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What is PEP Therapy?

Positive expiratory pressure (PEP) therapy is an airway clearance technique for Cystic Fibrosis (CF) patients. It involves breathing with a slightly active expiration against an expiratory resistance. It is used for the clearance of excess lung secretions, reduction of gas trapping, and improvement of lung ventilation. PEP is a small device that a patient exhales into using a mask. The PEP device creates pressure in the lungs and keeps the airways from closing. It takes about four times as long to breathe out against the resistance than it does to breathe in. A positive expiratory pressure (PEP) breathing device uses inhalation and exhalation to keep the lungs healthy.

Benefits of Positive Expiratory Pressure Device

• Reduce air trapping, common with asthma and COPD
• Aid in the mobilization of retained secretions, as are found in cystic fibrosis and chronic bronchitis
• Prevent or reverse atelectasis
• Optimize the delivery of bronchodilators

Why use a Mucus Clearing Device?

• Increase or maintain your inhaled lung volume
• Improve how well you rid your lungs of mucus
• Prevents serious lung infection, especially after surgery or a procedure

When to use a Lung Cleaning Device?

PEP Therapy is used for patients who have

• Cystic Fibrosis
• COPD
• Asthma
• Lung diseases with secretory problems
• Patients with atelectasis

Contradictions for OPEP Therapy

PEP Therapy cannot be recommended for people diagnosed with tuberculosis, right-side heart failure, pneumothorax, and conditions that involve coughing up blood. It is good to consult your healthcare provider before undergoing PEP Therapy.

What is OPEP?

Oscillating Positive Expiratory Pressure (OPEP) therapy combines PEP therapy with high-frequency oscillation. OPEP device includes an additional component that vibrates and creates oscillations or flutter effects. The flutter device is a controlled vibration system that gently oscillates the small and large airways in the lungs. The oscillation greatly improves the mobilization and clearance of mucus.

How to use Flutter Device?

• If this is the first time you will use your PEP device, the respiratory therapist or nurse will decide on what level the dial should be set
• Sit with elbows resting comfortably on the table
• Take in a deep breath and hold it for 3 seconds
• Place the mouthpiece lightly in the mouth
• Be sure to maintain a tight seal on the mouthpiece during exhalation
• Exhale actively, but not forcefully, through the device. Exhalation should last approximately 3 to 4 times longer than inhalation
• Perform 10-20 PEP breaths as recommended by the clinician. You should use your PEP device 8 times per day or every hour while awake

How to clean the OPEP Device?

Cleaning your PEP device properly is important to decrease the risk of infection. The PEP device should be cleaned every night at bedtime.

1. Take apart the PEP device
2. Daily Clean: Soak the parts in warm, soapy water for 15—20 minutes
3. Disinfect: Place the acapella choice PEP device in the dishwasher (top rack)
4. Rinse your PEP device thoroughly with warm water
5. Air-dry the PEP device on a paper towel

Where can I Buy PEP Therapy Devices Online?

PEP therapy can also help deliver medication deeper into the lungs when done with nebulized bronchodilator therapy. PEP techniques are done through the valve, flutter(oscillating PEP), and pep device, which combines two different types of therapy into one: high-frequency oscillation and PEP. At HPFY, we have a range of products for all your PEP needs from top brands Monaghan and Smiths Medical and more.

Read more about PEP Therapy

• Airway Clearance Techniques 
• PEP physiotherapy for airway clearance in people with cystic fibrosis 
• Oscillatory positive expiratory pressure treatment in lower respiratory tract infection 
• Positive expiratory pressure and oscillatory positive expiratory pressure therapies