11/8/2023 0 Comments Flutter valve bronchiectasisWhen compared to ACBT, with or without postural drainage or autogenic drainage in people with bronchiectasis in a stable clinical state or during an acute exacerbation, Flutter® was as well tolerated and offered similar benefits in sputum expectoration as the other techniques (Eaton et al 2007, Thompson et al 2002, Tsang 2002, Herrera-Cortina 2016) and was preferred by patients (Eaton et al 2007). It was also found to reduce hyperinflation more effectively than postural drainage and slow expiration (Guimaraes 2012). Compared to no treatment, it enhanced sputum expectoration and improved quality of life in people with stable bronchiectasis (Lee 2015). In bronchiectasis, the Flutter® improved secretion transport and reduced viscosity more than mask PEP therapy (Ramos et al 2009, Tambascio et al 2011). The patient should be given written instructions including the technique, prescription and cleaning of the device.Ĭlinical application and evidence for this device During an acute infection, the frequency, the number of breaths per cycle and the number of cycles may alter. In paediatric patients, it may also depend on other factors as discussed in conjunction with the therapist and family. Depending on the daily secretion production, this type of OscPEP therapy may be applied daily, or twice daily in a stable clinical state.
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