Abstract

A clinical practice-based reflection on Noack DP, Newton G. Compared to maximal current management standards, oscillating positive expiratory pressure devices have not been shown to improve clinically relevant outcomes in COPD patients with acute exacerbation. Clin. Res. Prac. 2017;3(2):eP1516. doi: 10.22237/crp/149886732.

Highlights

  • Follow this and additional works at: https://digitalcommons.wayne.edu/crp Part of the Medical Education Commons, Medical Humanities Commons, Pulmonology Commons, Social and Cultural Anthropology Commons, and the Translational Medical Research Commons

  • There are similarities between the patient described and a patient on our service whom we recently provided with a flutter valve to clear secretions from a mucous plug in the setting of an acute COPD exacerbation

  • Our patient experienced an adverse outcome from its use, which led us to ask: Why do flutter valves continue to be recommended without data demonstrating effectiveness? We agree strongly that the author’s focus on indication creep holds merit when considering evidence-based treatments to use for patients

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Summary

Introduction

Follow this and additional works at: https://digitalcommons.wayne.edu/crp Part of the Medical Education Commons, Medical Humanities Commons, Pulmonology Commons, Social and Cultural Anthropology Commons, and the Translational Medical Research Commons. REFLECTION ON CLINICAL DECISION SCIENCE: CHRISTOPHER A. There are similarities between the patient described and a patient on our service whom we recently provided with a flutter valve to clear secretions from a mucous plug in the setting of an acute COPD exacerbation.

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Conclusion

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