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    Segmental Breathing

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    Deepika Patel
    This document discusses segmental breathing techniques which focus breathing on specific areas or segments of the lungs. Segmental breathing is used when certain lung areas have reduced ventilation after issues like surgery, pneumonia, or chest trauma. It aims to prevent fluid or secretion buildup and improve chest mobility in problem areas. The document describes different types of segmental breathing that target lateral ribs, posterior lower lobes, specific lung lobes, or apical areas. It provides instructions for therapists to manually assist the breathing patterns and train patients to do the techniques independently.

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    © All Rights Reserved
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    Segmental Breathing

    Uploaded by

    Deepika Patel
    312 views15 pages
    This document discusses segmental breathing techniques which focus breathing on specific areas or segments of the lungs. Segmental breathing is used when certain lung areas have reduced ventilation after issues like surgery, pneumonia, or chest trauma. It aims to prevent fluid or secretion buildup and improve chest mobility in problem areas. The document describes different types of segmental breathing that target lateral ribs, posterior lower lobes, specific lung lobes, or apical areas. It provides instructions for therapists to manually assist the breathing patterns and train patients to do the techniques independently.

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    SEGMENTAL BREATHING

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    This document discusses segmental breathing techniques which focus breathing on specific areas or segments of the lungs. Segmental breathing is used when certain lung areas have reduced ventilation after issues like surgery, pneumonia, or chest trauma. It aims to prevent fluid or secretion buildup and improve chest mobility in problem areas. The document describes different types of segmental breathing that target lateral ribs, posterior lower lobes, specific lung lobes, or apical areas. It provides instructions for therapists to manually assist the breathing patterns and train patients to do the techniques independently.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    312 views15 pages

    Segmental Breathing

    Uploaded by

    Deepika Patel
    This document discusses segmental breathing techniques which focus breathing on specific areas or segments of the lungs. Segmental breathing is used when certain lung areas have reduced ventilation after issues like surgery, pneumonia, or chest trauma. It aims to prevent fluid or secretion buildup and improve chest mobility in problem areas. The document describes different types of segmental breathing that target lateral ribs, posterior lower lobes, specific lung lobes, or apical areas. It provides instructions for therapists to manually assist the breathing patterns and train patients to do the techniques independently.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    SEGMENTAL

    BREATHING
    SEGMENTAL BREATHING
    •Performed on a segment of lung, or a section
    of chest wall that needs increased ventilation or
    movement.
    •Hypoventilation does occur in certain areas of
    the lungs because of pain and muscle guarding
    after surgery, atelectasis and pneumonia.
    •Therefore, it will be important to emphasize
    expansion of problems areas of the lungs and
    chest wall under certain conditions.
    USES/ INDICATIONS:

    • Post thoracotomy,
    • Trauma to chest wall,
    • Pneumonia,
    • Post mastectomy scar,
    • Post chest radiation-fibrosis.
    ADVANTAGES OF SEGMENTAL BREATHING:

     Prevent accumulation of pleural fluid


     Prevent accumulation of secretions
     Decreases paradoxical breathing
     Decrease panic
     Improve chest mobility
    Type of segmental breathing

     Lateral costal expansion


     Posterior basal expansion
     Apical expansion
     Right middle lobe or lingula expansion
    LATERAL COSTAL EXPANSION

     This is sometimes called lateral basal expansion and may be done unilaterally or
    bilaterally.
     The patient may be sitting or in a crook lying position.
     Place your hands along the lateral aspect of the lower ribs to fix the patient’s
    attention to the areas which movement is to occur.
     Ask the patient to breathe out, and feel the rib cage move downward and inward.
     As the patient breathes out, place firm downward pressure into the ribs with the
    palms of your hands.
     Just prior to inspiration, apply a quick downward and inward stretch to the chest. This
    places a quick stretch on the external intercostals to facilitate their contraction. These
    muscles move the ribs outward and upward during inspiration.
     Apply light manual resistance to the lower ribs to increase sensory awareness as the
    patient breathes in deeply and the chest expands .
     Then, as the patient breathes out, assist by gently squeezing the rib cage in a
    downward and inward direction.
     The patient may then be taught to perform the maneuver independently. He or She
    may place the hand over the ribs or apply resistance using a belt.
    Posterior basal expansion

     Deep breathing emphasizing posterior basal expansion is important for the


    postsurgical patient who is confined to bed in a semireclining position for an
    extended period of time because secretions often accumulate in the posterior
    segments of the lower lobes.
     Have the patient sit and lean forward on a pillow, slightly bending the hips.
     Place your hands over the posterior aspect of the lower ribs.
     Follow the same procedure as described above.
     This form of segmental breathing is important for the post surgical patient who is
    confined to bed for an extended period of time.
    Right middle lobe or lingula expansion

     Patient is sitting.
     Place your hands at either the right or the left side of the
    patient’s chest, just below the axilla.
     Follow the same procedure as described for lateral basal
    expansion.
    Apical expansion

     Patient in sitting position.


     Apply pressure (usually unilaterally) below the clavicle
    with the fingertips.
     This pattern is appropriate in an apical pneumothorax after
    a lobectomy.
    THANK YOU

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