Positive Expiratory Pressure (PEP) Devices

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Introduction[edit | edit source]

Positive Expiratory Pressure (PEP) is breathing against resistance, it is similar to Pursed Lip Breathing (PLB) when resistance is applied by the mouth during expiration (Cerny2004); or can be performed by a device (Monika FagevikOlsén a 2015).

The increase in pressure caused by resistance is transmitted to airways, and is able to:

    • Stent them to open during expiration thereby preventing premature airway closing, thus reduces gas trapping. (Cerny2004)
    • Promote collateral ventilation, allowing pressure to build up distal to obstruction(Monika FagevikOlsén a 2015)

        • Collateral Ventilation: Is a phenomenon found in the human lungs where alveolar structures are ventilated through passages or channels that bypass normal airways.(E J Cetti 2006)
    • Mobilizes secretions from the peripheral airways towards central airways (Downs n.d.)

Physiology of PEP[edit | edit source]

History of PEP[edit | edit source]

Different PEP devices[edit | edit source]

Indications for PEP[edit | edit source]

Studies[edit | edit source]

Resources[edit | edit source]

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References[edit | edit source]