1. Bubble/Bottle PEP is often used to transition young children between percussion and a PEP device.
  2. It uses water and tubing to provide variable resistance on expiration (breath out).
  3. A slightly bigger breath than normal is used with a long breath out.
  4. One set consists of 10-20 breaths or it can be timed, 2-3 minutes, before huffs and coughs.
  5. Try to make the session fun for young children.
  6. Bottle PEP must be cleaned after each use.
  7. Bottle PEP should be stopped immediately if a child complains of chest pain or coughs up any blood. The CF team should be contacted and CFWA should be informed.

Website Terms of Use

All content and media on the CFPhysio website is created and published online for information purposes only. Before viewing the content on the this website you should read the website terms of use and privacy policy. The content in this website is not intended to be a substitute for professional medical advice and should not be relied upon as medical advice. If you have any concerns about your health, or concerns are raised from information on this website, please contact your treating doctor, qualified health professional or local clinic.