chest physiotherapy.. dr.padmesh
TRANSCRIPT
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CHEST PHYSIOTHERAPY
Dr.Padmesh. V
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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).
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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.
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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 .
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Chest Physiotherapy
• EQUIPMENT:
• 1) Oxygen mask , baby bottle nipple (for infant) .
• 2 ) Emesis basin or sputum cup .
• 3 ) Pulse oximeter .
• 4 ) Tissues
• 5) Pillows
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• 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
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