26-Feb Bronchial Hygiene Therapy

 

Bronchial Hygiene Therapy

Definition of Bronchial Hygiene Therapy:

• Any technique or procedure utilized to maintain lung sterility by loosening or removing secretion, bronchial dilating, or hyperinflating the lung.

Components of Bronchial Hygiene Therapy:

• Includes:
  • Chest physiotherapy.
  • Percussion.
  • Vibration.
  • Postural drainage.
  • Coughing and suctioning.
  • Breathing exercises.
  • Manual hyperinflation.
  • Bronchial dilators.
  • Mucous thinning medication.

Purpose of Bronchial Hygiene Therapy:

• To:
  • Remove secretion.
  • Increase lung volume.
  • Maintain airways.
  • Enhance ventilation and gas exchange.

Therapeutic Goals:

• Secretion mobilization and removal.
• Techniques:
  • Postural Drainage:
    • Definition, indication, contraindication.
  • Coughing and Deep Breathing:
    • Objective: Promote lung expansion, and mobilize secretion.
    • Technique:
      • The patient is positioned seated upright on the edge of the bed or chair with the seat supported.
      • Instruct the patient to take a slow deep breath and hold it for 2-3 seconds.
      • Ask the patient to exhale slowly for auscultation
      • If abnormal sounds are auscultate indicating the presence of secretions
      • Then ask the patient to maximally inhale and cough.

Benefits:

• Deep Breathing:
  • Moves air down to the bottom area of the lung.
  • Helps blood and oxygen supply to the lungs and boosts their circulation.
• Coughing:
  • Helps bring up mucus from deep within the lungs.

Chest Physiotherapy:

• Includes percussion and vibration.
• Position of the patient.
• Contraindications: Fracture, rib or osteoporosis, chest or abdominal surgery, trauma, pulmonary hemorrhage, mastectomy, cervical trauma, pulmonary edema.