What are the contraindications for postural drainage?

The following are absolute and relative contraindications for postural drainage3:

• • Acute hemorrhage with hemodynamic instability (absolute contraindication)
• • Unstabilized head or neck injury (absolute contraindication)
• • ICP greater than 20 mm Hg.
• • Acute spinal injury or recent spinal surgery.

Which condition is a contraindication to chest percussion and vibration?

Contraindications to chest physiotherapy all are relative and include the following: Bleeding diathesis (including therapeutic anticoagulation) Discomfort due to physical positions or manipulations. Elevated intracranial pressure.

What is the complication of chest physiotherapy?

In some cases, such as when the head is lowered, chest physiotherapy can cause the following complications: Bleeding in the lungs and coughing up blood. Cardiac arrhythmia (abnormal heartbeats) Increased pressure inside the head.

In which of the following conditions would chest percussion be contraindicated?

If the patient has an unstable angina. If the patient has a chest wall pain. In recent neurosurgery, head down position is contraindicated. If patients has a hyper-reactive airways and severe bronchospasm; though, not an absolute contraindication.

What is the purpose of percussion and vibration?

Percussion and vibration help loosen and move mucus and secretions from the lungs and airways.

Why does chest physiotherapy include both postural drainage and chest percussion and vibration?

The purpose of chest physical therapy, also called chest physiotherapy, is to help patients breathe more freely and to get more oxygen into the body. Chest physical therapy includes postural drainage, chest percussion, chest vibration, turning, deep breathing exercises, and coughing.

Why is postural drainage contraindicated in pleural effusion?

Pleural effusion is contraindicated for patients who require CPT/PD for retained secretions primarily due to the positional drainage aspect and hypoxia. If the patient does have retained secretions that must be removed intrapulmonary percussive ventilation is effective for secretion mobilization.

What is the purpose of postural drainage?

Postural drainage uses gravity to help move mucus from the lungs up to the throat. The person lies or sits in various positions so the part of the lung to be drained is as high as possible. That part of the lung is then drained using percussion, vibration and gravity.

What are the indications for postural drainage?

Indications

• evidence or suggestion of difficulty with secretion clearance.
• difficulty clearing secretions with expectorated sputum production greater than 25-30 mL/day (adult)
• evidence or suggestion of retained secretions in the presence of an artificial airway.

What is postural drainage and why is it important?

When should postural drainage be performed?

The best time to do postural drainage is either before a meal or an hour and a half after a meal, when your stomach is emptiest.

What does postural drainage and percussion do for You?

Chest physical therapy or postural drainage and percussion, uses gravity and percussion (clapping on the chest and/or back) to loosen the thick, sticky mucus in the lungs so it can be removed by coughing. Unclogging the airways is key to keeping your lungs healthy.

Is it safe to do postural drainage at home?

It’s safe for people of all ages and can be done either at home or in a hospital or nursing facility. Postural drainage is often done at the same time as percussion, sometimes called clapping, which involves someone clapping on your back, chest, or sides with a cupped hand in order to shake mucus loose from the lungs.

How does postural drainage work for CF patients?

Postural drainage uses gravity to help move mucus from the lungs up to the throat. The person lies or sits in various positions so the part of the lung to be drained is as high as possible. That part of the lung is then drained using percussion, vibration and gravity. Your CF care team may tailor these positions to your or your child’s needs.

How long does it take for postural drainage to work?

This is usually done for three to five minutes and is sometimes followed by vibration over the same area for approximately 15 seconds (or during five exhalations). The person is then encouraged to cough or huff forcefully to get the mucus out of the lungs. Postural drainage uses gravity to help move mucus from the lungs up to the throat.