For the first two years after my bronchiectasis and NTM diagnosis, I used a lightweight compressor with tubing and a nebulizing cup. Nebulizing cups are frequently called nebulizers and this creates confusion. So if you see that the manufacturer is suggesting you replace the nebulizer every 6 months, they are most probably talking about the cup as most compressors have warranties for a longer period of time.
A couple of years ago, I upgraded my compressor and cups to an Ombra system, manufactured by Monaghan and Trudell International. I decided on this more powerful system because it is what National Jewish Health (NJH) recommends to their patients. NJH is a top US lung hospital and although I have not been there for my care, I follow many of their recommendations.
One of the perks of being a BE consultant is I hear what my clients who go to NJH are instructed to do. To date, all of them have been told to use an Aerobika attached to an Aeroelipse XL reusable cup and an Ombra compressor.
Patients are also advised to change out the tubing periodically (I’ve heard varying instructions from every 2 months to every 2 weeks) and to maintain the performance of the device by changing the filter every 6 months.
Pari and Philips also have good nebulizers and compressors. Each system combination has a unique medication delivery system. Substituting one nebulizer cup for another can result in differences in the delivery of medication.
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Linda Cooper Esposito, MPH is a health educator with bronchiectasis. She developed the BE CLEAR Method to Living with Bronchiectasis and writes with compassion and humor about this chronic lung disease.