metaneb complications

When you take into account all of the different devices you have to have at the bedside, we really want to find the best value for our healthcare teams and the patient, and we really feel that we have combined all three therapies into one device that is simple to use and easy to use, has a great interface, and, from an effectiveness standpoint, is combining all these tried and true therapies into one simple package.. Many of these patients are spontaneously breathing, so are able to work directly with the RT. Metaneb has a fixed orifice while IPV has a sliding venturi which facilitates the oscillations. Site Map | Privacy Policy | RSS, Is Medtech really recession proof? Qaseem A, et al. Alternating between the cycles of CPEP and CHFO helps maximize therapy effectiveness when combined with aerosol therapy. Huynh TT, Liesching TN, Cereda M, et. When delivering therapy, caregivers should follow the CDC guidelines for treating patient when there is a risk of airborne transmission2. IPV utilizes short fast pressurized bursts of flow to deliver aerosolized medication to the airways and alveoli in efforts of lung recruitment and mobilization of secretions. %%EOF endstream endobj startxref . Set the percussion control knob (which ranges from 100-300 cycles a minute) to easy then increase until appropriate chest wiggle is noticed during exhalation. Add normal saline, hypertonic saline, and/or albuterol to the medication cup. 27 44 MassDevice is the leading medical device news business journal telling the stories of the devices that save lives. The therapy is well tolerated by stable patients and appears to offer an alternative in patients with chest wall compliance. hVn6l1d'R$E[`Z.`$*Dq~w&:$:>E,b|qO4A3 MetaNeb System therapy can be utilized to deliver treatment across various inpatient departments, including ED and ICU. Accept Read More. During the 10 minute session, be sure to alternate between CPEP and CHFO. The device used in the study was The MetaNeb System (Hill-Rom). Copyright 2023 WTWH Media, LLC. The MetaTherapy Treatment maximizes efficiency for patients and clinicians by combining lung expansion, secretion clearance and aerosol delivery into a single . One device. Similar to the IPV, Metaneb employs the same type of High Frequency Oscillatory action. Talk with your doctor and family members or friends about deciding to join a study. These therapies carry similar risk of airborne transmission. A new study suggests the device is having a real, measurable impact on recovery, especially for high-risk patients. Journal of burn care & research : official publication of the American Burn Association, 34(2), e112e115. The purpose of this prospective randomized clinical trial is to evaluate three different types of hyperinflation respiratory therapies, Intermittent Positive Pr. Designed by Elegant Themes | Powered by WordPress, Spirometry and Pulse Oximetry Enhance Blood Gas Analysis. endstream endobj 166 0 obj <>>> endobj 167 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 648.0 864.0]/Type/Page>> endobj 168 0 obj <>stream 0000014570 00000 n Huang et al. DeviceTalks is a conversation among medical technology leaders. The MetaNeb System, offered by Hill-Rom, addresses post-surgical respiratory problems that can impair a patients recovery. endstream endobj 473 0 obj <. Device: MetaNeb System Detailed Description Post-operative pulmonary complications (PPC) are associated with significant excess morbidity, mortality and healthcare expenditure. St. Paul, MN. (2018). Get in the know to get the most value out of your solution. metaneb treatment on ventilator (-)should be ordered 6-8 times daily (1) remove blue selector ring & replace it with the black occlusion ring to make sure the exhalation orifice is blocked Set the mode to . The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. Metaneb System. This in-exsufflation shift in pressure creates a high expiratory flow, stimulating a deep, natural cough. Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. 0000002608 00000 n Infection Bloody sputum (hemoptysis) 0 Medical Design and Outsourcing. Current challenges in the recognition, prevention and treatment of perioperative pulmonary atelectasis. hbbd```b`` "fH2"f'IQ xI{0Lr I`CA$i D2jIo _1 hb```c````e`jab@ !G#b.S.KusL7X:b6K*}z:q[hG[jAH60mFl&@HGGZdx2+00OdZFUU5Ed83mePp'ຣ@ 3I The SmartVest SQL Airway Clearance System from Electromed is a wearable garment surrounding an inflatable air bladder and a programmable air pulse generator. Patients who may benefit from The MetaNeb System include those with pulmonary atelectasis or secretions associated with the following conditions: *Therapy times may differ depending on patient needs and ordered therapies. All expected complications are typical in the post-operative cardiac patients and not unique to hyperinflation therapy. With any therapy, the key is to ensure quality of life and so we have uniquely designed our device with a single hose, which helps us accommodate a softer start and an active inflate and deflate. The MetaNeb System: A Guide to Clinical Outcomes (206762 rev 2). For further information, contact [emailprotected]. 