There is no consensus regarding optimal treatment frequency and number of cycles included in each treatment session and must also be individualized. Based on the information given in this article the instructions have to be adjusted to give the optimal effect. As the different PEP techniques are being used by diverse patient groups it is not possible to give standard instructions. It is therefore necessary to give the right instructions to obtain the desired effects. Different breathing patterns during PEP increase or reduce expiratory flow, result in movement of EPP centrally or peripherally and can increase or decrease lung volume.
#Peep medical abbreviation how to
In clinical practice, the instruction how to use an expiratory resistance is of major importance since it varies. The aim of this article is to describe the purpose, performance, clinical application and underlying physiology of PEP when it is used to increase lung volumes, decrease hyperinflation or improve airway clearance. Effects on pulmonary outcomes have been discussed in several publications, but the expected underlying physiology of the effect is seldom discussed. Pursed lips breathing and a variety of devices can be used to create the resistance giving the increased expiratory pressure. Breathing out against resistance, in order to achieve positive expiratory pressure (PEP), is applied by many patient groups.
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