CHEST PHYSIOTHERAPY

Dr.Padmesh. V

Chest Physiotherapy

• Definition:

• Chest physiotherapy (CPT) is one aspect of bronchial hygiene and may include:

-Turning,

-Postural drainage,

-Chest percussion and vibration,

-Specialized cough techniques known as directed cough.

Any or all of these techniques may be performed in

conjunction with medicinal aerosol therapy

(i.e.,bronchodilators or mucolytics).

Chest Physiotherapy

The goals of CPT are :

-To move bronchial secretions to the central airways via gravity,

-External manipulation of the chest, and to eliminate secretions by cough or aspiration with a catheter.

Improved mobilization of bronchial secretions contributes to improved ventilation-perfusion matching and the normalization of the functional residual capacity.

Chest Physiotherapy

• Preparation :

• 1) Ensure that several hours have passed since the child has eaten .

• 2) Perform a baseline respiratory assessment. Place the child on a pulse oximeter .

• 3) Place the child in the position to permit gravity drainage of secretion .

• 4) Administer the bronchodilator , if needed , to relax the airway muscles .

Chest Physiotherapy

• EQUIPMENT:

• 1) Oxygen mask , baby bottle nipple (for infant) .

• 2 ) Emesis basin or sputum cup .

• 3 ) Pulse oximeter .

• 4 ) Tissues

• 5) Pillows

• ABSOLUTE CONTRA INDICATIONS TO CHEST PT:

• Unstabilized head and/or neck injury

• Active hemorrhage with hemodynamic instability or significant possibility of occurrence.

• Osteogenesis imperfecta or other bone disease associated with brittle or extremely fragile bones/ Fracture of ribs

• OTHER CONTRA INDICATIONS:

• Intracranial pressure > 20 mm Hg

• Active hemoptysis

• Acute spinal injury/ Spine surgery

• Pulmonary embolism

• Worsening bronchospasm etc

http://oscepediatrics.blogspot.in/

http://www.slideshare.net/Dr_Padmesh