Chest Physiotherapy Procedure

What is Chest Physiotherapy and How Does It Work?

A group of techniques known as chest physiotherapy improves lung function, and helps you to breathe more easily. Chest PT, or CPT expands the lungs, strengthens breathing muscles, and loosens and improves drainage of thick lung secretions. CPT can help with diseases like cystic Fibrosis (chronic obstructive lung disease) and COPD (chronic respiratory distress syndrome). You can also keep your lungs clean to prevent infection after surgery, and when you are immobile.

The only method to address respiratory problems is chest physiotherapy. You should get another opinion on all your options before you consider chest physiotherapy.

Types of chest PT Healthcare providers often use different types of chest physiotherapy together, including:

For loosening lungs secretions, you can use chest vibration and chest percussion. Patients may wear special CPT vests that are connected to machines. To break down secretions, the machine vibrates the vest at high frequencies.

Controlled coughing can be used to remove toxins from the lungs.

Deep breathing is used to expand your lungs. To prevent and re-expand the lungs, it can be used following surgery.

To improve the drainage and expansion of lung secretions, it is important to position and turn from one side to another. These are important steps for those who have been hospitalized, or are in bed.

A postural drainage is performed to remove lung secretions. There are other options Doctors might suggest to you to deal with respiratory issues and to improve your breathing. There are many treatment options that can be used depending on your specific condition, severity, age and medical history. There are many options for Chest PT procedures.

Procedure

Although chest physiotherapy is usually administered by a respiratory therapist or a nurse, it can also be done with family members.

Postural drainage (or chest percussion) is the most widely used procedure. After it has been completed, the patient will be rotated in order to enable drainage of secretions from particular lung lobes or segments. Then, they will be clapped and cupped with cupped hands. The procedure is somewhat uncomfortable and tiring for the patient. Alternatives to chest percussion by hand include use of mechanical vibrators and inflatable vests.

Controlled breathing patterns, positive expiratory pressure devices that maintain the airway’s patency and ultra-low frequency airway oscillation devices which mobilize sputum are all other methods to clear your airways. There are many methods for clearing the airways. Patients should choose one that suits their needs.

Therapeutic Procedure

STUDENT NAME _____ PROCEDURE NAME ____ REVIEW MODULE CHAPTER ___ ACTIVE LEARNING TEMPLATE:

Description of the Procedure Outcomes/Evaluation CONSIDERATIONS Nursing Interventions Pre, Intra, and Post Potential Complications Client Education Weston Hilland Chest Physiotherapy53 This procedure is performed to remove secretions from the lungs, then moves them to the central arteries for expectoration.

This therapy is recommended for those clients with thick secretions that are difficult to remove from their airways.

The use of Postural drainage to help increase the movement secretion broken up by vibration or percussion.

Before you begin, explain the process to your client. Also tell them why it is used. Inform the client about the Huffing technique.

Pre: Make sure you have checked for any contraindications and plan to take bronchodilators medication after eating. Use a cup-hand method to percussion the posterior chest wall. Post: Position your client to help with postural drainage.

Vomiting and dizziness. Damage to the ribs.

Results: Client is now able expectorate sputum, and can clear their airways. Evaluation: The client reports less shortness of breath and showcases better SPO2 levels.

NR 32 ADULTHEALTH

Methods and findings

A multicenter, randomized, outcome assessor blinded and parent-blind trial was conducted in seven French pediatric units. We recruited 496 infants hospitalized for first-episode acute bronchiolitis between October 2004 and January 2008. Randomly, patients were assigned to either receive IET + AC (intervention, n=246) or nasal suction, (NS), from their physiotherapists at least three times per day. Only physiotherapists could identify the baby’s allocated group. Time to Recovery was the primary outcome. This is defined as 8 hours with no oxygen supplementation, minimal or zero chest recession and more than half of the daily food requirement. Secondary outcomes included hospital admissions, artificial ventilation and antibiotic treatment. The intention-to-treat method was used to analyze the statistics. Median time for recovery was 2.31 (95% confidence interval [CI] 1.97-2.73) in the control and 2.02 (95% CI 1.92-2.34 in the intervention groups), respectively. This indicates that there is no evidence of significant physiotherapy effect (hazard ratio [HR]= 1.09, 95%CI 0.91-1.31, p = 0.33). No treatment by age interaction was found (p = 0.97). In the IET+AC group, the frequency of nausea and transient respiratory distress was more common (p = 0.97). Bradycardia, with and without desaturation, was not different between the group (RR=1.0, 95%CI0.2-5.0; p = 1.00) and RR=3.6, 95%CI0.7-16.9 (p = 0.10). It was reported by parents that IET made the procedure more strenuous (mean difference 0.88, 95%CI 0.33-1.44 p= 0.002); however, no difference in comfort assessment was found between groups (mean distinction = 0.07, 95%CI 1.53-0.38, p = 0.38, and p = 0.40). There was no evidence that there were differences in the treatment of intensive care patients (RR = 0,95%CI 0.1-3-1.8; p= 0.62); ventilatory support (RR= 2.5, 95%CI 0.0.5-13.0; p= 0.38); and antibiotic therapy (RR = 1,95%CI 0.7-9.3, p= 1.00).

These are 3 methods used to perform chest physiotherapy.

Chest physical therapy, also known as CPT, is an airway clearing technique (ACT). It involves deep breathing and percussion, vibration and huffing and coughing.

Which is the best position for chest physiotherapy?

Your chest should not be higher than your hips. You can do this by placing your legs on a sloped surface or propping your hips about 18-20 inches high with pillows. This position allows you to draw out the lower front part of your lungs.

How Chest Physiotherapy Works

What is chest therapy? Chest physiotherapy’s purpose is to push fluid out of the lungs. By clapping your chest and getting up, you can help push mucus out of the larger airways.

Cpt – What Does It Do?

Perform CPT. The child is moved around to make it easier for mucus to be moved. (See pictures below). Percussion is used to move mucus towards the middle of the chest from different areas on the chest wall. In each position of the chest wall, percussion lasts two minutes.

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