An abdominal pressure exsufflation belt is disclosed. An example of the abdominal pressure exsufflation belt includes an abdominal belt configured to be worn by a person about their abdomen. The exsufflation belt also includes a pouch of the abdominal belt. The exsufflation belt also includes a bladder in the pouch. The exsufflation belt also includes tubing connected between the bladder and an external ventilator to enable air flow from the external ventilator to expand the bladder and press against the abdomen of the person wearing the abdominal belt. Expansion of the bladder delivers a force to the abdomen resulting in expiration as the external ventilator inflates the bladder, followed in sequence by passive inspiration by the person wearing the abdominal belt as the bladder deflates.