A new versatile breathing system for CPPB. The application of PEPP during assisted and controlled ventilation or demand flow CPAP during spontaneous ventilation, with or without IMV.

A system is described which has been designed to improve the management of patients requiring CPPB. It makes use of a modified Bird Mark 7 or 8 ventilator adapted with a PEPP compensator and a new breathing circuit. This versatile unit provides several advantages over other currently available systems and makes it possible to apply PEPP during controlled and/or assisted ventilation as well as CPAP during spontaneous respiration, with IMV if another servo ventilator is included. This system has been in clinical use for 2 years and has proved to be highly reliable and efficient in both adults and children.