0000027826 00000 n Put the master switch in the . 0000004719 00000 n The MetaNeb System has been shown to treat pneumonia, trauma, post-op, chronic respiratory conditions, and other conditions to improve respiratory status and reduce pulmonary complications. 2014:1-11. Information provided by (Responsible Party): To determine if a therapy regimen including treatment with The MetaNeb System has a positive impact on the rate of pulmonary complications that occur in high risk post-operative patients. ON. Efficacy of oscillation and lung expansion in reducing postoperative pulmonary complication. Health care providers must therefore take the same precautions5. While oscillating technology is essential to secretion clearance, RTs and other clinicians have a number of options for the way it can be done, as the following representative devices from Hill-Rom, Philips Respironics, Electromed, and Monaghan Medical Corp illustrate. The device can be used in a number of other scenarios including those patients who have tracheostomies or patients who are ventilator dependent. 0000029883 00000 n Meanwhile, Electromeds Skarvan advises clinicians to look for a device that fits the patients needs in order to improve their quality of life and reduce the number of their hospital visits. RT, _________________________________________________________________, C.A. With new emphasis on reducing and preventing hospital readmissions as a result of the Affordable Care Act, secretion clearance will undoubtedly play a key role in keeping patients from making repeat hospital visits. Your email address will not be published. Risk Assessment for and Strategies To Reduce Perioperative Pulmonary Complications for Patients Undergoing Noncardiothoracic Surgery: A Guideline from the American College of Physicians. The MetaNeb System is a device that delivers continuous highfrequency oscillation (CHFO) and positive expiratory pressure (CPEP) to facilitate pulmonary mucus clearance and provide lung expansion. Add 20 mL of normal saline or hypertonic saline to the medication cup. The handheld, lightweight, easy-to-clean device has been available for about 1 years for use both clinically and at-home by patients. A wealth of home building and renovating wisdom from years of experience. 472 0 obj <> endobj A lung-expansion therapy, MetaNeb enhances mucus clearance and helps resolve or fully prevent patchy atelectasis. Listing a study does not mean it has been evaluated by the U.S. Federal Government. A typical patient might be someone with cystic fibrosis, which required hand manipulating and pounding the chest area to break the mucus from the lung wall and allow the patient to expectorate it. 0000009437 00000 n 0000004067 00000 n Earlier this year, the Aerobika received the Gold award at the Medical Design Excellence Awards (MDEA). Recently presented at the Society of Critical Care Medicine (SCCM) Annual Congress, the research by Toan Huynh, MD, and colleagues specifically considered the incidence of post-operative pulmonary complications (PPCs) in high-risk patients, evaluating the impact of strategically employing aggressive pulmonary utilizing the MetaNeb system. Select two study versions to compare. A lung-expansion therapy, MetaNeb enhances mucus clearance and helps resolve or fully prevent patchy atelectasis. What you have with a patient who needs to have their airways clear are small microbursts of air that are attenuated through the airways, explained Sean Mellor, BSRT, RRT. In Stage II, a CHANGE IN PRACTICE will be made and patients will receive standard care with the addition of therapy with The MetaNeb System. Patients who may benefit from The MetaNeb System include those with pulmonary atelectasis or secretions associated with the following conditions: *Therapy times may differ depending on patient needs and ordered therapies. Per CDC guidance to Infection Control, health care providers take airborne precautions when performing any aerosol-generating procedures in known or suspected COVID-19 patients.5When performing aerosol generating procedures: The MetaNeb System therapy along with other bronchial hygiene therapies, is an AGP. 17: TREATMENT WITH