Frontiers | Airway-Clearance Techniques in Children and ...

In infants with CF, twice daily infant PEP was safe and improved gas exchange compared to ModGAD over a 12-month period . Oscillating PEP (OscPEP) Therapy. Oscillating PEP therapy offers the combination of PEP with high-frequency oscillations which elicit shear forces within the airways during exhalation to facilitate secretion clearance.

Positive expiratory pressure physiotherapy for airway ...

Positive expiratory pressure (PEP) devices provide constant back pressure to the airways during expiration. This may improve clearance by building up gas behind mucus via collateral ventilation. Given the widespread use of PEP devices, there is a need to determine the evidence for their effect.

CDC - NIOSH Pocket Guide to Chemical Hazards - Ammonia

(APF = 50) Any air-purifying, full-facepiece respirator (gas mask) with a chin-style, front- or back-mounted canister providing protection against the compound of concern Any appropriate escape-type, self-contained breathing apparatus Important additional information about respirator selection.

Bubble-PEP Effective at Clearing Airways in Bronchiectasis ...

Bubble‐positive expiratory pressure, a type of airway clearance technique (ACT), could be effective in clearing sputum from the airways of people with stable bronchiectasis, a small study reports.. The study, "Bubble‐positive expiratory pressure device and sputum clearance in bronchiectasis: A randomised cross‐over study," was published in the journal Physiotherapy Research ...

Nurses role in advanced secretion clearance

PEP: Positive expiratory pressure techniques (e.g. PEP mask, bubble PEP) are prescribed by physiotherapists to facilitate secretion clearance by providing an expiratory resistance which can improve collateral ventilation, inflation of partially closed lung units and secretions clearance.

Airway Clearance Therapy in Cystic Fibrosis Patients | IJGM

Physiology of Mucus Secretion and Cough. ... these techniques help restore mucociliary escalator function and mucus production which ultimately improves gas-liquid interface interaction in airways. ... Another less commonly used device is the PEP mask that has different nozzle sizes on the end which restricts the exhalation. Back pressure ...

Pep Mask - Respiratory Treatment - Treatments - Physio.co.uk

A positive expiratory pressure (PEP) mask is a facial mask connected to a breathing valve which creates resistance on exhalation (breathing out) to help remove secretions (phlegm) from the lungs. The patient will put the facial mask on, and be instructed to inhale (breathe in) through the inspiratory port; the mask will then provide positive ...

Nonpharmacologic Airway Clearance Techniques in ...

The PEP group also required fewer days to wean from NIV (4.9 ± 0.8 d vs 7.0 ± 0.7 d, P < .01). No subjects in the PEP group, and one in the assisted-cough-only group progressed to intubation. PEP-related harms included discomfort from the PEP mask, reported by 2 subjects (15.3%), neither of whom stopped treatment during the study.

Positive Expiratory Pressure (PEP) Therapy - Bhaskar Health

During PEP therapy, the patient exhales against a fixed-orifice resistor, generating pressures during expiration that usually range from 10 to 20 cm H2O.(14-24) PEP does not require a pressurized external gas source. The therapy, which is administered by breathing through a special device helps: Air get behind the mucus

The Fluter Device versus the PEP Mask in the Treatment of ...

The developers of the PEP technique recommend using PEP with a mask in order to avoid air leaks via the upper airways and mouth. In addition, increasing forced residual capacity (FRC) has not been ...

[PDF] Effects of flutter and PEP mask physiotherapy on ...

DOI: 10.1183/09031936.98.12010143 Corpus ID: 15486897. Effects of flutter and PEP mask physiotherapy on symptoms and lung function in children with cystic fibrosis. @article{Winden1998EffectsOF, title={Effects of flutter and PEP mask physiotherapy on symptoms and lung function in children with cystic fibrosis.}, author={C. M. van Winden and A. Visser and W. Hop …

A Look at Positive Expiratory Pressure Devices | RT

Therapy can be administered while seated, standing or reclined, and can be used with a mask or mouthpiece attachment, as well as an inline nebulizer. 3 Threshold PEP The device has a flow-dependent, one-way valve, and, according to the company, this allows it to maintain a constant pressure, regardless of the patient's airflow, which means a ...

(PDF) Acapella vs. PEP mask therapy: A randomised trial in ...

The developers of the PEP technique recommend using PEP with a mask in order to avoid air leaks via the upper airways and mouth. In addition, increasing forced residual capacity (FRC) has not been ...

(PDF) Pressures and Oscillation Frequencies Generated by ...

