Postural drainage involves using gravity and different body positions to clear secretions from the lungs. The document describes various positions to drain different areas of the lungs, such as sitting forward or back in a chair for the upper lobes, or lying on the side or stomach in a Trendelenburg position for the middle and lower lobes. It also mentions percussion and vibration are used along with positioning during the procedure, and aftercare is the same as for chest physiotherapy.

1. Posturaldrainage
Definition
Purpose
Indication
Contraindication
Articles
Positions for draining different areas of lungs
Procedure
After care
Special considerations

2. Posturaldrainage
Definition
Postural drainage is the gravitational clearance
of secretions from specific bronchial
segments by using one or more of different
positions.

3. Posturaldrainage
Purpose
Indication
Contraindication
&
Articles required
Same as chest physiotherapy

4. Posturaldrainage
Positions for draining different area
of lung
Left and right upper lobes anterior
apical bronchi
Patient sit in a chair leaning back
Left and right upper lobes posterior
apical bronchi
Patient sit in a chair leaning
forward on pillow or cardiac
table

5. Posturaldrainage
Positions for draining different area of lung
Right and left anterior upper lobe bronchi
Patient lie flat on back with small pillow
under knees and Percuss & vibrate just
below the clavicle on either side of
sternum
Left upper lobe lingular bronchus
Patient should lie on his right side with arm
over head in Trendelenburg position with
foot of bed raised 30 cm. place pillow
behind back and roll patient 1/4th on to
pillow. Percuss and vibrate lateral to left
nipple area below axilla.

6. Posturaldrainage
Positions for draining different area of lung
Right middle lobe bronchus
Patient should lie on his left side with arm
over head in Trendelenburg position
with foot of bed raised 30 cm. place
pillow behind back and roll patient
1/4th on to pillow. Percuss and vibrate
lateral to right nipple area below
axilla.
Left and right anterior lower lobe bronchi
Patient should lie on back in
Trendelenburg position with foot of
bed elevated 45-50 cm. knees should
be bent on pillow. Percuss and vibrate
over lower anterior ribs on both sides.

7. Posturaldrainage
Positions for draining different area of lung
Right lower lobe lateral bronchus
Patient should lie on left side in
Trendelenburg position with foot of
bed raised to 45-50 cm. Percuss and
vibrate on right side of the chest below
scapula posterior to mid Axillary line.
Left lower lobe lateral bronchus
Patient should lie on right side in
Trendelenburg position with foot of
bed raised to 45-50 cm. Percuss and
vibrate on left side of the chest below
scapula posterior to mid Axillary line.

8. Posturaldrainage
Positions for draining different area of lung
Right and left lower lobe superior bronchi
Patient should lie flat on his abdomen with
pillow under abdomen. Percuss and
vibrate below scapula on either side of
spine
Right and left posterior basal bronchi
Patient should lie on his abdomen in
Trendelenburg position with foot of
bed elevated 45-50 cm. Percuss and
vibrate over posterior ribs on either
side of spine.

9. Posturaldrainage
Procedure
With the mentioned positioning of postural
drainage follow the procedure of chest
physiotherapy i.e. percussion and vibration.

10. Posturaldrainage
After care
&
Special consideration
Same as chest physiotherapy