The cough assist machine copies a natural
cough. It slowly sends a large volume of air
to your lungs, like a normal deep breath
when you breathe in (positive pressure).
Then it quickly reverses the flow of air and
mucus (negative pressure). The cough assist
machine makes your cough more effective.
It helps your airways stay clear, to decrease
the chance of respiratory infections.
Getting Started
We will help you to set up the machine and
teach you to make needed changes. You may
start with lower pressures to get comfortable
with the therapy. You should know that the
lower pressures may not be effective.
A cough machine breath is made up of an
inhale time, exhale time, and a pause time.
A normal treatment is 4 sets of 5 breaths.
You may do more or less cough sets. It
depends on how well you are clearing
mucus. Between each sequence you may rest
for 20-30 seconds or more. This resting time
gives your caretaker time to remove mucus
in your mouth and nose.
How do I adjust the phases of breathing?
Each phase of breathing is set so that you
can get the air in and out of your lungs with
comfort and have a pause time to keep
coughing, if needed.
1. Set the inhale time knob at 1 second.
2. Set the exhale time knob at 1 second.
3. Set the pause time knob at 1-2
seconds.
4. Set the inhale flow knob at the 3
squiggly arrows (full flow).
Cough Assist Machine
How do I use the cough assist machine?
• Before you start the treatment, wash
your hands with soap and warm
water or use anti-bacterial hand gel.
This decreases the risk of infection.
• Check to make sure the inspiratory
(positive) and expiratory (negative)
pressures are set. Start at +20/-20 and
slowly increase to +40/-40, or as
instructed by your provider.
• Test the machine by taking off the
face mask or mouthpiece from the
tubing. Hold the tubing firmly
against a flat surface.
• Turn on the machine.
• Set the manual/auto switch to auto.
The unit will then cycle from the
positive to negative pressure and
back to zero for the pause on its own.
• Put the mask or mouthpiece tightly
on your face or in your mouth so that
no air leaks out. If you use a
mouthpiece you may need to use a
nose clip to prevent air leakage.
• As you breathe in, the machine will
help by giving a big breath of air.
This breath will end at the time set
on your machine.
• As you breathe out, the machine will
help by sucking the air and mucus
out. This helps your cough be much
stronger and remove mucus.
• Keep taking a set of 4-6 breaths from
the cough machine. Rest for 20-30
seconds. Cough out mucus that may
have loosened up.
• A well-fitting, soft seal mask is best
for less leakage. You may need to
support your head from behind
during breaths to help keep your
Need help?
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Questions and answers