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Vest Therapy - Standard Protocol

The Vest − Standard Protocol

The standard protocol can be used with the following vest machines: Hill-Rom Model 104 and newer, inCourage by RespirTech, and the Smart Vest.

Instructions to Perform Treatment

There will be four cycles of treatment. Each cycle has its own settings.

Setting the Machine for the First Cycle of Treatment

1. Make the following settings on the machine:

  • Frequency = 11 Hz
  • Pressure* = 6
  • Time = 6 minutes

2. Press the ON button (or foot pedal) to begin treatment.

3. After six minutes of treatment, pause the vest generator to deflate the vest (if the vest does not deflate, disconnect one end of one of the hoses).

4. Perform two or three sets of Huff Coughs to remove the mucus from your child's lungs.

*Some vest machines will display pressures as a single number, double number, or a percentage (6, 60, or 60 percent).

Repeat steps 2-4 for remaining cycles.

Setting the Machine for the Second Cycle of Treatment

  • Make the following settings on the machine:
    • Frequency = 12 Hz
    • Pressure = 6
    • Time = 6 minutes

Setting the Machine for the Third Cycle of Treatment

  • Make the following settings on the machine:
    • Frequency = 13 Hz
    • Pressure = 6
    • Time = 6 minutes

Setting the Machine for the Fourth Cycle of Treatment

  • Make the following settings on the machine:
    • Frequency = 14 Hz
    • Pressure = 6
    • Time = 6 minutes

Last Updated 07/2019

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