Bronchiectasis is a chronic lung condition that affects many people around the world, though it’s often underdiagnosed or misunderstood. The “vortex” of bronchiectasis is a term used to describe the cycle that makes this condition more difficult to manage. The three main parts of the vortex include infection, inflammation, and lung damage. These three parts circulate, making the condition worse over time.

Though there are drugs being explored for treating bronchiectasis, HFCWO (high-frequency chest wall oscillation) is integral to long-term management.1

In this article, we’ll explore this “vicious vortex” of bronchiectasis and ways to break the cycle with HFCWO bronchiectasis therapy, including airway clearance techniques.

Understanding Bronchiectasis

Bronchiectasis happens when the airways in your lungs become permanently damaged and widened, which makes it hard to clear out mucus. This mucus buildup creates a perfect environment for bacteria to grow, leading to frequent infections.

Over time, these infections may lead to inflammation and ultimately lung damage. This creates a cycle of worsening symptoms and declining lung function. The good news? There are ways to manage it!

The Vicious Vortex Explained

The vicious vortex of bronchiectasis involves three main parts: infection, inflammation, and lung damage. Let’s break each of these down:

Infection icon

Mucus that accumulates in the airways can trap bacteria and other germs, leading to frequent respiratory infections. These infections can be hard to treat because the bacteria can become resistant to antibiotics.

Icon of lungs with inflammation

Your body’s response to infection is inflammation, but in bronchiectasis, this inflammation can get out of control. It thickens the walls of the airways, causing even more mucus production, which makes breathing harder.

Icon of lungs with lung damage

Each infection and flare-up causes more damage to the lungs. This damage can become irreversible, making the airways even more susceptible to future infections.

How to Break the Vortex Using HFCWO Bronchiectasis Therapy

Breaking the cycle of infection, inflammation, and lung damage in bronchiectasis requires a comprehensive treatment plan. Here’s how:

Clear Airways First

Techniques such as deep breathing, mucus-thinning medications, and HFCWO help break up mucus in the lungs. A respiratory vest, like the Smartvest, helps remove excess mucus from the lungs. Clearing out mucus has been proven to lower the risk of infection and is an important tool in managing bronchiectasis symptoms.2

Learn more about HFCWO Therapy 

Vaccinations

Staying up to date with vaccines, like the flu and pneumonia shots, can help prevent infections that could trigger the cycle.3

Antibiotics

Antibiotics may be prescribed long-term to reduce the frequency of infections and prevent flare-ups. However, evidence suggests that HFCWO therapy can reduce antibiotic usage.4

Pulmonary Rehabilitation

Exercise and breathing techniques can improve lung function and help with physical conditioning, making it easier to manage symptoms.5 Your doctor may prescribe other airway clearance devices to help with pulmonary rehabilitation.

Natural Therapies Before Drugs

When managing bronchiectasis, it’s important to remember the long-term benefit of airway clearance. Prescriptions such as antibiotics treat infections and address inflammation, but won’t get to the root of the problem.6 Focusing on HFCWO treatment helps assist with mucus clearance, which, in the long term, will improve bronchiectasis symptoms. By treating mucus clearance, you’ll be getting ahead of the long-term effects of bronchiectasis. While pharmaceutical options may provide short-term relief, they won’t fix the root of the problem.

To Read: DPP1s Inhibitors vs. Vest Therapy.

Using SmartVest to Break the Vortex

Icon outlining triple down on hfcwo bronchiectasis care.

When treating bronchiectasis, it’s not just about targeting infection and inflammation—airway clearance is key. Without it, mucus buildup can fuel the cycle, making symptoms worse and increasing the risk of lung damage.

The SmartVest Airway Clearance System is an HFCWO vest/mucus-breaker that helps break the vortex by loosening and mobilizing mucus in the lungs. With 360° chest coverage, the SmartVest makes it easier to cough up mucus and clear your airways, helping prevent future flare-ups.

Find Relief Today with SmartVest

If you’re dealing with a chronic cough, frequent lung infections, or shortness of breath, you’re not alone.

For those living with diseases like bronchiectasis, you may be familiar with this cycle:

Clear Airways FirstTM to break the vicious vortex of bronchiectasis and put you on a path to healthier living with three easy steps:

Step 1
Clear the Airways with SmartVest HFCWO therapy

Step 2
Treat the infection

Step 3
Reduce the inflammation

The SmartVest® Airway Clearance System is designed to help loosen and clear mucus from your lungs, which helps to reduce infections and hospitalizations. 7 By incorporating airway clearance into your daily routine, you can take control of your respiratory health and breathe more easily.

Don’t wait. Take the next step toward relief today. Schedule a free consultation with one of our Respiratory Therapists to learn how SmartVest can help you.

Resources:

[1] Chest Pulmonary. “Impact of High-Frequency Chest Wall Oscillation on Health Care Resource Use and Economic Outcomes in Adult Patients With Non-Cystic Fibrosis Bronchiectasis in the United States”. Retrieved from https://www.chestpulmonary.org/article/S2949-7892(23)00013-2/fulltext

[2] National Library of Medicine. “Real-life Experience with High-Frequency Chest Wall Oscillation Vest Therapy in Adults with Non-cystic Fibrosis Bronchiectasis.” Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC7297124/

[3] Cleveland Clinic. “How Can I Reduce My Risk of Bronchiectasis?” Retrieved from https://my.clevelandclinic.org/health/diseases/21144-bronchiectasis

[4] Sievert C et al. Respiratory Therapy, Vol. 11 No 4, 34-38, 2016.

[5] Cleveland Clinic. “Pulmonary Rehabilitation”. Retrieved from https://my.clevelandclinic.org/health/treatments/pulmonary-rehabilitation

[6]  American Lung Association. “Treating and Managing Bronchiectasis- Other Treatment Options”. Retrieved from https://www.lung.org/lung-health-diseases/lung-disease-lookup/bronchiectasis/treating-and-managing

[7] Sievert C et al. Respiratory Therapy, Vol. 11 No 4, 34-38, 2016.

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