METANEB THERAPY REDUCES POSTOPERATIVE PULMONARY COMPLICATIONS: A MULTICENTER TRIAL. PEP (EzPAP, MetaNeb) is performed if patient is: Unable to perform IS-or- Not meeting incentive spirometry goal or Has persistent or severe atelectasis or Has poor oxygenation Induced deep breathing in patients with a tracheostomy Indications and frequency in the VEP - the RT will assess patient and assign them a RT Triage Score. MedTech 100 is a financial index calculated using the BIG100 companies covered in Use of The MetaNeb System will follow the labeling of the device. Recent layoffs, retrenchment may signal difficult times lie ahead. And then youre able to loosen it and bring it up through the airway. The MetaNeb Systems simple connect and go design uses single patient use circuits that includes a mouthpiece and adaptors for a face mask, tracheostomy, and in-line ventilation. NOTE: There is no need for CPEP as this therapy can be accomplished with the ventilator. Although SARS-CoV is transmitted primarily by contact and/or droplet routes, airborne transmission over a limited distance (e.g., within a room), has been suggested, though not proven.3. Unlike the former, manual approach, oscillation technology affords a more consistent, uniform, and gentle approach to secretion clearance. The The therapy may therefore be helpful in treating these complications of COVID-19. doi: 10.1016/j.jamcollsurg.2019.06.004. The guidelines related to airborne precautions, provided by the CDC should be followed when delivering the therapy.5, Efficacy of Oscillation and Lung Expansion in Reducing Postoperative Pulmonary Complication, Learn how to reduce the length of stay for pneumonia patients. (2020). The MetaNeb System is an LE expansion modality that incorporates all the physiological effects of IPV while providing additional therapeutic advantages intended primarily to more effectively treat or prevent pulmonary atelectasis. In patients at higher risk for complications, . The MetaNeb Systems simple connect and go design uses single patient use circuits that includes a mouthpiece and adaptors for a face mask, tracheostomy, and in-line ventilation. Sometimes pressure trauma in your lung may cause pneumothorax. 0000011922 00000 n Its really about coaching the patient on the deep breathing piece, explaining that theyre going to get percussedso they know theres some secretion clearance that will be going on. Weighing only 9 lbs, the CoughAssist T70 is easily portable, and a detachable battery adds a new level of flexibility for patients and caregivers. Lei, J., Li, J., Li, X., & Qi, X. In studies of 0000003127 00000 n Metaneb is utilized for mobilization of secretions, lung expansion, and can be used for the prevention and treatment of atelectasis. Start the rotator ring in easy mode (1dot) and adjust higher as patient tolerance allows. Learn how your comment data is processed. However,SARS-CoV while still classified as a droplet, is estimated to travel anywhere from 6ft. (2020). The use of nebulized medications, including albuterol, N-acetylcysteine, and dornase alfa, administered via the MetaNeb system was not directed by protocol. Often, patients who need Metaneb therapy are also on non-invasive support. %PDF-1.6 % 0000019337 00000 n I Sh*t You Not, Adrenal Crisis: Early Recognition and Management Save Lives, Prehospital Management of Traumatic Brain Injury, Differentiating Peak and Plateau Pressures, Sodium Bicarbonate for cardiac arrest: Time to put it away. All rights reserved. Set CPEP 10-30 based on patient tolerance. scopic" procedure. Your email address will not be published. ACT uses physical or mechanical means to manipulate air flow,tomobilizesecretionscephalad,andtofacilitateevac-uation by coughing.11 Breathing maneuvers, gravity as-sisted drainage, manual techniques, and mechanical de-vices can be used in an effort to facilitate secretion mobilization. In the early days of respiratory therapy, secretion clearance was a manual process. Please check availability with your local Hillrom representative or click on Request More Information to contact Hillrom customer service. 189 0 obj <>/Filter/FlateDecode/ID[<087C52A1184D40B4B8A759C2FEB6BFAB>]/Index[165 49]/Info 164 0 R/Length 112/Prev 857759/Root 166 0 R/Size 214/Type/XRef/W[1 3 1]>>stream Improve respiratory status and reduce pulmonary complications 1,2; The Vest Airway Clearance System and The MetaNeb System provide therapy using single patient use disposable wraps and circuits. A hose connects the generator and the garment. %PDF-1.5 % Radiological Society of North America. Pathology can be described as a respiratory disease that often progressed into pneumonia with bilateral ground-glass opacities. U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. If performing with an artificial airway, deflate the cuff slightly during therapy remembering to re-inflate after therapy is completed. al. (2006). Unlike some other systems that clear mucus by oscillating the chest wall, the Aerobika is an oral device dependent on inhalation and exhalation. 