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Airway-Clearance Techniques in Children and Adolescents with Chronic Suppurative Lung Disease and Bronchiectasis

Annemarie L Lee1, Brenda M Button2, Esta-Lee Tannenbaum3

  • 1Physiotherapy, School of Allied Health, La Trobe University, Bundoora, VIC, Australia; Institute for Breathing and Sleep, Austin Health, Heidelberg, VIC, Australia.

Frontiers in Pediatrics
|February 8, 2017
PubMed

Insights

Airway-clearance techniques (ACTs) help children with chronic suppurative lung disease or bronchiectasis by clearing mucus and improving breathing. This review guides selecting the best ACTs for better health and symptom relief.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Clinical Management

Background:

  • Chronic suppurative lung disease and bronchiectasis in children present with chronic cough, sputum, and recurrent infections.
  • Management focuses on airway-clearance techniques (ACTs) to aid mucociliary clearance and symptom relief.

Purpose of the Study:

  • To review common ACTs for pediatric chronic suppurative lung disease and bronchiectasis.
  • To discuss the physiological rationale and factors influencing ACT selection in this population.

Main Methods:

  • Review of commonly applied ACTs.
  • Discussion of evidence base, clinical expertise, and factors influencing prescription.

Main Results:

  • A variety of ACTs can be used alone or in combination.
  • Selection depends on age, clinical status, and adherence factors.
  • Evidence for ACTs in pediatric populations is not robust but guides practice.

Conclusions:

  • ACTs are crucial for managing pediatric chronic suppurative lung disease and bronchiectasis.
  • Clinical expertise and available evidence inform ACT selection for optimal outcomes.
  • Further research is needed to strengthen the evidence base for ACTs in children.

Keywords:
airway-clearance techniquesbreathing techniquesbronchiectasismucus productionpositive expiratory pressure

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