Long-term studies of the use of the Flutter seem justified to determine its effects on pulmonary function and outcome. For hospitalized patients, elimination of the need for a therapist could reduce health care costs. The Flutter is simple to use, inexpensive, and fully portable, and once the patient and family are instructed in its use, it does not require the assistance of a caregiver. The amount of sputum expectorated by subjects using the Flutter was more than three times the amount expectorated with either voluntary cough or postural drainage (p < 0.001). The amount of sputum expectorated (measured by weight) when the Flutter was used was compared with the amount expectorated with vigorous voluntary coughing and with postural drainage (chest percussion and vibration). We studied 18 patients with cystic fibrosis and mild to moderate lung disease to determine the efficacy of the Flutter in clearing mucus from the airways. Exhalation through the Flutter results in oscillations of expiratory pressure and airflow, which vibrate the airway walls (loosening mucus), decrease the collapsibility of the airways, and accelerate airflow, facilitating movement of mucus up the airways. doi: 10.1016/j.jelectrocard.2014.10.005.The Flutter is a handheld device designed to facilitate clearance of mucus in hypersecretory lung disorders. QTC intervals can be assessed with the AliveCor heart monitor in patients on dofetilide for atrial fibrillation. Management of bleeding or urgent interventions in patients treated with direct oral anticoagulants: 2017 recommendations for Poland. Pruszczyk P, Tomaszuk-Kazberuk A, Słowik A, et al. The devices consist of a mouthpiece, a stainless steel ball, a cone that holds the ball and a perforated cap. Treatment with these devices includes positive expiratory pressure and vibrations to help loosen the phlegm from the lungs. Using a novel wireless system for monitoring patients after the atrial fibrillation ablation procedure: the iTransmit study. The Flutter ®, Turboforte / Pari O-PEP / AirPhysio and PEPE are small hand held device used for airway clearance. Time to use mobile health devices to diagnose paroxysmal atrial fibrillation. Zalecenia dotyczące stosowania rozpoznań elektrokardiograficznych. Clinical value needs to be verified in large studies, though.Īrrhythmia atrial fibrillation electrocardiogram mobile telemedicine.īaranowski R, Bieganowska K, Kozłowski D, et al. Though, the PQ and QT intervals were shorter in KM as compared to 12-lead ECG. KM was superior in detection of sinus rhythm than eye-ball evaluation of 12-lead ECG. Initial and indicative value of atrial fibrillation and atrial flutter detection in KM is comparable to results achieved in standard ECG. Basic intervals measured by the KM device, namely PQ, RR, and QT were significantly different (shorter) than those observed in the standard ECG method (160 ms vs. The sensitivity of KM to detect pathological Q-wave was low compared to specificity (20.6% vs. It was non-inferior for detection of atrial fibrillation and atrial flutter, showed weaker rhythm detection in pacemaker stimulation (p = 0.008), and was superior in sinus rhythm detection (p = 0.02), though. The analysis of comparisons for standard ECG and KM records showed that the latter is of lower quality (p < 0.001). Both versions were assessed by three independant groups of physicians. In a group of 100 consecutive patients of an academic cardiology care center (mean age 68 ± 14.2 years, males: 66%) a standard 12-lead electrocardiogram (ECG) and a Kardia Mobile (KM) record were registered. The equipment consists of a pipe shaped device made up of four parts: a mouth piece, a semi-circular cone, a steel ball and a perforated cover. Novel solutions to diagnose patients with out-of-hospital onset of arrhythmic symptoms can be easily used to record such events, but the effectiveness of these devices remain unknown. The Flutter (see picture) is part of the treatment to help people who have difficulty clearing sputum (phlegm) from their lungs. This was statistically significant, p-value of 0.019. The mean length of hospital was 7.92.2 days in the flutter bag group and 9.82.7 days in the underwater seal group. Mobile devices are gaining a rising number of users in all countries around the globe. The mean duration to full mobilization was 35.020.0 hours in the flutter bag group and 52.718.5 hours in the underwater seal group, p-value 0.007.
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