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Airway Clearance Therapy

Intrapulmonary Percussive Ventilation Using The MetaNeb®

The MetaNeb® is a device that provides three therapies: continuous positive expiratory pressure (CPEP mode); continuous high frequency oscillations (CHFO mode) and nebulisation (independently or in combination with the CPEP or CHFO modes). It is a form of intrapulmonary percussive ventilation, meaning it sends pulses of air into the lungs which cause vibration in the airway. It also provides positive expiratory pressure when on the CPEP mode.

The MetaNeb® device can only be used in a hospital setting as it requires high flow oxygen and only used in consultation with your CF medical team.   

Aims of MetaNeb® therapy:

  • To improve the amount of air in the lungs and improve movement of mucus, especially in people with a collapsed area of lung or significant mucus plugging
  • To loosen mucus that is “stuck” by using oscillations and increasing airflow.
  • To decrease the thickness of mucus when using the device to deliver nebulised medications like hypertonic saline
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