444 RESPIRATORY CARE • APRIL 2017 VOL 62 NO 4 PEP PRESSURES AND OSCILLATION FREQUENCIES eral ventilation between adjacent alveoli,5 and the increased gas pressure distal to the retained secretions could assist in QUICK LOOK airway clearance.6 Current knowledge A particular type of device that is used to deliver oscil- Positive expiratory ...

Outcome measures for airway clearance techniques in ...

Airway clearance techniques (ACTs) are an important aspect of the treatment of children with chronic obstructive lung diseases. Unfortunately, a sound evidence base is lacking and airway clearance strategies are largely based on clinical expertise. One of the reasons for the limited evidence is the lack of appropriate outcome measures specifically related to the effectiveness of ACTs.

Secretion Clearance - Medien Malaysia Philips Respironics ...

THRESHOLD PEP Expiratory Pressure Trainer PHILIPS RESPIRONICS Improves patients mobilization and prevents accumulation of secretions. Promotes effective breathing patterns and improves gas exchange; Improves central and peripheral airway function; Prevents and reverse atelectasis; Can be used with a mouthpiece and mask

Positive Expiratory Pressure (PEP) Devices - Physiopedia

Positive expiratory pressure (PEP) therapy involves breathing with a slightly active expiration against an expiratory resistance. It is used for: clearance of excess secretions from the lungs. reducing gas trapping and improving ventilation of the lungs. PEP therapy may be applied through: Face mask (close-fitting) with a one-way valve to which ...

(PDF) Positive expiratory pressure techniques in ...

There was an almost equal decrease and subsequent rise in spirometric and blood gas values, but patients treated with the PEP mask had a borderly significantly higher increase in PaO2 from day 3 ...

Positive expiratory pressure – Common clinical ...

The aims of PEP are to improve gas exchange and to decrease the work of breathing. PLB is often used spontaneously to reduce dyspnea caused by hyperinflation by patients with COPD at rest and generally during physically demanding activities, but it can also be taught as a treatment in acute or chronic hyperinflation,,,,, .The instructions to the patient are to inspire calmly and to ...

Using positive expiratory pressure physiotherapy to clear ...

The developers of the PEP technique recommend using PEP with a mask in order to avoid air leaks via the upper airways and mouth. In addition, increasing forced residual capacity (FRC) has not been demonstrated using mouthpiece PEP. Given the widespread use of PEP devices, there is a need to determine the evidence for their effect.

acapella vibratory PEP Therapy System - Active Forever

7. Groth et al. Positive expiratory pressure (PEP-Mask) physiotherapy improves ventilation and reduces vol. of trapped gas in cystic fibrosis. Bull. Eur. Physiopathol. Respir. 1985; 21:339-343 8. McIlwaine, et al. Long-term comparative trial of conventional postural drainage and …

Positive End Expiratory (PEP) Therapy

Positive Expiratory Pressure (PEP) Therapy Purpose To standardize the use of Positive Expiratory Pressure (PEP) mask therapy, a bronchial hygiene technique used for secretion mobilization. Scope Respiratory Care Services utilizes PEP therapy, per physician order, as a bronchial hygiene technique and in the treatment and prophylaxis of

Positive expiratory pressure physiotherapy for airway ...

PEP mask, or mouthpiece as described by the authors, with or without additional techniques. Originally, PEP was defined as breathing with a positive expiratory pressure of 10 to 20 cm H₂O . High‐pressure PEP (Hi‐PEP) mask therapy as described by …

Effects of flutter and PEP mask physiotherapy on symptoms ...

the flutter and the PEP mask on two occasions preceding each treatment period. After each treatment period the technique was checked by observing and scoring various aspects of the entire procedure. A paediatric physiothera-pist experienced in CF treatment (A.Visser) supervised the instruction and the use of the PEP mask and the flutter.

Positive Expiratory Pressure (PEP) Devices - Physiopedia ...

During PEP therapy, the patient exhales against a fixed-orifice resistor, generating pressures during expiration that usually range from 10 to 20 cm H2O.(14-24) PEP does not require a pressurized external gas …

Long-Term Treatment of Chronic Bronchitis with Positive ...

Long-term treatment of chronic bronchitis with chest physiotherapy with or without positive expiratory pressure (PEP) by mask was studied in 43 patients randomly allocated to PEP treatment (PEP group, 20 patients) and conventional chest physiotherapy (control group, 23 patients). After instruction, the treatments were self-administered twice daily for 12 months (34 patients) and 5 …

Positive Expiratory Pressure and Oscillatory Positive ...

