Is it okay to use Mucomyst (Acetylcysteine) either as an aerosol or by direct instillation with my SCOOP catheter to help manage mucus problems?
A. It is not okay to use Mucomyst either by aerosol or direct instillation with any SCOOP catheter. The reason is mechanism of action of Acetylcysteine. Acetylcysteine is a powerful enzymatic agent. Experience over the past 16 years has shown that the enzymatic action will affect the polymers in the polyurethane material of which the SCOOP catheter is made. This causes the catheter to begin to break-down; in effect, the catheter gets “gummy”. This can certainly become problematic as the catheter surface gets roughened and may cause tract trauma or difficulty with removal and reinsertion. Q. What do you tell a patient who has just called and says they can t get their SCOOP catheter back in? A. Ask them how long it has been out. If more than 5 minutes, have them put their nasal cannula back on at the prescribed flow rate and come in to the transtracheal follow-up unit as soon as possible. Time is critical, as a fresh transtracheal tract can close in less than an hour.
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