Topics

Persistent Pseudomonas aeruginosa
Dear expert team, Pseudomonas aeruginosa has been found in the samples of our daughter (6. yrs) for the first time in january this year. Inhalation with colistin followed for 4 weeks together with Ciprofloxacin orally. A new throat swab after 4 weeks had been free of PA. Shotly after this, ...
12.09.2015
P. aerugionsa repeatedly in the nose swab
Dear expert team, I have read the very helpful contribution of Dr. Jochen G. Mainz about the question: "Pseudomonas in the nasal washing" (dated 01.07.2014). In my 10-year-old son, P.a. has been found repeatedly again and again occasionally, we have had different therapies, oral and ...
12.09.2015
6% NaCl (MucoClear®/Hypertonic Saline)
Hello, Is it possible to overdose when inhaling 6% NaCl or can I inhale as much as I want? Sometimes I inhale 20ml of 6% NaCl per day. Best regards and thank you for answering.
12.06.2015
Hyperinflation of the lung
Dear expert team, for month I (CF) have extreme problems with the hyperinflation of my lung (residual volume 280%), so that I am very handicapped. The hyperinflation occurs mostly in the afternoon, increases in my opinion if I inhale hypertonic NaCL, and does not disappear until I go to bed. Also ...
17.02.2015
Really always 6% NaCl in children?
Hello, we have a 6-year-old daughter (CF) with a very mild pulmonary course. For about 3 years she inhales 3% NaCl (and 4 drops salbutamol), before this 0,9% NaCl. The center now recommends that our daughter inhales in the future with 6% NaCl (plus 5 drops of salbutamol). Is this reallly ...
07.02.2015
Mucolytics yes or no?
Dear expert team, I have mucus in the upper airways that bubbles however cannot be coughed up well, are CF patients allowed to take mucolytics and if yes, which ones can be recommended? Many thanks
21.01.2015
Mucoclear® (hypertonic saline)
Hello, Is RhDNase (Pulmozyme®) more efficient than hypertonic saline (Mucoclear®) ? I have observed that nebulization of hypertonic saline induced more sputum in my son. It’s really efficient for him in term of fluidity. He feels well cleared. Tolerance is excellent. Therefore the ...
03.12.2014
Nebulization in an infant
Hello, I have a 7-month-old infant with CF. I would like to know if I can start hypertonic saline nebulizations to prevent the dehydratation of its mucus, of course with respect to the device disinfection rules. Do you think that it could be efficient to delay pulmonary infections?
04.11.2014
Addendum to answer „inhalation with 3% NaCl solution“
Dear Dr. Posselt, many thanks for your inquiry and answer. With mixtures I meant mixtures between 0.9% and 3% NaCl and (!) 6 drops Berodualin®. After the diagnosis has been made we were told in the CF center that the 6 drops Berodualin® should be added directly into the 0.9% NaCl (for ...
03.11.2014
Hypertonic saline solution
Why is hypertonic saline soultion not used prophylactically from the youngest age on, for degradation of the mucus? Apparently, it is effective for the airways of infants.
20.10.2014
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