Oscillating positive expiratory pressure (OscPEP) using the Flutter® / Turboforte / Pari O-PEP / AirPhysio or PEPE in children

What is the technique?

The Flutter®, Turboforte / Pari O-PEP / AirPhysio and PEPE are small hand held device used for airway clearance. Treatment with these devices includes positive expiratory pressure and vibrations to help loosen the phlegm from the lungs. The devices consist of a mouthpiece, a stainless steel ball, a cone that holds the ball and a perforated cap.

Prescription of the technique?
OscPEP using the Flutter®, Turboforte / Pari O-PEP / AirPhysio and PEPE devices has been described in the adult section – OscPEP using a Flutter®
Key points for Paediatrics
It can be difficult for young patients to hold at a specific angle for any length of time (Fig 1).
Fig. 1 Child holding a Flutter® device
For information on where to purchase these devices in Australia and New Zealand, see the Resources section.