Sputum Clearance indication/contra-indications

[Silkysplinter]

Please can some body give me a simple short list of indications and contra-indications to sputum clearance techniques.

Cheers much appreciated.

[Canuck Physio]

Try looking it up in Hough 2001.

There are a few ways to think about it through deductive reasoning:

- Think is there any Red Flag, some indicator of medical decline?
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[ashishnagar]

Originally Posted by Silkysplinter

Please can some body give me a simple short list of indications and contra-indications to sputum clearance techniques.

Cheers much appreciated.

Indications to Sputum Clearence techniques:
Patient with lot of secretions in the upper resp tract
Patient with swollowing difficulty..
COPD Patients.
patients weaned off from ventilator.

CONTRAINDICATIONS:
Ashtamatic Patients.
Patients with pneummonia.
Patients with acute onset Ch. Bronchitis.
Patients with acute Sortness of Breath.
Patients with neurological diseases with partial respiratory involvement.

[Silkysplinter]

Please could you elaborate as to why it would be a contra-indication to patients with regarding pneumonia ( consolidation of sputum in the alveoli system). The reason being , I was under the impression the whole objective was to remove the pooled sputum thorugh sputum removal techniques.

Many thanks.

Cheers!

[ashishnagar]

yup i agreem but as i've observed and read, Physiotherapy including Postural drainage, percussion, vibratiuon etc. prolongs the patients recovery time in acute phases of pneumonia. probably in early stages it contributes in spreading of the infection in other parts of the lungs rather then only sputum production.

So i think its best if we contril the acute phase pharmacuetically, and once the pruimary presentations are controlled we can further assist patient in sputum clearence.

Isnt it!! well i've found some body supporting me, please checkout "CPT in Pneumonia" artice by Britton et. al. in British Medical Journal.