Assisted Coughing: Difference between revisions
No edit summary |
No edit summary |
||
Line 6: | Line 6: | ||
== Description == | == 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. | 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 by another person to replace the work of abdominal muscles in order to facilitate a cough. A medical device can be used to assist coughing effort by a positive pressure breath followed by a rapid change to negative pressure.<ref name=":0">Harden, B. (2004). ''Emergency physiotherapy: An on-call survival guide''. 1st ed. Edinburgh: Churchill Livingstone.</ref> | ||
== Indication == | == Indication == | ||
Line 34: | Line 34: | ||
Lung abscess | Lung abscess | ||
|} | |} | ||
<ref name=":0" /> | |||
== Precautions == | == Precautions == | ||
Line 64: | Line 65: | ||
Airway obstruction | Airway obstruction | ||
|} | |} | ||
<ref name=":0" /> | |||
== Cough assist device troubleshooting == | |||
Please also see [[Non Invasive Ventilation|non-invasive ventilation]] for more information on positive pressure devices | |||
== Resources == | == Resources == |
Revision as of 17:27, 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, Lucinda hampton, Rachael Lowe, Claire Knott, Angeliki Chorti and Laura Ritchie
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 by another person to replace the work of abdominal muscles in order to facilitate a cough. A medical device can be used to assist coughing effort by a positive pressure breath followed by a rapid change to negative pressure.[1]
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]
Manual assisted cough | Cough assist device |
---|---|
Immediately following surgery
Paralytic ileus Rib fractures Raised ICP Undrained pneumothorax Osteroporosis Pain Unstable spine |
Oxygen dependency
Bronchospasm Emphysema Patient complience Airway obstruction |
Cough assist device troubleshooting[edit | edit source]
Please also see non-invasive ventilation for more information on positive pressure devices
Resources[edit | edit source]
add appropriate resources here, including text links or content demonstrating the intervention or technique