Choosing the Correct Technique

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Choosing the Correct Technique 2018-07-03T07:15:34+00:00

Choosing the Correct Technique

Table 1. A guide to age-appropriate airway clearance techniques for children


0-1 years
Infants
1-3 years
Toddlers
4-12 years
Children
12-18 years
Adolescents
Modified Postural DrainageYesYesYesYes
Percussion and VibrationYesYesYesYes
Assisted autogenic drainageYesYes
Positioning and playYesYes
Bouncing on a fitballYesYes
Blowing gamesYes
HuffingYes (passive)
ACBT
(includes huffing)
YesYesYes
Bottle PEPYesYesYes
Autogenic DrainageYesYes
PEP maskYesYesYesYes
Mouthpiece PEPYesYesYes
PariPEP with nebuliserYesYesYes
Pari O-PEP / FlutterYesYesYes
AcapellaYesYesYes
Physical exerciseYesYesYes
HFCWO
The Vest
YesYesYes

Nebuliser therapy for young children:

A mouthpiece is the preferred option, however infants and young children will require a mask to ensure delivery of the inhalation medication

It can be very challenging to commence inhalation therapy as the child may resist using a mask or mouthpiece

It is recommended to trial just holding the mask or mouthpiece and playing with it (becoming familiar with the equipment)

Pretend using the nebuliser (turned off) with their favourite teddy, parents or siblings

Use distractions such as singing their favourite song

Website - Paediatrics nebuliser

References