Manual assisted cough methodMManual assisted cough methodManual assisted cough methodEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z

 

 

Manual assisted cough method2968.00000000000Manual assisted cough methodManual assisted cough methodMEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z<p>The goal of the manual assisted cough method is to increase the force of air out of the lungs to assist your child’s cough and help them clear secretions. The manual assisted cough method involves pushing on your child’s belly just as they are trying to cough.</p><h2>When should I use the assisted cough method?</h2><p>You can provide a manual assisted cough after you have inflated the lungs using <a href="/Article?contentid=2966&language=English">LVR</a> or with a <a href="/Article?contentid=2967&language=English">CoughAssist machine</a>.</p><p>Always wait for your healthcare team to confirm that this method is suitable for your child before you start using it.</p><p>The manual assisted cough method is not suitable if your child has:</p><ul><li>had a recent head or neck injury</li><li>had recent spinal surgery</li><li>bleeding in the lungs</li><li>fluid in the lungs</li><li>bronchopleural fistula</li><li>anxiety</li><li>an active resistance to or intolerance of position changes</li><li>a rib fracture or any other significant chest injury</li><li>a surgical wound near the area.</li></ul><h2>How do I give a manual assisted cough?</h2><ol><li>Make sure your child is sitting upright and is comfortable. If your child is sitting on a chair, make sure it will not tip over. </li><li>Place the heel of one hand on your child’s abdomen just above their belly button.</li><li>Place your other hand on top of the first hand and interlock your fingers so that they are pulled away from the body.</li><li>Keep your elbows straight.</li><li>Have your child take a deep breath and hold it.</li><li>When your child coughs, push upward under the rib cage once.</li></ol><p>It may take practice to coordinate the push with the cough.</p><h2>When should I use the manual assisted cough method?</h2><p>The manual assisted cough method with LVR or CoughAssist should be done on an empty stomach on the following schedule:</p><ul><li>before eating a meal</li><li>at least one hour after eating a meal</li><li>bedtime</li><li>first thing in the morning when your child wakes up.</li></ul><div class="caution"><h3>Precautions</h3><ul><li>Stop the manual assisted cough method immediately if your child experiences:</li><ul><li>nausea</li><li>vomiting</li><li>aspiration (for example has accidentally inhaled food)</li><li>headaches</li><li>muscle pain </li><li>pain in the ribs or spine.</li></ul></ul><p>Remember, only use the manual assisted cough method if you are cleared to do so by your child’s healthcare team. Talk to your child’s doctor and physiotherapist about a plan to reduce any possible risks to your child while helping them cough.</p><p></p> <a class="btn btn-primary" href="https://www.aboutkidshealth.ca/trachvent">Return to trach-vent learning hub</a><br></div>Manual assisted cough methodTruehttps://www.aboutkidshealth.ca/Article?contentid=2969&language=Englishhttps://www.aboutkidshealth.ca/Article?contentid=2967&language=English

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