Take a deep breath and hold it for 2-3 seconds.If prescribed, nebulize a mucolytic breathing treatment (such as hypertonic saline, Pulmozyme ® or Mucomyst ®) after albuterol.If you are doing a breathing treatment (such as albuterol) using an inhaler or a nebulizer, do this 10-15 minutes before.Sit up with a straight back and good posture.All of the brands mentioned above are oscillating PEP valves (= resistance and vibration). Oscillating PEP valves create a vibration which will help break mucus free and allows you cough it out. The effect of this is to open up your airways (similar to what happens when you blow up a balloon) and get air behind mucus stuck in small airways. ![]() This resistance when exhaling makes you take up to four times as long to breathe out. When you breathe out into the valve, you will feel resistance (and often vibration). When you breathe in, air moves freely into your lungs. The science behind these valves in simple. It doesn’t really matter which one you have as long as you are using it correctly. They are commonly known by their brand names (Flutter ®, Acapella ®, Aerobika ®, and RC-Cornet ®). You may have been given one by your doctor or advised to buy one. An overview of airway clearance can be found here.įlutter or PEP (positive expiratory pressure) valves are simple and effective devices that are usually the first step to helping you to clear the mucus out of your lungs. ![]() ![]() People living with cystic fibrosis and bronchiectasis produce more mucus than most and removing this is crucial to staying healthy. Phlegm has a tendency to get stuck deep in the lungs and despite all your best efforts, you may not be able to cough every last bit out.
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