10 Minutes Total*: Alternating cycles of CPEP and CHFO combined with aerosol delivery helps maximize therapy effectiveness. Youre really facilitating it in a physical and a physics type treatment delivering that oscillatory breath across the area of the secretion, thinning it down where it can be expectorated by the patient.. Save my name, email, and website in this browser for the next time I comment. F/ `X System to a 50 psi oxygen source. (2020). The CoughAssist T70 clears secretions from the lungs by gradually applying positive air pressure (insufflation) to the airway and then rapidly shifting to negative air pressure (exsufflation). We have designed our system to maximize the comfort and assure that it is easy to use, said Kathleen Skarvan, CEO of Electromed. Droplets are considered particles secreted from a patients respiratory tract that are no smaller than 5m in diameter and travel shorter distances (defined as 3ft) because they cannot stay suspended in air for long periods of time. 0000006477 00000 n 0000028340 00000 n The results demonstrated that incorporating MetaNeb therapy led to a significant reduction in postoperative pulmonary complications, less time on mechanical ventilation, and reduced hospital length of stay.. Patients will receive standard care with the addition of therapy with The MetaNeb System. doi:10.1016/j.chest . Study record managers: refer to the Data Element Definitions if submitting registration or results information. Well-designed studies are needed to distinguish which LE approach has the greatest potential to optimize patient care, clinical outcomes and cost savings. hb```B eaq]w,y{9 Y :Y-P%?: - Both have shown increased aeration, improvement in ventilation, and mucus clearance in both intubated and non-intubated patients. Although PPCs are an incompletely understood multifactorial syndrome, atelectasis is recognized as a critical component. As with all therapies, the appropriateness of the therapy in individual patients is determined by the treating physician and the health care team. 165 0 obj <> endobj doi: Siegel JD, Rhinehart E, Jackson M, Chiarello L, and the Healthcare Infection Control Practices Advisory Committee, 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, Ferguson, N. M. et. One each from columns A and B. Metaneb is utilized for mobilization of secretions, lung expansion, and can be used for the prevention and treatment of atelectasis. These results have significant implications in the care of surgical patients who are at high risk for postoperative pulmonary complications, since the integration of MetaNeb System into the respiratory care not only results in reduced complications, but also reduced ventilator time and length of stay in the hospital, notes Huynh. The aim of this multiinstitutional prospective trial View on Wolters Kluwer Save to Library Create Alert Cite 2 Citations Citation Type More Filters Designed and Developed by Scimple Education, LLC for CriticalCareNow, This website uses cookies to improve your experience. Simplify Clinical Communication & Collaboration. Technology changed all that. By combining all three of these therapies, we believe we have a really efficient device from a clinical and cost standpoint, explained Mellor who is also director of US Sales for Hill-Rom. Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number): Why Should I Register and Submit Results? Contact a Respiratory Health representative for more information, Advanced Respiratory, Inc. A Hillrom Company1020 County Road F WestSt. The possible complications listed below: Over distention of air sucks (alveoli). According to Skarvan, the device has been prescribed to patients ranging in age from newborns to senior citizens. Mellor of Hill-Rom noted that ultimately its a question of finding a provider that offers a quality product and stands behind it. The MetaNeb System combines lung expansion, secretion clearance, and aerosol delivery into a single integrated therapy sessionwithout having to switch between different devices. 