A mouthpiece PEP device is a mouthpiece with different sized holes (expiratory openings) to provide resistance on the breath out, creating positive pressure in the lungs and airways .
The CF physiotherapist will choose the appropriate resistor by attaching a manometer or pressure gauge to the PEP device and measuring the pressure on expiration with different sized openings.
The most commonly used mouthpiece PEP devices are: Pari PEP original and Pari PEP S
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