What is bubble PEP?

Bubble PEP is a treatment to help children at Great Ormond Street Hospital (GOSH) who have a build up of phlegm (secretions) in their lungs . Bubble PEP is used for any child who has difficulty clearing phlegm, most commonly those who have cystic fibrosis (CF) or after surgery.

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What is a Flutter technique?

What is the technique? The Flutter®, Turboforte / Pari O-PEP / AirPhysio and PEPE are small hand held device used for airway clearance . Treatment with these devices includes positive expiratory pressure and vibrations to help loosen the phlegm from the lungs.

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Is Flutter PEP a treatment?

The Flutter device was developed in Switzerland and combines positive expiratory pressure therapy with high–frequency oscillations within the airway 29. It is a controlled vibration system which produces positive expiratory pressure and cyclic oscillation of the airways during expiration.

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How do you use respiratory flutters?

Instruct the patient to slowly inhale to approximately 3/4 of a full breath. Place the FLUTTER® in the mouth with lips closed firmly around the stem. Position the FLUTTER® at the proper angle and perform a 2 to 3 second breath-hold. This allows the inhaled air to be evenly distributed throughout the lungs.

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