inCourage RespirTech - Contraindications; Relative Contraindications

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The inCourage

Airway Clearance Therapy is contraindicated (not appropriate for use)

if the following conditions are present:

• Head and/or neck injury that has not yet been stabilized

• Active hemorrhage with hemodynamic instability

Relative Contraindications*

The decision to use the inCourage System for airway secretion clearance in

the presence of the conditions listed below requires careful consideration and

assessment of the individual patient’s case.

• Intracranial pressure (ICP) > 20 mmHg

• Recent spinal surgery, acute spinal injury

• Bronchopleural fistula

• Pulmonary edema associated with congestive heart failure

• Large pleural effusions or empyema

• Pulmonary embolism

• Rib fractures, with or without flail chest

• Surgical wound or healing tissue, recent skin grafts or flaps on the thorax

• Uncontrolled hypertension

• Distended abdomen

• Recent esophageal surgery

• Active or recent gross hemoptysis

• Uncontrolled airway at risk for aspiration (tube feeding or recent meal)

• Subcutaneous emphysema

• Recent epidural spinal infusion or spinal anesthesia

• Burns, open wounds, and skin infections on the thorax

• Recent placement of transvenous pacemaker or subcutaneous pacemaker

• Suspected pulmonary tuberculosis

• Lung contusion

• Bronchospasm

• Osteoporosis, osteomyelitis of the ribs

• Coagulopathy

• Complaint of chest wall pain

*According to the AARC Guidelines for Postural Drainage Therapy

CONTRAINDICATIONS

inCourage

Airway Clearance Therapy | INSTRUCTION MANUAL