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PEP Therapy
Airway Care/ Alternative Airway Clearance
| Term | Definition |
|---|---|
| Positive Expiratory Pressure (PEP) Therapy | applying expiratory positive airway pressure using one-way inspiratory valve and a one way expiratory flow resistor |
| Expiratory Flow Resistor | prevents end-expiratory pressure to fall to zero. |
| Expiratory pressure | should range from 10-20 cmH20 at mid-exhalation |
| How much Time is PEP Therapy given | Used for 15- 2o min intervals 3-4 times a day |
| PEP usage | May help improve secretion expectoration, reduce residual volume decrease hyperinflation and improve airway maintenance( cystic fibrosis, pneumonia) |
| Vibratory/ Oscillatory PEP Devices | Combined positive expiratory pressure therapy with high frequency oscillations at the airway. Helps remove secretions from airways EX. Acapella, Quake, Flutter |