Chest PT

Chest PT

Goals
1. Loosen, mobilize, and expel secretions
2. Improve breathing
3. Improve ventilation in lobes
Indications for technique
1. Acute/chronic respiratory problems
2. Ineffective coughing
3. Increased secretions that blocks proper breathing
Contraindications
1. CHF
2. Significant pulmonary edema
3. Significant pleural effusion
4. Recent MI
5. Unstable angina
6. Pulmonary embolism
7. Pulmonary embolism
8. Cardiac arrhythmia
Types of postural drainage techniques
1. Percussion
  1. Rhythmic/alternating strikes at chest wall over certain segments with cupped hands
  2. Over thin clothes
  3. 2-5 mins over segments with vibration/coughing/or suctioning after
2. Vibration
  1. Both hands on chest wall with vibration/pressure in same direction as chest during EXPRIRATION
3. Goal is to move secretions into certain lobes for the patient to cough it out
4. Contraindications
  1. Rib Fx
  2. Open wounds such as burns or skin infection
  3. OA
  4. Meatastic cancer at ribs
  5. Spinal fussion
  6. Anticoagulation therapy
  7. Other contraindications are similar to chest PT

Resource summary

	Created by Justin Lao about 6 years ago