0000028659 00000 n A Comparison of High Frequency Chest Wall Oscillation and MetaNeb System for Airway Clearance in Tracheostomy Dependant Pediatric Patients Author: Aneela Bidiwala MD* Subject: CHEST, 150 (2016) 963A. 0000027091 00000 n A., & Jones, S. W. (2013). This is a non-randomized facility (or hospital) level pre-post intervention study. With the MetaNeb, you can seamlessly switch between recruiting an expansion of the lung, which is ultimately what patients need, to take a deep breath, through CPEP, and transition over to CHFO and pull those secretions from that expanded air space and clear their lungs, Mellor said. Pulmonary Complications in High-Risk Patients 2/26/2018 CHICAGO , Feb. 26, 2018 /PRNewswire/ -- A group of researchers have reported that aggressive treatment after surgery using the Hill-Rom MetaNeb System may reduce the incidence of post-operative pulmonary complications (PPCs) in high-risk surgical patients. MedTech 100 is a financial index calculated using the BIG100 companies covered in The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media. CPEP mode provides aerosol combined with continuous positive pressure helping with lung expansion. No The MetaNeb System may be used in appropriate patients with an indication for airway clearance and/or lung expansion therapy. While the MetaNeb is currently only for use in hospital settings, Mellor said that the long-term goal is for the device to be offered for home use. Please remove one or more studies before adding more. 0000026299 00000 n 0000000016 00000 n Monaghan Medical Corps Aerobika Oscillating Positive Expiratory Pressure (OPEP) Therapy System device is a handheld device that provides intermittent resistance, positive pressure, and oscillation simultaneously, helping to move and assist mucus clearance into the upper airways, so it can be coughed out. If the SmartVest is prescribed for home use, a trainer will be sent to the patients home to help them be fit with the device and understand how it is used, and to calibrate it according to the prescribing physicians directions. This can be performed in quite a number of ways dependent upon the patient, the lobe that requires the therapy, and any contraindication that can prevent a certain method of therapy. View Product Details Contact a Respiratory Health representative for more information Call us at (800) 426-4224 or Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand. 0000026667 00000 n 2021 Hill-Rom Services PTE Ltd. ALL RIGHTS RESERVED. The soft start helps people to better acclimate to the therapy so it doesnt give them an abrupt sharp hug, and the active inflate and deflate acclimates the patient to therapy by allowing the garment to contour to the chest cavity and the pulse amplitude remains more constant during the inhalation and exhalation so you dont have an uncomfortable bear hug.. Epub 2019 Jul 27. The CoughAssist T70 is designed for use with any patient unable to cough or clear secretions effectively due to reduced peak cough expiratory flow (less than 5-6 liters per second), resulting from high spinal cord injuries, neuromuscular deficits, or severe fatigue associated with intrinsic lung diseases. Indications would be worsening oxygenation, increasing FIO2 and/or PEEP, evidence of lung collapse or mucus plugging, and/or retained pulmonary secretions in the absence of an effective cough. For general information, Learn About Clinical Studies. The SmartVest is also used in acute care settings, where it is administered by RTs. The study will be conducted in two stages. Skarvan noted that in these cases it may be used as a preventative treatment to help keep hospital patientsincluding those who will be prone for long periods of timeclear of secretions and possible infections. 0000001552 00000 n In the event of having a patient who presents with any of the above-mentioned situations along with having a traumatic injury such as broken ribs, chest tubes, or low tolerance for other modalities, two modalities present themselves as an option; one being IPV. Indications would be worsening oxygenation, increasing FIO2 and/or PEEP, evidence of lung collapse or mucus plugging, and/or retained pulmonary secretions in the absence of an effective cough. 0000039345 00000 n The MetaNeb System is an LE expansion modality that incorporates all the physiological effects of IPV while providing additional therapeutic advantages intended primarily to more effectively treat or prevent pulmonary atelectasis. The use of The MetaNeb System therapy can be an effective strategy for resolving collapse lungs and successfully weaning ventilator patients. Get in the know to get the most value out of your solution. The therapy cycle is about 10 minutes long, with the CPEP and CHFO transition occurring four times during the session. Spinal surgery involving a posterior approach Surgery for organ transplant Chronic invasive positive pressure ventilation (PPV). The MetaNeb System Three therapies. 