Pediatrics |

Lung Flute in the Management of Pneumonia in Children FREE TO VIEW

Ma. Regina Alvarez, MD; Anjanette Deleon, MD; Milagros Bautista, MD
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Philippine Heart Center, Quezon City, Philippines

Chest. 2013;144(4_MeetingAbstracts):782A. doi:10.1378/chest.1704252
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SESSION TITLE: Pediatric Pulmonary Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 30, 2013 at 01:30 PM - 02:30 PM

PURPOSE: to determine the effectiveness of lung flute in the management of pneumonia in pediatric patient

METHODS: This is an Open labelled randomized controlled trial. Patients were randomized using block randomization, either to the standard therapy or the lung flute group. The standard therapy recieved antibiotics and bronchodilator if needed. After which sputum induction was done. The exact amount of sputum and the quality of sputum was assessed. The same procedure was done in the lung flute group except that the subjects were instructed to use the flute flute. Endpoints were based on resolution of fever, disappearance of crackles, improvement on chest xray, removal of oxygen support and hospital stay. Adverse events were also noted.

RESULTS: A total of 60 subjects were enrolled in the study. Thirty one under the standard therapy group and 29 under the lung flute group. Among the factors analyzed, only the quality of sputum showed significant result, standard therapy only yield 7 (22.6%) good quality sputum compared the lung flute group 18 subjects (62.1%) produced good quality sputum. No significant difference comparing the resolution of fever, disappearance of crackles, improvement on chest x-ray, number of hours oxygen removed and hospital stay. No adverse reactions were noted.

CONCLUSIONS: Lung flute can be use as an adjunct in the treatment of pneumonia, helping the patient to expectorate easily and can aid in the collection of sputum as a specimen for further diagnostic work-up.

CLINICAL IMPLICATIONS: Lung Flute is a device that can be used to help patients with pneumonia expectorate easily and aid in the collection of good quality sputum for diagnostic test.

DISCLOSURE: The following authors have nothing to disclose: Ma. Regina Alvarez, Anjanette Deleon, Milagros Bautista

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