Therapeutic Positioning

Question 1

What are the aims of positioning

Answer 1

Optimise respiratory function

• maximise diaphragm movement
• drain sputum
• reduce WOB and SOB

Question 2

Which lung should be down to help VQ matching

Answer 2

Good lung down as gravity will improve perfusion and air will go there from decreased resistance

Question 3

Where do you get the best perfusion

Answer 3

In line with gravity

Question 4

Where is the best ventilation (think slinky)

Answer 4

In the dependant region of the lung as the alveoli are more compliant and have better gas exchange