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Chest / Lungs Home Care

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Intrapulmonary Percussive Ventilator (IPV)

What is an Intrapulmonary Percussive Ventilator (IPV)?

The Intrapulmonary Percussive Ventilator (IPV) is a pneumatic positive pressure device used to move mucus.

How does IPV work?

The IPV sends small, fast bursts of air that open the airways. These small bursts of air also loosen and free mucus from airway walls. A continuous mist helps make mucus less sticky. The high flow rate encourages deep breathing, which helps air to get around and behind trapped mucus.

How do I perform a treatment?

There will be five cycles of treatment. Each cycle lastsfor five minutes and has its own settings. The basic settings for all five cycles include:

  • Drive pressure between 25 psig (minimum) to 30 psig (maximum) 
  • Total solution = 20mL of normal saline or hypertonic dose, followed by normal saline for the duration of treatment
  • Frequency settings start at 300 Hz and will decrease by 50 Hz for each cycle. Use the black arrow on percussion knob to obtain correct frequency

Cycle Frequency Position of Percussion Knob
Cycle 1 300 Hz Turn black arrow completely counter clockwise
Cycle 2 250 Hz Turn black arrow to the 9 o'colck postion
Cycle 3 200 Hz Turn black arrow to the 12 o'colck postion
Cycle 4 150 Hz Turn black arrow to the 3 o'colck postion
Cycle 5 100 Hz Turn black arrow completely clockwise

  • Make sure your child has a good seal with your mouthpiece or mask before your child begins the treatment
  • Turn system on and breathe normally through the mouth
  • The nebulizer will start the mini-bursts once the machine is turned on
    • Keep breathing normally, holding your cheeks tight, during the entire cycle
  • Turn machine off in between cycles.
    • Perform two to three sets of Huff Coughing

How do I clean my IPV?

  • After each use rinse with sterile water and air dry on clean paper towel
  • Wipe down the tubing and machine
  • Wash with soapy water and disinfect daily

Contact Us

For additional information on this or any Health Topic, please call the Family Resource Center, 513-636-7606, or your pediatrician.

Rev. 6/09