Assisted Coughing: Difference between revisions
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== Description == | |||
In conditions such as spinal cord injury or neuromuscular disease an individual may require assistance to cough using manual techniques or a medical device. Manual assisted cough is the compression of the diaphragm to replace the work of abdominal muscles in order to facilitate a cough. | |||
== Indication | == Indication == | ||
Prevention and treatment of sputum retention | |||
== Clinical presentation == | |||
== | == Contraindications == | ||
{| class="wikitable" | |||
!Manual assisted cough | |||
!Cough assist device | |||
|- | |||
|Direct pressure should be avoided to rib fractures or surgical sites. | |||
|Undrained pneumothorax | |||
Frank haemoptysis | |||
Vomiting | |||
Facial fractures | |||
CVS instability | |||
Raised intracranial pressure (ICP) | |||
Recent upper GI surgery | |||
Lung abscess | |||
|} | |||
== Precautions == | |||
{| class="wikitable" | |||
! | |||
! | |||
|- | |||
|Immediately following surgery | |||
Paralytic ileus | |||
Rib fractures | |||
Raised ICP | |||
Undrained pneumothorax | |||
Osteroporosis | |||
Pain | |||
Unstable spine | |||
|Oxygen dependency | |||
Bronchospasm | |||
Emphysema | |||
Patient complience | |||
Airway obstruction | |||
|} | |||
== Resources == | |||
add appropriate resources here, including text links or content demonstrating the intervention or technique | add appropriate resources here, including text links or content demonstrating the intervention or technique | ||
Revision as of 17:20, 12 October 2017
Original Editor - Your name will be added here if you created the original content for this page.
Top Contributors - Kim Jackson, George Prudden, Adam Vallely Farrell, Rachael Lowe, Lucinda hampton, Laura Ritchie, Claire Knott and Angeliki Chorti
Description[edit | edit source]
In conditions such as spinal cord injury or neuromuscular disease an individual may require assistance to cough using manual techniques or a medical device. Manual assisted cough is the compression of the diaphragm to replace the work of abdominal muscles in order to facilitate a cough.
Indication[edit | edit source]
Prevention and treatment of sputum retention
Clinical presentation[edit | edit source]
Contraindications[edit | edit source]
| Manual assisted cough | Cough assist device |
|---|---|
| Direct pressure should be avoided to rib fractures or surgical sites. | Undrained pneumothorax
Frank haemoptysis Vomiting Facial fractures CVS instability Raised intracranial pressure (ICP) Recent upper GI surgery Lung abscess |
Precautions[edit | edit source]
| Immediately following surgery
Paralytic ileus Rib fractures Raised ICP Undrained pneumothorax Osteroporosis Pain Unstable spine |
Oxygen dependency
Bronchospasm Emphysema Patient complience Airway obstruction |
Resources[edit | edit source]
add appropriate resources here, including text links or content demonstrating the intervention or technique
