PEP device – airway clearance — RACP Paediatrics MCQ

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EasyRespiratoryPEP device – airway clearanceRACP Paediatrics

The same child asks about daily airway clearance. A physiotherapist recommends a device that creates positive expiratory pressure to splint airways open during exhalation and mobilise secretions. What device is this?

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Correct answer: D — Chest physiotherapy (PEP device)

PEP (positive expiratory pressure) devices (e.g., PariPEP, Acapella, Flutter) are the most commonly used airway clearance technique for school-aged children with bronchiectasis. PEP splints airways open during exhalation, preventing collapse and facilitating secretion clearance. It is performed 1-2 times daily and increased during exacerbations.

Reference: RCH Melbourne – 2023 – Bronchiectasis CPG; RACP Paediatric Curriculum – Respiratory