio.
@@ajasso76 I think respiratory therapy should have this equipment. Here is another video that may be helpful. czcams.com/video/l9Rxn6rxrS4/video.html
@@ajasso76 if in case you need there is a new invention AerosoLessmedical.com
Hi
Can we use same nebulizer which was used in covid patien to normal patient with a new nebulizer mask?
Sanitize the parts in boiling water. Don't melt the plastic though, watch carefully. Perhaps spritz with hydrogen peroxide afterward. Then rise with clean water. I am not a doctor, but I have done this many times.
A nebulizer used by one patient (regardless of whether he/she has covid-19) should not be used by another patient.
But if a patient MUST use a nebulizer used by another patient, the nebulizer must be cleaned very carefully.
I would not advise it but new
FYI Anesthesia will have the straps that go on that! A CPAP Mask and/or strap would also work.
Good point. Thanks!!
Nebulizers are god sent!!! Totally love nebulizers!!! Helps my lungs when I have dry or tight lung congestion...
What do you use
I agree with you.
Thanks Cece, I got prescribed one today. I have been sick 11 months, I hope it helps.
Thank you Professor
This should be done in negative pressure room?
Yes, that would be ideal.
And disinfectant spray. We have fumigations and disinfection going on in all the streets.
Least death rates and 400 recovered and with limited resources.
Only Hydroxycloraquin and antiallergy rinitidine as soon as someone test positive, paracetamol only for high persistent fever Sos.
Good plumbing job
🤣🤣🤣
If you're old enough and not severe enough to do without a mask, I have found that simply putting the normal mouth piece end at my nose and breathing through my nose works just fine. I observe when I breathe in through my nose, there is no vapor coming out the other end. Just the same as if I was using the mouth piece in my mouth.
I use the nebulizer and 3% hydrogen peroxide to get rid of this latest illness that I'm not allowed to talk about on CZcams. I actually posted a video about it and it was promptly removed by CZcams.
CZcams needs to go out of business
I suggest you read from peer reviewed articles that are medically sound advice such as CDC's Toxic substance data sheet for Hydrogen peroxide no matter what grade your using. And especially if nebulized into small particles into the lung linings. Educate yourself before nebulizing hydrogen peroxide. Souce: I work in Pulmonary and any grade hydrogen peroxide used in a nebulizer no matter how diluted is caustic to your lungs and can cause pulmonary fibrosis.
www.atsdr.cdc.gov/toxfaqs/tf.asp?id=305&tid=55
@@meme-yc4ks The same CDC that stated that wearing a mask was completely useless in helping stop the spread, but have now done a 180 and states that ANY covering, especially layered covering, will dramatically reduce droplets(which is common sense)...They’ve lost my trust.
YES! That peroxide & distilled water mixture in a nebulizer works wonders for colds, flu or plandemic19. Been using it for years!! I only go to doctors if I need surgery.....so far so good. If they aren't naturopaths, I don't go because our country is focused on illness and disease and not prevention....because they want money more than they want healthy people. I'm almost 50 and not on any kind of meds and I'll keep doing my natural remedies because they work. They are killing us with food, toxic water and liver toxic prescription meds.
@@meme-yc4ks thanks for the heads up. Protocol I found is: "A solution of 250 cc of normal saline was mixed with 3 cc of 3% hydrogen peroxide providing a final concentration of 0.04% hydrogen peroxide."
I had a patient that was tagged as PUI. Hospital did not allow us nebulize the poor patient and only to suction as needed. Patient had stroke, dysphagia, suffered from aspiration pneumonia. Days after patient death result came and tested negative for covid.
I felt sooo bad as a hcw. We were restricted on treating these patients. How many more will suffer because of this pandemic. Let this be over please.
Seriously, it's no less than murder.
I absolutely concur with u but just no traci its not a pandemic its a PLANDEMIC!!!
It's called moral burnout. I'm there. Currently on disability as a longhauler and was one of those who didn't get care. I can write a book...but won't do it here. Just want to say....yup. I have too much of a conscience and ethical integrity to work in this system. This is anti human, anti life, and I stand with the American Frontline Doctors and FLCCC.
Ivermectin wins,. EVERY time.
@@jac1161
Where do you get it? Don’t think pet shop are selling them now. Too much wave about it.
When using mask do you normally breathe in and out of your mouth? Or in thru nose out thru mouth? Thank you
Both, since Coronavirus can be in both your mouth and nose. If nose is plugged, breath through mouth, vapor will get up there, just not as much. Try lying on bed, hang head over edge to get gravity helping you get the vapor down into nasal passages.
The aerogen is great for nebulize treatment
Hi, Will nebulizer help covid patient
Yes, if they are having bronchospasm.
Got a sprained ankle? Sure, I recommend Albuterol.
