Postural drainage Definition Purpose Indication Contraindication Articles Positions for draining different areas of lungs Procedure After care Special considerations

Definition Postural drainage Postural drainage is the gravitational clearance of secretions from specific bronchial segments by using one or more of different positions.

Postural drainage Purpose Indication Contraindication & Articles required Same as chest physiotherapy

Postural drainage Positions for draining different area of lung Left and right upper lobes anterior apical bronchi Patient sit in a chair leaning back Left and right upper lobes posterior apical bronchi Patient sit in a chair leaning forward on pillow or cardiac table

Postural drainage Positions for draining different area of lung Right and left anterior upper lobe bronchi Patient lie flat on back with small pillow under knees and Percuss & vibrate just below the clavicle on either side of sternum Left upper lobe lingular bronchus Patient should lie on his right side with arm over head in Trendelenburg position with foot of bed raised 30 cm. place pillow behind back and roll patient 1/4th on to pillow. Percuss and vibrate lateral to left nipple area below axilla.

Postural drainage Positions for draining different area of lung Right middle lobe bronchus Patient should lie on his left side with arm over head in Trendelenburg position with foot of bed raised 30 cm. place pillow behind back and roll patient 1/4th on to pillow. Percuss and vibrate lateral to right nipple area below axilla. Left and right anterior lower lobe bronchi Patient should lie on back in Trendelenburg position with foot of bed elevated 45-50 cm. knees should be bent on pillow. Percuss and vibrate over lower anterior ribs on both sides.

Postural drainage Positions for draining different area of lung Right lower lobe lateral bronchus Patient should lie on left side in Trendelenburg position with foot of bed raised to 45-50 cm. Percuss and vibrate on right side of the chest below scapula posterior to mid Axillary line. Left lower lobe lateral bronchus Patient should lie on right side in Trendelenburg position with foot of bed raised to 45-50 cm. Percuss and vibrate on left side of the chest below scapula posterior to mid Axillary line.

Postural drainage Positions for draining different area of lung Right and left lower lobe superior bronchi Patient should lie flat on his abdomen with pillow under abdomen. Percuss and vibrate below scapula on either side of spine Right and left posterior basal bronchi Patient should lie on his abdomen in Trendelenburg position with foot of bed elevated 45-50 cm. Percuss and vibrate over posterior ribs on either side of spine.

Postural drainage Procedure With the mentioned positioning of postural drainage follow the procedure of chest physiotherapy i.e. percussion and vibration.

After care & Special consideration Same as chest physiotherapy Postural drainage After care & Special consideration Same as chest physiotherapy