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paulmjo
Member

USA
103 Posts

Posted - Feb 24 2019 :  09:27:12 AM  Show Profile  Reply with Quote
Has anyone used the smart vest high frequency oscillating vest to loosen mucus?
I know very expensive to purchase, but I think possible to have covered by Medicare with lots of conditions. Does it work?

Sandy9s
Member

USA
472 Posts

Posted - Feb 24 2019 :  12:33:11 PM  Show Profile  Reply with Quote
Yes, I have been using the SmartVest for about 3 months now. I use it 3 x a day @ 10 minutes each (preprogrammed for me by a technician).

I am convinced that it does, in fact, work. Many times, I can only get through a couple of minutes and I have to put it onto "pause" due to so much coughing because the phlegm is moving around.

The Company is in the process of getting Medicare for me.......must drive through hoops because COPD is not on the list of protocols. It will depend upon the faithfulness of my useage (there is a built-in timer somewhere in the machine). I've only missed 1 time during the entire time I've had the SmartVest. And it's dependent upon how helpful it is to the patient (very, in my case!). And also I must get a CT scan of my lungs (scheduled for 1st week of March).

I definitely think this is a good COPD tool to get rid of mucus.

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Dave-OH
Administrator

USA
4237 Posts

Posted - Feb 24 2019 :  2:53:07 PM  Show Profile  Reply with Quote
It has been approved for cystic fibrosis for a long time. I have used it in the hospital, but it is not my favorite method when sick. There are newer versions, one that is magnetic vs pneumatic. There are also competitive machines. Getting Medicare to pay for it with COPD is going to be tough. Have you used the other options like acapella, etc and inhaled saline?

Dave, Forum Administrator
COPD Support, Inc. http://www.copd-support.com/
Your source for peer support and COPD Info


My Site: http://lungresources.com
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paulmjo
Member

USA
103 Posts

Posted - Feb 27 2019 :  08:34:26 AM  Show Profile  Reply with Quote
Thanks for responding, I do use acapella and nebulizer with albuerol, not sure how much they help some I am sure, just yesterday, after a couple bad days, felt real good in morning, unusually low mucus, happily walked the dog and felt maybe would last, but this morning right back to heavy mucus and shortness of breath.
Wish they could do something more for bronchitis feel pretty good days of low mucus.
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Dave-OH
Administrator

USA
4237 Posts

Posted - Feb 27 2019 :  11:53:07 AM  Show Profile  Reply with Quote
Ask your doctor about hypertonic saline. It is good to loosen mucus.

Why is it helpful for patients with CF?

The short answer is that osmosis, promoted by the large gradient in salt concentration, draws water into the mucus from the underlying airway tissue.

A more detailed explanation is quoted here: In the healthy airway, the mucus layer and the perciliary layer (PCL) of the airway surface liquid (ASL) are normal thickness and consistency. Electrolyte (Na+ and Cl-) exchange is normal allowing equilibrium of water in order to maintain proper viscosity of airway secretions.

In the CF airway, due to the fundamental defect in Cl- transfer, water is maintained in the epithelium and does not adequately hydrate the ASL. As a result, the mucus layer enlarges and becomes more viscous while the PCL shrinks due to loss of water. The cilia do not function adequately and mucociliary clearance diminishes leading to inspissated and infected secretions and a viscous cycle.

Treatment with hypertonic saline is thought to reduce mucus viscosity and aids its clearance by various mechanisms. The high salt concentration encourages osmosis of water into the ASL and thereby rehydrates the mucus and partially restores the perciliary layer allowing for easier clearance of mucus.

(Reeves EP, et al. Hypertonic saline in treatment of pulmonary disease in cystic fibrosis. The Scientific World Journal. 2012; 2012:465230).


https://bronchiectasisnewstoday.com/bronchiectasis-experimental-treatments/hypertonic-saline-solution/

http://pharmacaribe.com/resources/faqs/

https://cysticfibrosisnewstoday.com/hypertonic-saline/






Dave, Forum Administrator
COPD Support, Inc. http://www.copd-support.com/
Your source for peer support and COPD Info


My Site: http://lungresources.com
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Sandy9s
Member

USA
472 Posts

Posted - Feb 27 2019 :  12:04:31 PM  Show Profile  Reply with Quote
Dave -- Thank you for the succinct mucus explanation which I will have to re-read several times to thoroughly digest!

But I have 1 question -- could defects with excessive mucus be caused by oxygen through cannulas in the nose?

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Dave-OH
Administrator

USA
4237 Posts

Posted - Feb 27 2019 :  12:23:38 PM  Show Profile  Reply with Quote
Not that I know of, I was on O2 24/7 for a while and it did not change the mucus in my lungs or nose. Just a runny nose.

As for my post - hyper-tonic forces increase hydration of the lungs, loosening mucus and allowing it to move easier.

Dave, Forum Administrator
COPD Support, Inc. http://www.copd-support.com/
Your source for peer support and COPD Info


My Site: http://lungresources.com
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paulmjo
Member

USA
103 Posts

Posted - Mar 01 2019 :  08:33:45 AM  Show Profile  Reply with Quote
Thanks for the response will check with doctor about hypertonic saline
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msmaxie
Member

USA
31 Posts

Posted - Mar 08 2019 :  7:51:30 PM  Show Profile  Reply with Quote
quote:
Originally posted by Dave-OH

It has been approved for cystic fibrosis for a long time. I have used it in the hospital, but it is not my favorite method when sick. There are newer versions, one that is magnetic vs pneumatic. There are also competitive machines. Getting Medicare to pay for it with COPD is going to be tough. Have you used the other options like acapella, etc and inhaled saline?

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Dom
Rookie

12 Posts

Posted - May 14 2019 :  11:38:40 AM  Show Profile  Reply with Quote
Ok, so this is not cheap by any means, but I have one of those new(ish) massage chairs that also stretch you. One of the choices is also vibration. This has been wonderful for me. Between the stretching (also relieving the back pain, it seems to be gone totally) and the vibration, it really clears my lungs. Not to mention the stress relief, it is so much easier to maintain even breathing when relaxed. For me, I decided to make this huge splurge because it is something I will be able to enjoy and appreciate for the rest of my life. It is also a good place to sleep when you don't really want to lay down because of the congestion, positions are totally adjustable. To me, it's the best thing I ever did for myself. The massage feels like real hands with all the moves you get in a salon. The only drawback for me (not everyone) was that some places my muscles hurt a lot the first handful of times while using it. This can be avoided by staying in an upright position ad slowly increasing the reclining, that controls the pressure. And, of course, the price is a huge drawback also.
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