When is cpt contraindicated

Performing CPT Your child is placed into different positions so that mucus can be more easily moved see pictures below. Different areas of the chest wall are percussed to help loosen and move the mucus toward the center of the chest. Percussion is performed for two minutes in each different position. Perform two to three huff coughs between each position, if your child is old enough. Repeat until all different positions are complete. Tips for Percussion 1. Do not percuss over the backbone, breastbone, or lower two ribs.

Do CPT before meals or 30 minutes after meals. Percuss on both the right and left sides. Apical Segment With the infant leaning slightly back, percuss over the area from the nipple line to the shoulder on both sides. Posterior Segments With the infant leaning forward, percuss over and above each shoulder blade on both sides.

Middle Lobe and Lingula Segment Lay infant flat on his or her side. Anterior Basal Segments Place infant in a flat position, facing up. Posterior Basal Segments Place infant in a flat position facing down. Contact Us. The methods of airway clearance are comparable, and methods should be selected based on individual patient needs and preferences. Complications are unusual but include position-related hypoxia and aspiration of freed secretions in other lung regions.

Chest 1 suppl. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world. The Manual was first published in as a service to the community. Learn more about our commitment to Global Medical Knowledge. This site complies with the HONcode standard for trustworthy health information: verify here. Common Health Topics. Videos Figures Images Quizzes Symptoms. General references.

Pulmonary Rehabilitation. Test your knowledge. Which of the following populations is most at risk of asbestosis due to exposure to asbestos? Postural drainage involves sustained body positioning to allow gravity to assist drainage of the 5 lobes of the lungs. With each position there are sections of both lungs facing downwards to promote mucus movement into the larger airways. At this point the mucus can be huffed, or coughed, out of the airway or suctioned mechanically.

Chest Vibration is a manual, or mechanical treatment, that is also used to promote mucus movement from the lungs. Percussion and vibration are frequently used with the various postural drainage positions to promote the greatest dislodging of mucus from lung surfaces to improve quality of respirations. Deep Breathing is performed to improve lung expansion and distribution of air into all of the lobes of the lung. Coughing is used to bring the mucus out of the larger airways to eventually be spit out or suctioned from the mouth.

Find a place that is quiet and comfortable for both administrator and receiver of the treatment. Plan the minute treatment time prior to meals, or 1. Typically treatments are performed in morning and evening but frequency and duration are reliant on the physical condition of the recipient.

When working with children, schedule the session around a favorite TV show, add a toy, or perform with favorite music on for a helpful distraction.