I was using metered dose inhalers, then I got a spacer, which helped. Now I got prescribed a nebulizer today. I had Covid 11 months ago, but I now have pulmonary fibrosis, and I still have an abnormal CT. So apparently, yes, it is easier to get the medication deeper in your lungs. My Covid pneumonia affects the bottom of my lungs. Very hard to get the medication in the lungs with a standard metered dose inhaler. Just speaking from my own experience of course.
@@jessicah3450 I hope you get well very soon!!!
@@jessicah3450 you use only nebulizer or antibiotic too?
Why don't I hear about this on the news?
Because they lie and don't want anyting as a cure except the vaccine by Bill Ga tes. Too much $ to be made
Same question I ask! I’m lucky my mom had it around to use. I tested positive for it and day 7 became a nightmare. My local doctor’s advice I use an inhaler and not go to Emergency unless my nose turns blue or purple. The nebulizer has made it so much manageable. 2020 has taught me two things trust no one with this virus! 2nd not even doctors are not up to date to take care of you!
Nebulisers are good for asthmatics and prescribed for them by drs. Of course it would be good for covid (a lung based issue) idk what the negative comments are talking about.
plz..if i have a nebulizer at home, what should i use through it?? and how to use hydrogen peroxide or lugal iodine?
Duh THIS IS NOT A NATURAL HEALTH CHANNEL
I figure just stay at home, it would be the best way to get through it.
راح اتصل بالدكتور العائلة. واتذكر اعطاني مقادير ال مادة السيلين الي بتنحط بالجهاز. راح ارجع اكتب الك المقادير هنا. وانشالله تستفادين منها. تحياتي الك.
I just noticed that my Safari browser is acting up so my comments aren't being posted. Another nice video! (From Chrome) I'm being dragged towards replacing my old reliable Mac..... I'll use a quill pen and write you a response on linen paper...
Hah! Thanks!!
Dr, Which medicine we should use in nebulizer .? Which medicine is best ? Thanks you ......
Albuterol, Ipratropium, budesonide, etc. All of these can be delivered with this format.
@@lmellick Thank you so much..
@@lmellick Dr. which medicine can be used for kids under 2 Years old.?
Nano silver water works really really well.
@@lmellick some doctors have success with diluted hydrogen peroxide; have you tried it?
There have been many studies and although not in peer review yet...The science is basic when it comes to aerosolizing and Covid-19. This does indeed aerosolize your exhaled lung volume..... *WHY* put anyone else at a greater risk and just not use a nebulizer in the first place?? Why wouldnt you just use an MDI? Or ask the question if Covid-19 even require the pt to need a bronchodiolator in the first place?
MDIs are in short supply. Our hospital is already running out of them. Again, we need to be thinking of all options!
@@lmellick I work in Pulmonary here. Ours are out of MDIs as well. But we do know full well that using SVNs do aerosolize exhaled lung volume. The data is not there as peer reviewed of course, but as WHO and other studies are saying now any aerosolized TX (bipap, vent, HFNC) be treated as more dangerous and be considered an airborne precaution and negative pressure room. Of course we both know we are out of those rooms. I would say just as a precaution do not order nebulizer treatments at all. I have not personally seen any relative effect from these covid-19 patients and bronchodiolators anyhow. At least that is what our team is doing currently. Stay safe!
Does early hospitalization of a patient who has chronic lung problems helps the covid not to get worse during the following days or not, also why are doctors who get infected dying when they work in hospitals and know the protocols and are more aware of what's coming . Is it because there is no vaccine and no way of telling how each patient will react whether sooner or later
It’s a bio weapon
It's not smoke, it's vapor :)
Believe in Jesus Christ and you will be saved, John 3:16, KJV....
Tell that to the cancer patients fam
Those cancer patients will be saved, through rapture or whatever god has planned for them.
@@lightningwilliams1337 except for the ones he’s allowing be sent to hell, right?
@@kr50401 yes.
You mean Annunakis.
There is a lot of chatter voices in the background that disturbs hearing for the elderly!
Specifically what are you referring to that disturbs hearing of elderly? Thank you.
It's an active ER, nothing you can do about background talking and noise.
Hindi
Please take your ring of when working in a hospital! No watches, rings or fake nails on hospitalworkers, hidingplaces for bacterias and viruses !
Speaking as a student in the UK, most hospitals allow a wedding band without a stone or engraving as they can be cleaned when hands are cleaned
Try not having a watch as a paramedic too - nurses fobs are easily dropped when working upside down in car nor are they luminous.
Cicci C What an arrogant comment! Please think twice before you comment something totally unrelated to the video. No one cares about your opinion about watches, rings, ect. Do your own thing, and mind your own business!
Thanks for the video anyways!
Everyone treating me has fake nails and it is so cringy, I know the stuff that grows on those 😖
As a pharmacist who prepared ivs we were prohibited from from entering work with a ring on. Some of the female pharmacy employees , under the previous policy of removing the ring before preparing iv solutions were caught under the previous policy , not removing their rings so, NO rings at work!,
W T F is this