​Paediatric Physical Therapy programme: Mod​​ule 3

​​​MANAGEMENT OF CARDIO-PULMONA​​RY CONDITIONS

MODALITIES OF CHEST PT

  • Postural drainage
  • PEP mask
  • Smart Vest
  • Percussion and vibration
  • Oxygen systems
  • Nebulizers and aerosols
  • Chest sounds
  • Heart sounds
  • ACBT
  • How to read chest X-rays (guest lecture)
  • Respiratory acidosis and alkalosis (guest lecture)
  • Congenital Heart (guest lecture)

5. Children requiring long-term mechanical ventilation

• Chronic respiratory failure/signs of CRF
• Lung parenchyma and airway
• Central dysregulation of breathing
• Respiratory pump failure
• Mechanical Ventilation
• Selection criteria for mechanical ventilation
• Types and modes of mechanical ventilation
• Complications associated with mechanical ventilation
• Elements of PT management

6. Modes of mechanical ventilation
• Volume control and its types
• Pressure control and its types

7. CYSTIC FIBROSIS
• Pathophysiology and etiology
• Diagnosis/medical management
• Measuring pulmonary function
• Signs/symptoms
• Nutrition
• Parental education
• PT management – in infant, pre-school, and school-going children
• PEP mask and Flutter devices
• Adolescence

8. ASTHMA
• Pathophysiology
• Primary impairment/ diagnosis
• Clinical classification of disease severity
• Impairment in infancy and adulthood
• Medical management
• PFT’s 
• Secondary impairments
• Summary of medical aspects
• PT exam, evaluation and intervention

9. THORASIC SURGERY 
• Congenital heart defects – Cyanotic 
• ASD, VSD, PDA, Coractation of Aorta, Pulmonary stenosis and Aortic stenosis
• Cyanotic defects
• TOF, transposition of the great arteries, Tricuspid atresia, Pulmonary Atresia,        Truncus arteriosus, Total anomalous Pulmonary Venous Return and Hypo plastic Left Heart Syndrome​
• Inotropic support
• Technical support
• Ventricular assist devices
• Pulmonary management – acute stage
• Pain and early mobilization
• Medical mobilization
• Medical complications
• Age specific interventions in the immediate post-op period
• Chronic disability and activity limitation in infancy, pre-school, school age and                adolescence.

10. Chest physical therapy in ICU patients 
• Chest physiotherapy techniques and their indications and contraindications.
• Nebulizing agents and their usage
• Manual hyperinflation technique
• Positioning and its benefits 
• Bag and drag procedure
• Especial cases

11. Nebulizers
• Definition
• Importance
• Types and their categories
• Advantages and disadvantages

12. CPAP
• Definition
• Uses
• Difference between BIPAP and CPAP
• Mechanism of action
• Physiology of CPAP
• Indications
• Contraindications
• Types

13. Mary Massery techniques
• Embryologic development of breathing muscles
• Practice breathing
• Normal influences on chest wall development
• Breathing patterns and their development
• Breathing and motor strategies
• Normal resting respiratory rates

Module 4

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