Contraindications for Postural Drainage
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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)