Contraindications for Postural Drainage

Trendelenburg position is contraindicated for: 5

Risk for aspiration

Trendelenburg position is contraindicated for: 1

Uncontrolled hypertension

1 2 3

Untreated acute conditions ie CHF cardiovascular instability ie MI recent neuro/spinal surgery

Trendelenburg position is contraindicated for: 4

(Recent gross) hemoptysis (related to lung CA)

6 7

Active hemorrhage with hemodynamic instability Active hemoptysis

10 11 12

Anxious or confused patients Rib fracture (with or without flail chest) Surgical wound (or healing tissue)

8 9

Empyema Bronchopleural fistula

Trendelenburg position is contraindicated for: 2

Distended abdomen

Trendelenburg position is contraindicated for: 3

Esophageal surgery

4 5

Recent spinal injury Recent head and neck injury (until stabilized)