Hello Guys,

I want to know why it's contraindicated to do CPT for Plural Effusion patient?

If you mean by "CPT" Postural Drainage and Percussion then it makes utterly no sense to do that to treat pleural effusion. Deep breathing, sustained maximal inspirations, yawning, PEP, etc., all may temporarily overcome atelectasis, but after completion the pleural pressure is still impinging.

If the pleural effusion is big enough then the obvious "Chest Physical Therapy" is for an MD to go in via thoracentesis and drain it.

However, it is perhaps imagineable that some device like inspiratory muscle or negative impedance breathing MIGHT augment drainage of pleural fluid. But, even if such prolonged "milking" was theoretically possible, most patients whom develop pleural effusions are incapable of breathing through a resistive device for so long.

Thank's Jeff