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Wagamaga OP t1_jbseesx wrote

Research around a new breathing device developed by pulmonologists at the University of Cincinnati offers promise for improving their lives.

The new device not only improves symptoms of breathlessness and quality of life for people with COPD, it also offers benefits for people dealing with stress and anxiety and those practicing mindfulness, meditation or yoga.

The research was published in the journal Respiratory Care.

The device, called PEP Buddy, was created by Muhammad Ahsan Zafar, MD, and Ralph Panos, MD. Zafar is an associate professor in the Department of Pulmonary Critical Care and Sleep Medicine at the UC College of Medicine while Panos is a professor emeritus in pulmonary and critical care at the UC College of Medicine and is the director of national tele-ICU program for the U.S. Veterans Affairs.

“Dr. Panos and I both see patients with COPD, and it’s a huge population,” says Zafar. “Their life really changes when they have COPD. They were active individuals but now they’re debilitated and limited, so we wanted to come up with something easy that helps improve their life.”

For people with COPD, it takes longer to get inhaled air out of their lungs with each breath due to tighter air tubes. Therefore, when they breathe fast, like during physical activities, air is retained in the lungs. This air stacking or “dynamic hyperinflation” is the main reason for breathlessness and also leads to lower oxygen levels. As the breathing gets difficult during physical activity, people become less and less active and more isolated.

https://rc.rcjournal.com/content/68/3/408

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aqa5 t1_jbsjunf wrote

ok, so now we know who invented it and which persons it might help. But how does it look like, how does it work? The article costs $30...

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MedicalJargon-itis t1_jbsz8uo wrote

It's called a hand-free positive airway pressure device, so my guess is it mimics pursed lip breathing. It probably functions like if you exhaled through a straw (probably larger diameter than a drinking straw), but had a valve so you can breathe in unrestricted. I'm guessing it fits like a mask, hence the hands-free part.

That exhaling against resistance helps stent open the terminal bronchioles to allow CO2 to more effectively escape. We'll often coach patients to "smell the flowers, blow out the candles" for a breathing exercise to do this same thing. Breathing out through pursed lips creates "auto-PEEP" or auto Positive End Expiratory Pressure.

I would point out that when they're talking about exertion, it's not referring to jogging. Advanced and end-stage COPD folks get trouble breathing with simply walking to their car or to the bathroom. Many need walkers or canes, so having a hands-free device would indeed be important.

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ManJesusPreaches t1_jbvho0q wrote

So I actually have one of these one the way (recommended to me by my doc for anxiety, though), and will try to remember to report back how it functions.

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ManJesusPreaches t1_jcglfaz wrote

Reporting back as promised. It definitely helps control and slow breathing during anxious moments. I'm actually kind of impressed with how effective it is. Keeping breathing slow is usually really difficult for someone in the midst/verge of a panic attack. This device definitely helps.

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wolf_bird_nomad t1_jbta22a wrote

Just search PEP Buddy. They have a website that sells them and explains the tech.

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tigerjerusalem t1_jbsuv6b wrote

COPD is Chronic obstructive pulmonary disease for those wondering.

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aqa5 t1_jbsk3ps wrote

Nothing to see here, this is an advertisement for a $45 plastic cap with holes... You can restrict your airflow with your lips to breathe slowly.

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antsam9 t1_jbuwuvd wrote

You can achieve a similiar effect by breathing out through a tiny straw

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lyam23 t1_jbsscwg wrote

Don't breathe through your mouth.

EDIT: mouth breathers!

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Prolly-wrong t1_jbsp1tv wrote

My mom just gave me a brown paper bag but it has to be one of the smaller ones, lunch sized.

Using a full sized, grocery story version of a brown paper bag just looks ridiculous when you’re battling a panic attack

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Reaches_out t1_jbvr4fm wrote

"Positive Expiratory Pressure" device - you can also accomplish this using a straw, pinching it slightly so you have to force the air out as you blow.

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snoo135337842 t1_jbw6zx6 wrote

Pinching the end? Or the part in your mouth?

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Reaches_out t1_jbwarav wrote

I taped the end of a straw almost completely shut, but you can get the same effect from just holding your lips real close as if you're trying to blow out a candle. The tighter the better, as long as air is still getting through, and you're pushing against it with your lungs.

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huh_phd t1_jbtxht5 wrote

Got excited thinking UC meant ulcerative colitis

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