PEP therapy was first developed in Denmark in the 1970s, as a low-pressure system. High-pressure PEP ther-apy was developed in Austria, as an adjunct or supplement to traditional airway-clearance methods, and the usual pa-tient interface was a face mask. 2 The theoretical benefit of PEP therapy is the ability to enhance and promote mucus

PEP Therapy | Tri-anim

The A-PEP™ is a portable PEP therapy system designed to provide positive expiratory pressure therapy as an alternative to pursed lip breathing. The resistance achieved during exhalation is independent of flow and can be set with precision at 5,10,15, or 20 cm H 2 O, using the control dial. Therapy can be self-administered by the patient.

Positive expiratory pressure physiotherapy for airway ...

Background: Chest physiotherapy is widely prescribed to assist the clearance of airway secretions in people with cystic fibrosis (CF). Positive expiratory pressure (PEP) devices provide back pressure to the airways during expiration. This may improve clearance by building up gas behind mucus via collateral ventilation and by temporarily increasing functional residual capacity.

Bronchial Hygiene Therapy - Smiths Medical

The retained gas within the lungs can, through collateral ventilation, ... secretion in the airway leading to mucus plugs and airway obstruction. These obstructions can lead to infections in the lung causing increased mucus secretion. Therefore, the removal of ... PEP mask or acapella ...

Intrapulmonary Percussive Ventilation Application Guide

secretions. Percussive bursts of gas are delivered throughout the entire respiratory cycle which loosen and mobilize secretions towards the upper airways and oral pharynx. To many, IPV is seen as a superior method of secretion removal compared to traditional chest physical therapy, vibratory therapy and other forms of oscillatory airway clearance.

Positive Expiratory Pressure | CF Foundation

Positive expiratory pressure (PEP) therapy gets air into the lungs and behind the mucus using extra (collateral) airways. Jordan, 22, using a PEP device before huff coughing to clear mucus from her lungs. In positive expiratory pressure (PEP), a person breathes through a mask or a handheld mouthpiece. PEP devices allow air to flow freely as you ...

Airway Clearance Devices for Managing Lung Disease

IPV Device. OHFO Device. PEP Therapy. Flutter Mucus Clearance. Chest Wall Oscillation. Lung Flute. There are a number of airway clearance devices that you can use to help clear up excess sputum (the combination of mucus and saliva). They take several different forms (a mouthpiece, a mask, a vest, etc.) and use air pressure, oscillation, or high ...

Treatment of Bronchial Asthma with Terbutaline Inhaled by ...

The influence of positive expiratory pressure (PEP) applied during inhalation of a β2-agonist in treatment of bronchial asthma was investigated in a randomized crossover study with two-week treatment periods. In one period, two puffs (0.5 mg) of terbutaline was given from a metered dose inhaler and inhaled through a device consisting of a conespacer connected to a facemask giving PEP (10 to ...

Physiologic Evidence for the Efficacy of Positive ...

For low-PEP breathing, a resistor with an internal diameter that gave a steady PEP of 10 to 20 cm H 2 O during expiration while breathing through the PEP mask was used. 14 A steady PEP of 10 to 20 cm H 2 O was maintained during tidal exhalations, and exhalations were slightly active. 14, 16 Subjects breathed against the expiratory resistance ...

Structure and Function of the Mucus Clearance System of ...

Hi-PEP uses forced expiratory maneuvers against the PEP-mask's expiratory resistor for mobilizing and transporting intrabronchial secretions (Oberwaldner et al. 1986). The equipment used is the same as that described in the previous section. The aim of Hi-PEP is to improve mucus clearance in a …

Physiotherapists' use of airway clearance techniques ...

Perceived effectiveness of ACTs. Participants working with adults perceived the most effective techniques were physical exercise (), oscillating PEP devices (97%), directed huffing (95%), the ACBT (90%) and PEP mask or mouthpiece (90%) (Table 4).All participants believed that physical exercise, PEP therapy, directed huffing and oscillating PEP devices were effective (Table 4).

PEP Therapy - Bronchiectasis

Improving the Ketchup Bottle Method with Positive Expiratory Pressure, PEP, in Cystic Fibrosis. Eur J Respir Dis 65:423-432. Groth S, Stavanger G, Dirksen H, Andersen JB, Falk M, Kelstrup M (1985). Positive Expiratory Pressure (PEP-mask) Physiotherapy improves Ventilation and reduces Volume of Trapped Gas in Cystic Fibrosis.