Management strategies include:
Medications see Medications for Bronchiectasis
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:
Inhalation of saline via a nebuliser
Positioning to enhance ventilation
A prescribed exercise program
See Physiotherapy for more information
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
Current smokers must be given strategies and support to QUIT smoking.
It is recommended that all patients with bronchiectasis have regular influenza and pneumococcal vaccinations.
Multidisciplinary team involvement as required
Respiratory physician / GP
The treatment of co-morbidities
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