With that said, please keep the following hazards in mind: This is why it’s important to consult with your doctor before using a flutter valve. While you may not think that blowing into a small plastic device is dangerous, there are definitely some hazards and complications that you must be aware. However, the following points need to be carefully assessed before a decision is taken to initiate this type of therapy: There are no absolute contraindications for the use of a flutter valve.
To maximize the delivery of aerosolized medications to patients receiving bronchial hygiene therapy. To help the patient remove secretions and clear the airways. To prevent or reduce atelectasis (complete or partial collapse of a lung or a section (lobe) of a lung). Here are the indications for using acapella flutter valve: That’s where the little gadget known as an acapella flutter valve can come in handy. Besides, having mucus in an individual’s lung is just not healthy. This, of course, is a problem that needs to be solved, as it can lead to other issues. People who are suffering from chronic bronchitis and cystic fibrosis, among other cardiopulmonary diseases, sometimes produce a large amount of mucus in their airway. Acapella flutter valve mucus removal device Increased risk of early, uncontrolled coughing with patients with hyper-reactive airwaysįigure 1. Middle ear infection, due to the risk of increased pressure within the Eustachian tubes during the technique. Inability to tolerate due to increased work of breathing. Active hemoptysis due to the risk of inducing excessive bleeding with the technique. Undrained empyema or lung abscess (due to the risk of sudden release of large volume of loculated fluid). Hemodynamic instability or severe cardiovascular disease due to the application of positive pressure to the thorax, although with low pressure PEP, the risk is minimal compared to a cough. Post-lung lobectomy or lung transplantation, due to the risk of pneumothorax or compromise to the anastomosis. Undrained pneumothorax or drained pneumothorax, due to risk of air leak. Acapella Duet – It is able to be taken apart and thoroughly cleaned and has a dedicated nebulizer portĬlinical precautions for respiratory flutter valve therapy:. It is able to be taken apart and thoroughly cleaned. Acapella blue is indicated for patients that can generate an expiratory flow of 15L/min. Acapella Blue – The blue model is less difficult and produces a lower amplitude of vibrations compared to Acapella Green or Acapella Choice. It is indicated for patients that can generate an expiratory flow of > 15 L/min. Acapella Green – The green model is more difficult. There are several Acapella flutter valve devices that are available based on the patient’s expiratory flow: There are many flutter valve devices used to provide oscillating positive expiratory pressure (PEP): This can ‘pop’ the alveoli in the lungs open, which helps to treat and prevent atelectasis (complete or partial collapse of a lung or a section (lobe) of a lung). These vibrations helps to loosen secretions form the patient’s airways.Īlso, as the patient blow into the device, back pressure is created. As the patient breathes into the device, the ball rattles against the valve causing vibrations. The flutter valve device has a steel ball that rests inside near the valve. 
The Acapella flutter valve causes both airway vibrations and positive expiratory pressure (PEP) therapy, so it essentially provides dual therapy for the patient. Acapella flutter valve is a triangularly shaped cylinder and is sometimes green or blue in color. The repeated accelerations of expiratory airflow favour movement of secretions from the peripheral to the central airways. The oscillations induce vibrations within the airway wall to displace secretions into the airway lumen and decrease the viscosity of tenacious secretions. The positive expiratory pressure (PEP) component encourages airflow behind secretions.
A flutter valve is a type of oscillatory Positive Expiratory Pressure (PEP) therapy that loosens secretions in the lungs and helps the patient to cough them up in order to clear the airways. A flutter valve helps to clear mucus from your lungs as well as make breathing easier and more comfortable. A flutter valve is a handheld Oscillating Positive Expiratory Pressure (PEP) device that is used as a type breathing therapy.
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