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Preparation
Out
Patients with:
Cystic Fibrosis upper airways (nose and throat) should be cleared by A seminar on Autogenic Drainage
huffing or blowing the nose. Inhalers or nebulisers By Group 5:
Chronic Bronchitis
should be taken as prescribed John-Francis Ycong Pia Lorraine Saliente
Emphysema
Sean Lexy Oculam Francis Dominic Castillo
Pneumonia Position Jennylyn Velasco Christelle Jade Mangubat
Bronchiectasis Patricia Fernando Rica Nova Corcino
“breath-stimulating” position should be used, such as Louie Luzon Khessa Anga
Proximal movement of mucus is achieved by: sitting upright or lying down
expiratory air flow of tidal breathing
Inspiration PROGRAM FLOW
action of the mucociliary escalator
Attendance 12:30-1:00pm
effective cough slowly through the nose Opening Prayer 1:15pm-1:20pm
Autogenic Drainage Technique breath hold for 2–4 seconds National Anthem 1:20pm-1:25pm
should be done diaphragmatically SPC Hymn 1:25pm-1:30pm
When performing the technique: twice the size of a normal tidal breath Tayoy Dabawenyo 1:30pm-1:35pm
Host Introduction 1:35pm-1:40pm
Deeper than normal breath, “functional tidal Expiration
1st Speaker 1:40pm-2:10pm
volume” (1.5-2 times the size of the normal
an active sigh
GAMES 2:10pm-2:30pm
tidal volume)
expiration through the nose is preferable
2nd Speaker 2:30pm-3:00pm
Exhale in a gentle but active way
breathing through the mouth is acceptable
Intermission 3:00pm-3:10pm
It achieves the following: (enhances auditory feedback) Snacks 3:10pm-3:30pm
Certificate of Attendance 3:30-3:50pm
Highest possible expiratory airflow Closing Remarks 3:50pm-4:00pm
simultaneously in different generations of the
bronchi
Before you start Follow with a gentle huff as outlined below:
Stage 1
If you have an inhaler, take this 10 minutes Take a half breath in
before starting the breathing technique Loosen secretions With your mouth open squeeze the air
forcefully out of your lungs, as though you are
Breathing Control Take a small breath in, feeling your breath at the
steaming up a mirror before wiping it clean.
bottom of your chest
Your stomach muscles should tighten, but
Relax in a comfortable position, with your head, With your mouth slightly open, breathe as much your throat muscles should stay relaxed
neck and arms well supported and drop the air out of your chest as you can, at a fast rate, but
shoulders to a relaxed position This may be enough to clear secretions or a
not so hard that you become wheezy or cough
Rest one hand on your tummy, keeping little cough may be needed
Repeat at least 3 of these breaths
shoulders and upper chest relaxed and allow Try to stop yourself from coughing until the
your hand to rise gently as you breathe in. (If you Resist any urge to cough last part of Autogenic Drainage when the
imagine air filling your tummy like a balloon this secretions are high up and ready to be cleared.
may help) Relax with breathing control technique in
Sigh out gently through the mouth Stage 2 any urge to cough
•Resist between stages or if you feel the urge to cough
Make sure that your shoulders stay relaxed in-between cycles.
Move the secretions up the chest
Over a few seconds, gradually increase depth of Autogenic drainage breaths are very gentle so
breathing while staying relaxed you should not start to feel tight or wheezy
As the crackle of secretions starts to get louder
change to medium sized breaths in Keep doing the cycle until your chest is clear
A ‘Test Breath’
Feel the breaths more in the middle of your or until you are tired
Take a very slow deep breath in through your chest
Autogenic Drainage
nose or mouth, to the best you can manage Continue to breathe as much air out of your
Pause at the end of the full breath with your chest as you can, at a fast rate, but not so hard
is an airway clearance technique that uses
mouth slightly open that you become wheezy or cough
controlled breathing and minimal coughing to
Count for 3-4 seconds Repeat at least 3 of these breaths clear secretions from your chest. Feel the
Make yourself breathe out through your mouth. Resist any urge to cough breaths more in the middle of your chest
You can feel your tummy muscle tighten, but the
breath should not be forced It uses breathing at different lung volumes to
Stage 3
You should listen and feel for secretions loosen, mobilize and move secretions in three
crackling as you breathe out Get rid of the secretions stages towards the larger central airways.Repeat
Beginning = tells us that they are high up in the at least 3 of these breaths
large airways When the crackles are louder and still take long,
Benefits of Autogenic Drainage:
Middle = tells us that they are in the medium slow full breaths in to the very most that you can
airways manage Patients can perform their airway clearance
End = tells us that they are in the small airways Breathe as much air out of your chest as you can, independently
at a fast rate, but not so hard that you become Can be carried out at any place, any time – no
wheezy or cough need for equipment or assistance
Repeat at least 3 of these breaths Huff is gentler than a cough meaning it is less
Resist any urge to cough painful and tiring