Vibratory drainage

Vibration maneuvers that increase the velocity and turbulence of air exhaled by the patient.

Objective:

– Help to mobilize and eliminate secretions adhered to the patient’s pulmonary walls.

Equipment:

– Pillows. – Stethoscope.

Material:

– Disposable paper towelettes. – Waste bag. – Nursing records.

Procedure:

– Perform hand washing. – Preserve the patient’s privacy. – Inform the patient of the procedure to be followed.

– Request the collaboration of the patient and family. – Place the patient in the corresponding position according to the lobe or segment to be drained. – Place the hands flat (one next to the other) and fingers extended on the thoracic segment to be drained. – Instruct the patient to take a deep breath. – On the patient’s exhalation, perform the vibratory movements for a few seconds. – Stop the vibration during the patient’s inspiration. – Repeat the vibratory movements 3-4 times. – Check the correct functioning of the stethoscope. – Auscultate to check the effectiveness of the procedure. – Place the patient in the most appropriate position. – Record in the nursing documentation: procedure, reason, date and time, incidences, and the patient’s response.

Observations:

– Vibration is contraindicated in: pulmonary hemorrhage, pneumothorax, rib fractures, and the first 24 hours after bronchoscopies.