Positive Expiratory and Airway Pressure Therapy (PEP, PAP) — Contraindications

Contraindications

Untreated pneumothorax
Hemoptysis of unknown origin
Recent facial/skull surgery or trauma

Relative Contraindications

Increased intracranial pressure (>20 mmHg)
Nausea/vomiting or aspiration risk
Severe bullous lung disease (barotrauma risk)

References

AARC CPG: Airway Clearance Therapies (2013)
ATS/ERS Statement on Airway Clearance (2013)
Egan's Fundamentals of Respiratory Care, 11e (2021)

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