Physio after coronary bypass using a vibration machine

[oscar]

hi pls tell me is vibrator machine is good after coronary bypass or only manual vibration is good to remove the secretion.and how much vibration is required to loosen up the secretion?

Generally NO! Any kind of manual technique such as vibrations or percussion is contraindicated for people post chest surgery- CABG patients usually have a lot of chest pain so anything that can cause more pain or even split the wound in two should really be avoided.

For thick secretions go another route such as IPPB or manual hyperinflation (if the patient is intubated) or even suction...but before that try mobilising, saline nebs, humidified oxygen and ACBT. I suggest you have a read of texts such as Alexandra Hough (Cardiorespiratory Physiotherapy) or Pryor (Physiotherapy for cardiac and respitatory problems) which both have excellent sections on cardiac surgery