Nebulised saline
- Nebulised saline can be considered for sputum clearance in bronchiectasis if airways clearance techniques are not effective.
- Available concentrations are 0.9% (“Normal” saline), and 3%, 6%, 7% (hypertonic saline).
- Perform an airway reactivity challenge test when inhaled mucoactive treatment is first administered.62
- There is currently no evidence to recommend any concentration of saline over any other, though side effects may limit the higher concentrations in use.
- The dosing schedule is four ml of saline nebulised two to four times per day.