1. CHEST PHYSIOTHERAPY
Dr.Padmesh. V

2. 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).

3. 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.

4. 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 .

5. Chest Physiotherapy EQUIPMENT:
1) Oxygen mask , baby bottle nipple (for infant) .
2 ) Emesis basin or sputum cup .
3 ) Pulse oximeter .
4 ) Tissues
5) Pillows

6. ANATOMY

7. Pillow

37. 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

38. The End! http://oscepediatrics.blogspot.in/