![]() The clinical effects of PEP devices are to enhance the secretion removal, to help prevent infections, to help mitigate atelectasis and to improve pulmonary mechanics and gas exchange. Flow resistance can be manipulated to adjust for a desired pressure. 4 Positive expiratory pressure devices work on the concept of active expiration through a one way valve against a variable resistance. Positive expiratory pressure devices were introduced in the 1970s and each device has its own merits and demerits. Positive expiratory devices such as Acapella, Flutter, Cornet, and Quake are widely used in clinical settings to increase the efficiency of airway clearance. 2 Research studies proved efficacy of chest physiotherapy in Pneumonias but there are limited clinical trials for Cornet device. 1 The main indication for chest physiotherapy in Pneumonia is to evacuate inflammatory exudates in a patient whose airways or gas exchanging tissues are pathologically affected by a microbial infection. 1 For the elderly in residential care, the incidence increases to 33 to 114 cases per population of 1000 per year. ![]() The annual incidence of pneumonia in the elderly is between 25 to 44 per a population of 1000 for non institutionalized patients and four times that of patients younger than 65. The incidence increases markedly among the elderly, and, with an aging population, it will become an increasingly important disease. Pneumonia is a common respiratory infection in the community that can affect people of all ages. Keywords: pneumonia, chest physiotherapy, collapse, consolidation Introduction Cornet device is easy to use without any supervision and the patient may use at home also. It is concluded that the present case study advocates the use of Cornet device to clear the excess tracheobronchial secretions. The patient responded to treatment well and she was discharged successfully. The X-ray findings showed improvement in right lower lobe and there was no radiological evidence of consolidation and collapse post chest physiotherapy. This causes thinning down of mucus and the patient can expectorate the secretions with the help of cough or huff. Cornet device uses the principle of positive expiratory pressure which creates an airway oscillation inside the airways. ![]() Chest physiotherapy with the help of positive expiratory device –Cornet was given twice daily for ten days. Chest physiotherapy mainly aimed to clear the excess trachea bronchial secretions in pneumonia. decreased air entry on right side and presence of crepitations. The physical examination findings also confirmed the signs of consolidation and collapse i.e. The X-ray and Computed tomography findings revealed patchy areas of collapse, consolidation and fibrotic strands in right middle and lower lobes. A 45- year old woman diagnosed as right middle and lower lobe pneumonia had been referred for chest physiotherapy to evacuate secretions and to improve oxygenation.
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