0000007220 00000 n The It delivers a rapidly repeating pulse of air alternately squeezing and releasing the upper bodyeach squeeze simulates a mini cough, which acts to loosen the mucus from the walls of the airways. Documented ASA class 2 AND One or more of the following: Current smoker or smoking history within past 6 months History of COPD Documented obesity and/or BMI 30 kg/m2 Age 75, Contraindication to Continuous High Frequency Oscillation (CHFO) therapy Minimally invasive, or ". Atelectasis and secretion retention in combination are major risk factors for those prone to alveolar collapse such as those with muscular weakness, patients on ventilators, and the pediatric population. Intrapulmonary percussive ventilation (IPV) devices have been in use for more than 25 years and are used widely in the acute care, post-surgical, and homecare setting. The MetaNeb System circuit filter is tested in accordance with ISO 23328-1:2008 with a filtration efficiency of greater than 99%. Set mode to CPEP. If performing by the mouthpiece, allow the patient to take a break and cough or huff cough. IPV promotes mobilization of secretions, provides nebulized therapy, and provides intrathoracic vibration and percussion, thus improving ventilation. Philips Respironics also has clinical experts available for in-service training sessions, as well as product support for clinicians and patients. Although PPCs are an incompletely understood multifactorial syndrome, atelectasis is recognized as a critical component. What is the Intrapulmonary Percussive Ventilation (IPV). 0000011442 00000 n 0000024296 00000 n 0000003954 00000 n Demographic, clinical & outcome data will be collected for eligible patients during the two stages of the study. 10 Minutes Total*: Alternating cycles of CPEP and CHFO combined with aerosol delivery helps maximize therapy effectiveness. Cytokinetics Enrolls 700 ALS Patients in Phase 3 Study of Tirasemtiv, Praxair Approved to Market Inhaled Nitric Oxide in Canada, aTyr Announces Phase 2 Study of SSc-ILD Drug, Mercks Keytruda Meets Primary Endpoint in Phase 3 Trial for Lung Cancer, Dynarex Accepting Applications for 2023 Scholarship Program, Bacteremia with COVID-19 More Deadly Than Known Risk Factors Like Age and Sex, Toolkit to Support Clinicians in Quicker Diagnosis of ILDs, RT: For Decision Makers in Respiratory Care. Would love your thoughts, please comment. 0000009831 00000 n What are the respiratory complications related to COVID-19? Ultimately, the goal is to drive those secretions out to prevent chronic infections. . When treating many chronic respiratory diseases, one of the key elements of therapy is clearing lung secretions, which helps to minimize infections and to limit return hospital stays. Among its benefits for patients are its simplicity of use, portability, accessory options (oximetry accessory, remote control accessory, external suctioning accessory interface), and power management options (detachable battery, external DC battery, universal battery pack). Higher. trailer <]/Prev 63883>> startxref 0 %%EOF 70 0 obj <>stream 0000041216 00000 n (2020, March 2). Together, these quality improvements may lead to reduced hospital expenditures and better value-based care for this patient population.. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media LLC. 0000023728 00000 n The duration of the treatment is controlled by the therapist and level of patient tolerance. Hospitalized COVID-19 patients are often in need of respiratory support.1. Bookmark, share and interact with the leading medical design engineering magazine today. An albuterol dose can be added in conjunction. The MetaNeb System is indicated for the mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and has the ability to provide supplemental oxygen when used with compressed oxygen. WTWH Media LLC and its licensors. The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. 0000051450 00000 n Learn more about MetaNeb System. Elderly patients and those with underlying conditions like hypertension, cardiovascular disease or diabetes, are more likely to develop serious complications like pneumonia secondary to COVID-19 including septicemia due to cytokine activity and fluid build-up in the lower lobe. Another modality option is Metaneb. Expert Rev Respir Med. 0000001441 00000 n This pressure gradient allows for the mobilization and hydration of sticky mucus. According to Egans, comparative studies show that IPV is equivalent to other airway clearance strategies in improving short term pulmonary function tests results enhancing sputum expectoration in patients with cystic fibrosis.