GOSH- to –Home Long Term Ventilation Service
NEBULISERS
Reasons for giving nebulisers
Mucolytics and saline for clearing secretions or antibiotic use for bacterial colonisation
We would not use nebulisers via an NIV circuit unless the patient was 24/7 dependant
Nebulisers are not as efficient via a NIV circuit as via a face mask and should be avoided if possible,
they exhalation port on the mask can become blocked with saline and cause the non-vented mask
alarm to sound. It is also not ideal as medication has been found inside the ventilators on children
who have regular nebs.
How to set up a nebulisers in the NIV circuit
T-Piece via the NIV circuit should be attached at the patient end in between the mask and the tubing
and should be help horizontal
Garry Rendle & Victoria Robinson NIV CNS 27/03/2020