How do you use respiratory flutters?

Instruct the patient to slowly inhale to approximately 3/4 of a full breath. Place the FLUTTER® in the mouth with lips closed firmly around the stem. Position the FLUTTER® at the proper angle and perform a 2 to 3 second breath-hold. This allows the inhaled air to be evenly distributed throughout the lungs.

What is the technique? The Flutter®, Turboforte / Pari O-PEP / AirPhysio and PEPE are small hand held device used for airway clearance . Treatment with these devices includes positive expiratory pressure and vibrations to help loosen the phlegm from the lungs.

The Flutter device was developed in Switzerland and combines positive expiratory pressure therapy with high–frequency oscillations within the airway 29. It is a controlled vibration system which produces positive expiratory pressure and cyclic oscillation of the airways during expiration.