Treatment options

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Treatment options 2016-05-30T04:23:37+00:00

Management strategies include:

Medications see Medications for Bronchiectasis

Antibiotics 

Bronchodilators

Corticosteroids

Mucoactive agents

Airway clearance program   

A daily routine, prescribed by a physiotherapist trained in airway clearance techniques, to help move sputum out of the lungs, to decrease the risk of infection.

It may include:

Breathing exercises (ACBT and Autogenic Drainage)

Positive expiratory pressure devices (e.g.PEP & OscPEP)

Inhalation of saline via a nebuliser

Positioning to enhance ventilation

A prescribed exercise program

See Physiotherapy for more information

Exercise program

A prescribed exercise program is important to enhance airways clearance and for general well-being. It should include moderate to high intensity aerobic exercises, strength training and mobility exercises.

See Physiotherapy Exercise for more information

Smoking cessation

Current smokers must be given strategies and support to QUIT smoking.

Vaccination

It is recommended that all patients with bronchiectasis have regular influenza and pneumococcal vaccinations.

Multidisciplinary team involvement as required

Respiratory physician / GP

Physiotherapist

Respiratory nurse

Dietitian

Psychologist

The treatment of co-morbidities

Sinusitis

Gastro-oesophageal Reflux

Urinary Incontinence

An Action Plan 

This should include (Examples of Action Plans):

Symptoms and management strategies when well

Change in symptoms and consequent alteration of management

Strategy when unwell

Surgery – may be considered in patients 

With localised disease that have not responded to treatment

To remove an obstructing tumour or foreign body

Where bronchial artery embolization is indicated with massive haemoptysis

In severe cases, lung transplantation may be considered

Lung transplantation for non-cystic fibrosis bronchiectasis

References