Let’s Have an OPEP Talk for Respiratory Care Week

Respiratory Care Week is here, and it’s the perfect time to highlight the vital role of respiratory therapists and the tools that help people breathe better every day.

Yesterday I shared a post about Monaghan Medical, the makers of the Aerobika® and the AeroEclipse® and Ombra nebulizing system. Today, we’re continuing the celebration with a “PEP talk”—or better yet, an OPEP talk!

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What Is OPEP Therapy?

OPEP stands for Oscillating Positive Expiratory Pressure. This therapy uses a small handheld device to help loosen mucus and open partially blocked airways. As you exhale through the device, it creates gentle vibrations that “unstick” mucus, making it easier to cough out.
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Two of the most popular OPEP devices are the Aerobika® and Acapella®. These tools are especially helpful for people living with bronchiectasis, COPD, cystic fibrosis, asthma, or other chronic lung conditions where mucus buildup is a daily challenge.

​For a step-by-step demonstration, visit my YouTube Channel – Clearance of Airways Playlist where I show exactly how these devices work and how to use them safely.

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Finding the “Goldilocks Zone” with a Manometer

When it comes to OPEP, effort matters but more is not always better. Many people tend to blow too hard into their device, thinking it will move mucus faster. In reality, exhaling too forcefully can collapse smaller airways and reduce the effectiveness of airway clearance.

That’s where the manometer accessory comes in. A manometer measures the pressure created during exhalation so you can stay in the “Goldilocks zone”—not too hard, not too light, but just right.

If you use a manometer, your goal is to maintain a pressure between 10 and 20 cmH₂O throughout your exhalation. Staying within this range helps keep your smaller airways open and promotes optimal mucus movement.

​Pressures above this range can actually work against you, while pressures below may not provide enough resistance to be effective.

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Why OPEP Devices Matter for Bronchiectasis and Beyond

For people with bronchiectasis and other mucus-producing lung diseases, airway clearance is a daily essential. OPEP devices make that process more effective and less exhausting.

Regular OPEP use can help:
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• Reduce coughing fits and sputum buildup
  
  
• Prevent flare-ups and infections
  
  
• Improve breathing comfort and energy
  
  
• Support long-term lung function
  
  

If you’re unsure whether OPEP therapy is right for you, talk to your pulmonologist, respiratory therapist, or care team about integrating it into your routine.

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Where to Purchase the Aerobika with Manometer

Purchasing an Aerobika® with a manometer usually costs only about $10 more than the Aerobika alone. You can order directly from Tampa Specialty Pharmacy, a trusted distributor of Monaghan Medical products.

OPEP therapy is one of the most empowering self-care tools for those living with chronic lung conditions. By learning proper technique and using the right accessories, you can make airway clearance more effective and comfortable—so you can focus on living, not just managing symptoms.
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To learn more, explore my YouTube channel and ​BE CLEAR blog for additional videos, tips, and patient-friendly education.

​BE CLEAR has a consulting relationship with Monaghan Medical.