DETERMINING PROPER RESISTANCE SETTING
The Aerobika* Oscillating PEP device should be set up by a healthcare professional using the following steps:
1. Start with the Resistance Indicator at the lowest setting. (Fig. 2)
2. With the patient in a comfortable seated position, have them
inhale through the device taking a deeper breath than normal,
but not to total lung capacity, then exhale briskly but not
forcefully through the device.
3. Resistance should be set so exhalation lasts for 3–4 times
longer than inhalation. Resistance can be increased by moving
the indicator to the left. To reduce resistance, move the indicator
back to the right.
NOTE: Selection of the proper resistance setting will produce
the desired inspiratory:expiratory flow ratio of 1:3 or 1:4 for 10–20 minutes without excess fatigue.
4. Patients should be reevaluated periodically or with any change in status. As airways become less congested, more
resistance will be needed to maintain inspiratory:expiratory ratios.
PROPER TECHNIQUE FOR USING YOUR AEROBIKA* OSCILLATING PEP
Treatments should be conducted twice daily or as directed by your healthcare professional.
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1. Before use carefully examine the device. Replace immediately if any defect is noticed. Always ensure the Resistance
Indicator is positioned as prescribed by your healthcare professional. Gently press the two halves together to make
sure the Attachment Tabs are engaged.
2. Although the Aerobika* Oscillating PEP is orientation independent, it is recommended that treatments be done in
a comfortably seated position.
3. Put the mouthpiece in mouth and close lips around it to ensure an effective seal. Make sure your hand does not
block the exhalation path on the back of the device.
4. Inhale through the device taking a deeper breath than normal, but do not totally fill your lungs. Hold your breath for
2–3 seconds before exhaling.
5. Exhale actively, but not forcefully, through the device. Ideally, exhalation should last 3–4 times longer than
inhalation. Keep your cheeks flat and firm to maximize treatment effectiveness. Ensure you maintain a good seal on
the mouthpiece for the duration of your treatment.
6. Continue taking deep breaths and long exhalations for 10–20 breaths, or as instructed by your healthcare
professional. After at least 10 breaths, perform 2–3 'huff' coughs to clear your airways. Your healthcare professional
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7
Repeat
Steps
3–6
FIGURE 2
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3
EN