Disadvantages of Autogenic Drainage:

 Patients generally need to be over 8 years old,

the technique can be difficult to teach
 Patients need the cognitive ability to  Keeping bronchial resistance low
understand the basic physiology behind the
 Avoids bronchospasm and dynamic airway
technique
collapse
 To benefit from the auditory feedback,
patients need to have a moderate or large The specific style of breathing described is performed
amount of sputum

Who can benefit from Autogenic

at different lung volumes, usually starting within the
expiratory reserve volume (ERV) and progressing Rock Out Cough
Drainage?
into the inspiratory reserve volume (IRV).

Preparation
Out
Patients with:

 Cystic Fibrosis upper airways (nose and throat) should be cleared by A seminar on Autogenic Drainage
huffing or blowing the nose. Inhalers or nebulisers By Group 5:
 Chronic Bronchitis
should be taken as prescribed John-Francis Ycong Pia Lorraine Saliente
 Emphysema
Sean Lexy Oculam Francis Dominic Castillo
 Pneumonia Position Jennylyn Velasco Christelle Jade Mangubat
 Bronchiectasis Patricia Fernando Rica Nova Corcino
“breath-stimulating” position should be used, such as Louie Luzon Khessa Anga
Proximal movement of mucus is achieved by: sitting upright or lying down
 expiratory air flow of tidal breathing
Inspiration PROGRAM FLOW
 action of the mucociliary escalator
Attendance 12:30-1:00pm
 effective cough  slowly through the nose Opening Prayer 1:15pm-1:20pm
Autogenic Drainage Technique  breath hold for 2–4 seconds National Anthem 1:20pm-1:25pm
 should be done diaphragmatically SPC Hymn 1:25pm-1:30pm
When performing the technique:  twice the size of a normal tidal breath Tayoy Dabawenyo 1:30pm-1:35pm
Host Introduction 1:35pm-1:40pm
 Deeper than normal breath, “functional tidal Expiration
1st Speaker 1:40pm-2:10pm
volume” (1.5-2 times the size of the normal
 an active sigh
GAMES 2:10pm-2:30pm
tidal volume)
 expiration through the nose is preferable
2nd Speaker 2:30pm-3:00pm
 Exhale in a gentle but active way
 breathing through the mouth is acceptable
Intermission 3:00pm-3:10pm
It achieves the following: (enhances auditory feedback) Snacks 3:10pm-3:30pm
Certificate of Attendance 3:30-3:50pm
 Highest possible expiratory airflow Closing Remarks 3:50pm-4:00pm
simultaneously in different generations of the
bronchi
Before you start
 If you have an inhaler, take this 10 minutes
before starting the breathing technique
Breathing Control
 Relax in a comfortable position, with your head,
neck and arms well supported and drop the
shoulders to a relaxed position
 Rest one hand on your tummy, keeping
shoulders and upper chest relaxed and allow
your hand to rise gently as you breathe in. (If you
imagine air filling your tummy like a balloon this
may help)
 Sigh out gently through the mouth
 Make sure that your shoulders stay relaxed
 Over a few seconds, gradually increase depth of
breathing while staying relaxed
A ‘Test Breath’
 Take a very slow deep breath in through your
nose or mouth, to the best you can manage
 Pause at the end of the full breath with your
mouth slightly open
 Count for 3-4 seconds
 Make yourself breathe out through your mouth.
You can feel your tummy muscle tighten, but the
breath should not be forced
 You should listen and feel for secretions
crackling as you breathe out
 Beginning = tells us that they are high up in the
large airways
 Middle = tells us that they are in the medium
airways
 End = tells us that they are in the small airways
Stage 1
Loosen secretions
 Take a small breath in, feeling your breath at the
bottom of your chest
 With your mouth slightly open, breathe as much
air out of your chest as you can, at a fast rate, but
not so hard that you become wheezy or cough
 Repeat at least 3 of these breaths
 Resist any urge to cough
Stage 2 any urge to cough
 •Resist
Move the secretions up the chest
 As the crackle of secretions starts to get louder
change to medium sized breaths in
 Feel the breaths more in the middle of your
chest
 Continue to breathe as much air out of your
chest as you can, at a fast rate, but not so hard
that you become wheezy or cough
 Repeat at least 3 of these breaths
 Resist any urge to cough
Stage 3
Get rid of the secretions
 When the crackles are louder and still take long,
slow full breaths in to the very most that you can
manage
 Breathe as much air out of your chest as you can,
at a fast rate, but not so hard that you become
wheezy or cough
 Repeat at least 3 of these breaths
 Resist any urge to cough
Follow with a gentle huff as outlined below:
 Take a half breath in
 With your mouth open squeeze the air
forcefully out of your lungs, as though you are
steaming up a mirror before wiping it clean.
Your stomach muscles should tighten, but
your throat muscles should stay relaxed
 This may be enough to clear secretions or a
little cough may be needed
 Try to stop yourself from coughing until the
last part of Autogenic Drainage when the
secretions are high up and ready to be cleared.
Relax with breathing control technique in
between stages or if you feel the urge to cough
in-between cycles.
 Autogenic drainage breaths are very gentle so
you should not start to feel tight or wheezy
 Keep doing the cycle until your chest is clear
or until you are tired
Autogenic Drainage
 is an airway clearance technique that uses
controlled breathing and minimal coughing to
clear secretions from your chest. Feel the
breaths more in the middle of your chest
 It uses breathing at different lung volumes to
loosen, mobilize and move secretions in three
stages towards the larger central airways.Repeat
at least 3 of these breaths
Benefits of Autogenic Drainage:
 Patients can perform their airway clearance
independently
 Can be carried out at any place, any time – no
need for equipment or assistance
 Huff is gentler than a cough meaning it is less
painful and tiring