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The frequency of the oscillations can be modulated by changing the inclination of the Flutter device slightly up or down from its horizontal position.Oscillations in airflow result from successive acceleration and deceleration phases that coincide with the opening and closing cycles, producing the "flutter effect." The maximum endobronchial pressure generated is approximately 20 to 25 cm H20 expiratory pressure varies between 0.8 and 2.5 cm H20 during the opening and closing cycle.The opening and closing cycles produce oscillations of endobronchial pressure and expiratory airflow. The actual position of the ball during exhalation is the result of an equilibrium between the pressure of the exhaled air, the force of gravity on the ball, and the angle of contact of the ball on the cone.When a subject exhales through the mouthpiece, the ball rolls and moves up and down, creating an opening and closing cycle that repeats itself many times throughout each exhalation.The Flutter device consists of a hardened plastic mouthpiece at one end, a plastic perforated cover at the other end, and a valve on the inside created by a high-density stainless-steel ball resting in a plastic circular cone.The Mechanism of the Flutter Valve and Procedure for using the Flutter Valve Patients known to have overt right-sided heart failure.Other conditions producing retained secretions.Ĭontraindications of Use of the Flutter Valve.Chronic Obstructive Pulmonary Disease (COPD).Mucus-producing respiratory conditions, including: 2 Indications of Use of the Flutter Valve In a minority of cases, a one-way valve is formed by an area of damaged tissue, and the amount of air in the space between the chest wall and the lungs increases this is called a tension pneumothorax.
