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