More on Acapella

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The Acapella device (www.dhd.com) was recently discussed on the

cfparents list (thank again, Bill). It uses a combination of both the

PEP (positive expiratory pressure) and Flutter principles for airway

clearance. One of my main concerns in the past was that it could not be

boiled for easy and thorough cleaning. The company recommended just soap

and water cleaning. I was recently in touch with a company rep and

learned that they have introduced the " Acapella Choice " . The advantage

of it is that it can be taken apart for thorough cleaning AND can be

boiled or put in the dishwasher.

It seems there may have been some confusion on the list (or maybe it was

just my confusion). I thought someone said it could be used in any

position which I took to mean laying down or whatever. In fact, the

instructional video says one should be sitting up, with elbows resting

on a table, but that the device itself can be held in any position. ...

in other words, the device does not have to be on a particular angle but

the patient still should be sitting up straight for proper airway clearance.

Just wanted to let you all know the latest that I found out. I think we

will look again at this device now that the new model is available. If

anyone has been involved in, or come across any clinical studies on the

device, please let me know.

M