Name of the Procedure:

Flutter Device Therapy (S8185)

• Common names: Flutter Valve Therapy, Oscillating Positive Expiratory Pressure (OPEP) Therapy
• Technical term: Oscillatory Positive Expiratory Pressure Device Procedure

Summary

Flutter Device Therapy is a non-invasive treatment used to clear mucus from the lungs. The patient exhales into a handheld device, creating vibrations in the airways that help loosen and expel mucus.

Purpose

Flutter Device Therapy is primarily used to:

• Address conditions like chronic obstructive pulmonary disease (COPD), bronchiectasis, cystic fibrosis, and other respiratory diseases that involve mucus buildup.
• Improve bronchial hygiene and lung function by facilitating easier mucus clearance.

Indications

• Persistent, thick mucus in the lungs despite other treatments.
• Difficulty expectorating mucus.
• Conditions such as COPD, bronchiectasis, and cystic fibrosis.
• Recurrent respiratory infections due to mucus blockage.

Preparation

• The patient should receive instructions on how to use the device properly.
• It is recommended to perform the therapy on an empty stomach to prevent nausea.
• No specific diagnostic tests are required, but a consultation with a healthcare provider is necessary to ensure proper use.

Procedure Description

1. The patient sits comfortably and holds the flutter device with their mouth.
2. Exhale steadily into the device.
3. The device creates vibrations and resistance that help loosen mucus in the airways.
4. The patient repeats the process for a specified duration or frequency, as instructed by a healthcare provider.
5. The loosened mucus is then expelled through coughing.

Duration

Each session typically lasts about 10-20 minutes.

Setting

The procedure can be performed at home, in a hospital, or in an outpatient clinic, depending on the patient's condition and healthcare provider's recommendation.

Personnel

• Primarily, the patient performs the procedure independently.
• Respiratory therapists or healthcare providers may provide initial training and periodic supervision.

Risks and Complications

• Minor discomfort or fatigue.
• Rarely, increased coughing or mild throat irritation.
• If improperly used, it may not effectively clear mucus, potentially worsening symptoms.

Benefits

• Improved clearance of mucus from the lungs.
• Enhanced lung function.
• Reduced frequency of respiratory infections.
• Symptom relief, often noticeable after a few sessions.

Recovery

• No specific recovery period is required.
• Patients can resume normal activities immediately after each session.
• Follow ongoing instructions for maintenance and follow-up appointments as needed.

Alternatives

• Chest physiotherapy.
• Other OPEP devices or techniques.
• Mucolytic medications.
• Nebulizer treatments.
• Pros: Other methods may suit patient preferences or specific medical needs.
• Cons: Some alternatives may be more invasive, time-consuming, or less effective for certain individuals.

Patient Experience

• The procedure is generally comfortable and straightforward.
• Patients may feel mild vibrations in the chest and throat.
• Pain management is typically unnecessary, but any discomfort should be discussed with a healthcare provider.
• Following use, patients should feel relief as mucus is cleared, making breathing easier.