Cegla RC-Cornet PLUS Notice D'utilisation page 9

INDICATIONS FOR USE
The RC-Cornet PLUS is a medical device to detach and
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remove bronchial secretions. The result is a reduction of
breathlessness and coughing in chronic respiratory disea-
ses such as:
1. Chronic obstructive pulmonary disease (COPD)
2. Pulmonary emphysema
3. Cystic fibrosis
4. Smoker's cough
5. Asthma
6. Chronic bronchitis
7. Bronchiectasis
8. Diminished retraction force of the pulmonary tissue
Effectiveness of the RC-Cornet
• Widens airways to the pulmonary alveoli
• Reduces shortness of breath
• Removes irritating phlegm
• Prevents unproductive coughing
• Improves gas exchange
• Increases lung capacity
• Lowers airway resistance
• Reduces the number of hospital stays
and the need for antibiotics
The RC-Cornet PLUS can also be combined with a nebulizer
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(combined therapy / nebulizer configuration - see pages 22
and 23).
Physiological effects
The RC-Cornet PLUS works through pressure variations
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(oscillation) in the lower respiratory tract and widens it. It
detaches and liquefies bronchial mucus, making it easier to
remove it via coughing.
Contraindications
Presence of pneumothorax, blood-expectorating cough
(massive hemoptysis), and intracranial pressure symptoms
> 20 mm Hg.
The RC-Cornet PLUS should only be used after discussion
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with the doctor treating you if the following are present:
• Severe cardiovascular disease
• Acute thrombosis
• Acute coughing up of blood (hemoptysis)
• Surgery or injury to the mouth, face, skull, or esophagus
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Therapy
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• Possible eardrum injuries
• Pulmonary barotrauma
• Significant cardiovascular insufficiency
• Massive restriction of the respiratory pump
• Repeated, substantial nosebleeds
• skin emphysema
• granuloma - growths of the mucous membranes
near the tracheostoma
The following relative contraindication should be discussed
with your treating healthcare professional:
• Tracheoesophageal fistula
Side effects
Hyperventilation (rapid breathing) may occasionally cause
slight dizziness or numbness of the mouth or hands. These
occurrences are not dangerous and will disappear when
normal breathing resumes.
Patients may experience difficulty breathing (in patients with
weak respiratory musculature) due to hypoventilation with
hypercapnia (elevated CO
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Potential side effects
• Elevated intracranial pressure
• Cardiovascular risks
> insufficient oxygen supply to the heart
> venous insufficiency
• Swallowing of air with increased probability
of vomiting and aspiration of vomit
Note
Expiratory pressures above 20 cm H
of the adverse side effects in patients sensitive to increased
transpulmonary pressure.
To lower the noise level of the therapy, close off the body holes
with your hand. Please note that this hand position is only
possible in a stabilized PEP (setting I).
Use of the RC-Cornet PLUS does not rely on gravity. The
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device may be used in an upright, sitting or standing position.
Please note that the RC-Cornet
ways or overhead if lying down, to get a lower initial pressure.
After you become accustomed to the RC-Cornet
to improve your breathing technique. Breathe in through the
nose, if possible, and after a brief pause, exhale through
RC-Cornet PLUS.
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Important: The RC-Cornet
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volume to produce flow vibrations and oscillations. There-
fore please expel all of your breath through the RC-Cornet
PLUS in order to maximise your therapy outcome.
levels).
O may cause one or more
2
PLUS should be used side-
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PLUS, try
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PLUS uses your full expired air
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