Acapella
General
- Acapella devices consist of positive pressures generated as the patient exhales through a fixed orifice/valve to create back pressure in the airways
- Comes in two colors:
- Green is for patients able to maintain an expiratory flow of 15 LPM or greater for 3 seconds
- Blue is recommended for patients capable of less than 15 LPM for 3 seconds
Indications
- Improve the mobilization of bronchial secretions
- Improve the ventilation/ perfusion
- Normalize functional residual capacity (FRC) based on vibration and cough
Usage:
- Instruct patient to perform diaphragmatic breathing and inspiring at a larger than normal tidal volume
- Instruct patient to actively exhale (not forcefully) for 3-4 seconds
- Exhalation phase should be 3-4 seconds, if it is shorter than expected, then rotate dial clockwise until the patient can