What is pediatric respiratory physiotherapy? In what case is indicated?

This is an automatically translated article.

Among the methods of respiratory physiotherapy, pediatric respiratory physiotherapy is a special technique, applied to pediatric patients who have problems with respiratory diseases such as airway obstruction or a other chronic respiratory diseases.
In fact, not all pediatric patients need to apply this method, so it is important to understand the indications for pediatric respiratory physiotherapy in order to have the most optimal treatment effect.

1. What is Respiratory Physiotherapy?

Respiratory physiotherapy is a method that includes many techniques and treatment measures aimed at supporting and restoring respiratory function for patients. These methods can be physical methods such as using hand force, with the help of machines and tools, or it can be both. Respiratory physiotherapy is performed to restore respiratory functions and supportive treatment of the patient's airway obstruction such as helping to improve lung expansion, increasing respiratory system muscle, eliminating remove dirt such as secretions or mucus from the patient's respiratory tract.
However, despite certain benefits, respiratory physiotherapy is not a mainstay of treatment in respiratory diseases, but only serves as a supportive measure because it cannot be treated. cause of respiratory diseases, so it is not possible to completely treat the respiratory condition in that patient. Therefore, it is necessary to determine the cause of respiratory disease in the most accurate way to effectively treat the patient.
Specific indications for respiratory physiotherapy are applied on the following patients:
Patients after experiencing acute respiratory inflammation such as pneumonia, bronchitis, asthma ... Upper respiratory tract infection in children with clinical symptoms of nasal congestion, unsuccessfully treated with saline nasal drops. Patients with pleural effusion have drained pleural fluid and have other symptoms. sequelae of this disease Pulmonary abscess in the period when the fistula occurs Patient lies for too long, causing sputum to stagnate, causing obstruction, need ventilation. Atelectasis patient Patient before or after surgery associated with pulmonary hypovolemia, eg spine surgery

Contraindications of respiratory physiotherapy include:
The patient is in acute respiratory failure with manifestations such as blue skin, pale mucous membranes, cyanosis, groaning, pulling... Only SpO2 number is less than 91% Patient has some medical conditions such as tetralogy of Fallot without surgery, pulmonary hypertension, infectious diseases... PLT < 80000 or Hb < 10g/dL

2. What is Pediatric Respiratory Physiotherapy?

Children are one of the subjects that are very susceptible to diseases related to the respiratory tract from an early age, especially children between the ages of birth and 3 years old, they are very susceptible to some diseases such as pneumonia. upper respiratory tract infection, nasopharyngitis, bronchitis, bronchiolitis, pneumonia, atelectasis due to sputum sputum... The causes of this condition are very diverse, possibly due to sudden changes in weather, habits, etc. Children's habit of living such as turning on a fan directly to the body or lying down with a low temperature air conditioner and because the immune system of children in this age has not yet fully developed.
At this time, the child's body will suffer from respiratory diseases, with initial manifestations such as sneezing, runny nose, dry cough, cough with phlegm, wheezing, vomiting ... and will be examined by a medical doctor to Find out the cause of the disease and then get the right treatment. In addition, pediatric respiratory physiotherapy is also really necessary in expelling viscous mucus and dirt in the child's respiratory tract to restore ventilation to the bronchi and bronchioles. and the child's lungs. Some studies show that pediatric respiratory physiotherapy is highly effective in cases where children have bronchiolitis leading to atelectasis complications, and this method helps patients recover more quickly than bronchoscopic suction technique as before.

Some techniques used in pediatric respiratory physiotherapy are as follows:
Retrograde nasopharyngitis, also known as nasal irrigation, Postural drainage, Breathing exercises: Practice exhaling slowly, prolonging, increasing the flow of breathing air. exhalation by active or passive, spontaneous drainage, exhalation on exertion, slow inhalation with some instruments, active chest breathing, antagonistic breathing, diaphragmatic breathing with movements such as vibrating flaps , respiratory therapy, assisted cough, cough stimulant...

3. In what case is pediatric respiratory physiotherapy indicated?

Indications for pediatric respiratory physiotherapy are applied in cases of respiratory diseases that are likely to leave complications due to sputum stasis, namely:
Sputum sputum causing lung congestion, children lying in bed in The patient has chronic diseases that cause sputum to stagnate in the respiratory tract, possible diseases such as cerebral palsy, neuromuscular diseases, chronic respiratory diseases. Pediatric patients with atelectasis due to sputum sputum Pediatric patients after surgery have complications of sputum retention, especially those related to thoracic surgery. However, not every child with a respiratory illness needs respiratory physiotherapy as it is not a treatment for the underlying cause of these conditions. Pediatric patients with respiratory infections, which can be croup or pneumonia, bronchiolitis without complications due to sputum stasis, do not need respiratory physiotherapy.

Respiratory physiotherapy is a supportive treatment for patients with respiratory diseases or other diseases that cause complications due to sputum stasis and airway obstruction. In particular, pediatric respiratory physiotherapy has a very high therapeutic effect when combined with medical treatments, helping patients quickly recover respiratory function.
Children in the period from 6 months to 3 years old are very susceptible to respiratory problems, skin diseases and gastrointestinal infections... parents need to pay special attention to the care and supply adequate nutrition for children. The pediatric department at Vinmec International General Hospital is the address for receiving and examining diseases that infants and young children are susceptible to: viral fever, bacterial fever, otitis media, pneumonia in children. With a system of facilities, modern medical equipment, sterile space, minimizing the impact as well as the risk of disease spread, Vinmec will bring satisfaction to customers. and is highly appreciated by industry experts with:
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