Directed Cough (Medical Definition) | Quick Explainer Video
What is a directed cough? This video covers the medical definition and provides a brief overview of this topic.
💥Respiratory Therapy Definitions [Glossary] ➜ ➜ ➜ https://bit.ly/3g6s4Pj
Coughing is an important reflex that utilizes maximum exhalation to clear secretions and irritants from the respiratory tract. If a spontaneous cough is inadequate, then the directed cough technique would be indicated. A directed cough involves mimicking the attributes of an effective spontaneous cough in order to provide voluntary control and compensate for physical limitations.
➡️Types
Forced expiratory technique (FET)
Manually assisted cough
Forced Expiratory Technique (FET), also known as "huff coughing," consists of 1–2 forced expirations with an open glottis followed by a period of diaphragmatic breathing. A manually assisted cough involves the use of external pressure to the thoracic region coordinated with a forced expiration. Both techniques are effective for bronchial clearance.
➡️ Indications
Retained secretions in the central airways
Atelectasis
Bronchial hygiene treatment plan
To obtain a sputum sample
Prophylaxis against postoperative pulmonary complications
➡️Contraindications
Inability to control the transmission of an infection
Elevated intracranial pressure
Known intracranial aneurysm
Reduced coronary artery perfusion
Unstable head, neck, or spine injury
Untreated pneumothorax
Flail chest
Osteoporosis
Increased risk of aspiration
➡️Hazards and Complications
Reduced coronary and cerebral perfusion
Fatigue
Bronchospasm
Headache
Paresthesia
Muscular discomfort
Spontaneous pneumothorax
Subcutaneous emphysema
Chest pain
Rib fractures
Vomiting
Gastroesophageal reflux
Central line displacement
However, the benefits often outweigh the potential risks, especially in patients who are unable to clear secretions. Keep in mind that it's important to consult a medical professional before attempting a directed cough regimen, as they can evaluate any specific needs and determine the most appropriate technique and frequency. They can also provide guidance on how to properly perform the technique and monitor for any potential complications.
💥Respiratory Therapy Definitions [Glossary] ➜ ➜ ➜ https://bit.ly/3g6s4Pj
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🚑MEDICAL DISCLAIMER
This content is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please consult with a physician with any questions that you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you watch in this video. We strive for 100% accuracy, but errors may occur, and medications, protocols, and treatment methods may change over time.
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⏰TIMESTAMPS
0:00 - Intro
0:49 - Types
1:23 - Indications
1:49 - Contraindications
2:19 - Hazards and Complications
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