Effectiveness of Lung Flute Device on Miliary Tuberculosis in Intensive Care Unit- A Case Report

Abstract

Pulmonary Tuberculosis (TB) is one of the top 10 causes of death worldwide. It is one of the oldest diseases known to man and remains one of the most rife diseases in the world. Miliary Tuberculosis, a type of Extrapulmonary TB is an illness produced by acute diffuse dissemination of tubercle bacilli into the blood stream. A 40 year old female housewife by occupation was admitted to Intensive Care Unit (ICU) of Pravara Rural Hospital 6 months back. Her chief complaints were breathlessness associated with cough. As per the investigations, patient was diagnosed with Miliary Tuberculosis and on examination, patient had excessive secretions. A new small OPEP device-Lung Flute was given as an intervention to the patient for mucus clearance.The intervention was given twice a day/3 days in a week for a period of 2 weeks. Pulmonary Function Test and sputum volume were the outcome measures of the study. After 2 weeks of intervention, there was significant improvement in the Pulmonary components and secretions were expectorated easily. This case report established the evidence for the use of Lung Flute Device in Miliary TB and other respiratory conditions which can be included in the Bronchial hygiene therapy regime.