Many patients are first introduced to IPV within the Hospital facilities after accidents, surgical, recuperation or acute infections.
Other patients are directed to Outpatient Facilities by their prescribing Physicians. Outpatient Facilities provide for large Patient populations requiring Recovery Programs, as well as those who have experienced acute infections aggravating underlying COPD.
Patients with chronic forms of COPD are best served with a Home Care program sponsored by their Physician, Medical Facility or Ethical Care Organization. Ideally, the Home Care Program will address total Physician coverage, Technician training and re-training by a competent Respiratory or Physical Therapist, a visiting Nurse to cover Hygienic and Environmental considerations and last but not least a well qualified Dietitian.
One might first believe, that an extensive Home Care program for the COPD Patient is costly; if well done. However, a strong point of good IPV® Therapy is the decreasing number of most expensive Hospitalizations each time an acute infection requires Clinical Care. In most societies, there are some 2.7 infections per year that can potentially hospitalize a Patient with moderate to severe COPD. One, in the fall when schools start, the next in early Winter when traditional Flu season commences, then there is a .7 chance of a severe acute Summer infection.
These hospitalizations (at this writing) can cost upwards of US $20,000.00 or more, dependent upon Medical Plans. After COPD patients are placed upon a professionally administered Home Care Program, experience has demonstrated their acute Hospitalizations are drastically reduced. It is not that the Home Care Patient does not still get infections, however, the severity of these acute infections are such, that they can be managed at home with adjunctive IPV® programs.
BRIEF SET-UP PROCEDURES FOR IPV® THERAPEUTIC
1. Interconnect and organize the IPV Breathing Circuit.
2. Service the Aerosol Generator (Nebulizer) with .5 cc (6 drops) of a 2.25% Racemic Epinephrine or bronchodilator, diluted with 15-20 cc of normal saline or sterile water. (Please Note: This nebulizer will nebulize 1cc/minute)
3. Rotate the PERCUSSION control knob Arrow with the Index under the 12:00 top position.
4. Confirm and activate the 35-60 psig source of Medical Air or Oxygen.
5. Select an Operating Pressure of 35 psig on the Percussionaire® Line Pressure Regulator.
6. Check out IPV functions.
a) Observe mouthpiece or mask for a dense aerosol mist.
b) Hold Percussion Button Down and observe a cyclic Percussive function.
c) Rotate the Percussion control knob Arrow full travel in both directions, and observe a change in Percussive Impaction rates. Release Percussion Button and rotate Percussion Control Knob Arrow to EASY the (full counterclockwise) position.
7. Start IPV Therapy by first Breathing mist for up to one minute.
8. With lips tight around Mouthpiece, Hold Percussive Button down and allow the Percussionator® to keep the Lungs semi inflated with continuous Percussion. When desired, inhale and exhale through the Phasitron®, only releasing the ON/OFF Button to Expectorate or pause during Therapy. The Therapy session usually lasts from fifteen to twenty minutes.
9. Adjust the PERCUSSION control knob (clockwise) toward the 12:00 Index for increased Percussion and/or increase Operational Pressures up toward 40 psig if desired, then schedule the desired Impaction Rate on the PERCUSSION control knob. Breathe Aerosol Mist through the Mouthpiece when not Percussing. When the Nebulizer is empty discontinue treatment.
Correct Patient orientation is an important component of IPV® Therapy. Position the Elbow on an Armchair Restpad, the Thumb or Finger on the Percussion Button and the Phasitron Mouthpiece or Mask correctly angled to the Lips.
Patient positioning is all important for maximum Clinical Efficacy, whether in the recumbent of sitting positions. Under no circumstances should the Patient be “bent over” the spine should be fairly straight (within pathophysiological limits) in a comfortable relaxed position whether in bed or in an ARM CHAIR. Do not use hard uncomfortable armless chairs.
IT IS OF PARAMOUNT IMPORTANCE TO CLEAN THE IPV BREATHING CIRCUIT IMMEDIATELY AFTER COMPLETING THE THERAPEUTIC SESSION
THE SINGLE PATIENT (DUO™) BREATHING HEAD ASSEMBLY
The Single Patient integrated Design, allows minimal re-assembly, the Phasitron® and Nebulizer are integral, therefore, only the Nebulizer Bowl is removable. The unit can be mechanically washed and/or cold sterilized between treatments. Lexan is a fine strong (polycarbonate) plastic, however; it can not be autocalved under high temperatures.
The IPV start/stop Trigger enables left or right Handed Patients operational ease. The Injectron® Nebulizer is a powerful IPV® Nebulizer with boosted spectrum and output. Both the Phasitron® and Injectron® Jet Chambers can be “purged of sterilizing solutions by flipping”. Internal Cavities can be positionally self drained. The Phasitron® Duo™ assembly uses the standard IPV® Interfacing Harness.
The (semi disposable) Single Patient use DUO™ PHASITRON® and Nebulizer Assembly, functions exactly like the multi use Phasitron®, eliminating assembly procedures. Clinical efficacy of both Breathing Heads are identical.