Flushes scare me because the vast majority of people (i.e. Non-BITOGers) do not think to slowly prepare their engine for such a procedure, but rather dump it in and risk clogging oil passages, oil pickup, etc. When I say prepping, I mean something akin to: running PP/PU/RL for 1-2x OCI's, then running PP/PU/RL + 16-20oz MMO for 1+ OCI with perhaps (assuming 3x3kmi OCI's) gradually-increasing amounts of Seafoam added at the very end of each OCI and for varying lengths of time (i.e. 6oz for 150mi then dump, then 12oz for 200mi then dump, then 16oz for 75-100mi then dump). This will soften the sludge, break it down slowly and allow it to go into suspension, and greatly reduce chances of problems. After that, I would do a short OCI of PU/RL without additives to assess improvement while allowing the sludge some fresh oil to dissolve into and a fresh adpak to keep things, well, fresh. Follow this OCI by a run with a STRONG cleaner like Kreen, as well as doing a piston soak, and then, if still sludged, you can go to a HARSH cleaning method such as a flushing product.
I would also use good filters and change them 3x per OCI to be on the safe side, as it pulls crud out and allows you to freshen up the oil. I also.think it would be a good time to use Seafoam or similar to clean the Throttle Body (with a toothbrush to agitate), run through brake booster and PCV lines to clean top-end, and maybe clean out EGR/SAP and lines. I would also use Redline SI-1 every third tank of gas throughout the process.
Then, when done with everything, replace fuel filter, PCV Valve, and pick an EXCELLENT syn oil to run from that point forward (Pen Plat/Ultra, Royal Purple, Redline all are excellent oils and clean like crazy).
Btw, I would say this too...
Mild Cleaner - MMO
Moderate Cleaner - Seafoam (when used in crankcase... strong cleaner in gas/top-end/TB)
Strong Cleaner - Kreen
HARSH CLEANER - Oil Flush
The above is my opinion, not fact, and there are plenty of other products available in each category.