An improved intermittent positive pressure breathing manifold device comprises a substantially vertical main tube having open upper and lower ends, a diaphragm adjacent the upper main tube opening for intermittent closing thereof and which diaphragm is in sealing engagement with an upper cap portion located above the main tube, an exhalation port adjacent the upper main tube end and in communication with the lower main tube opening, and first and second gas ports along the main tube between the upper and lower main tube ends. A preferred embodiment includes an improved nebulizer incorporating an air nozzle and coaxial aspirator cap each having concentric orifices substantially aligned with the central vertical axis of the main manifold tube.
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