Airway Clearance Leaflet March 2018

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Airway clearance techniques

Community Respiratory Team

Cambridge, Doddington, Huntingdon and Peterborough 2018


Active Cycle of Breathing Technique
The Active Cycle of Breathing Technique (ACBT) is designed to
assist you with clearing your chest of secretions and helping
relieve symptoms such as breathlessness and wheeze. The
cycle consists of three different types of breathing:
Breathing control
This is described as breathing gently, using as little effort as
possible. This is essential to do in-between the more active parts
of the cycle as it allows your airways to relax.
Breathe in and out gently through your nose if you can but if you
cannot breathe through your mouth instead.
Try to let go of any tension in your body with each breath out.
Try to gradually make the breaths slower
Deep breathing
Take a long, slow, deep breath in, through your nose if you can.
Breathe out gently and relaxed, like a sigh. Some people find it
helpful to hold their breath for about 2-3 seconds at the end of
the breath in, before breathing out.
Huffing
A huff is exhaling through an open mouth and throat instead of
coughing. It helps move sputum up your airways so that you can
clear it in a controlled way. To 'huff' you squeeze the air quickly
from your lungs, out through your open mouth and throat, as if
you were trying to mist up a mirror or your glasses. Use your
tummy muscles to squeeze the air, but do not force it so much
that you cause wheezing or tightness.
The small-long huff - this moves sputum from low down in your
chest. Take a small to medium breath in and then huff (as
described above)
The big-short huff - this moves sputum from higher up in your
chest, so use this when the sputum is ready to come out and not
before. Take a deep breath in and then huff the air out quickly.
Relaxed
Breathing

Deep
Huff (short)
Breathing

Relaxed Relaxed
Breathing Breathing

Huff
(long)

How often?
When you are well, 1-2 times per day is enough.
When you are unwell and producing more sputum, you will need
to possibly do shorter but more frequent sessions throughout the
day.
When should I do my breathing exercises?
We suggest on waking and before going to bed are good times.
If you are feeling more breathless or feel you have sputum that
has built up at other time periods this is a good time to do it.
How long should I do ACBT for?
The exercises should take no longer than 10-15 minutes or
ideally until your chest feels clear of sputum.
What position should I do ACBT in?

Acapella/flutter
Yes/no
Number of breaths:________________
Contact details and working hours

0330 726 0077


Mon – Fri 8am – 6pm

Email: [email protected]
[email protected]

Our aim is to help you to manage your respiratory disease as


well as possible. We can do this by helping you to understand
your treatment, use your inhalers effectively, and manage your
symptoms appropriately.

In an emergency please contact your GP or the emergency


services on 111

…………………………………………………………………..……..

Leaflet published: Mar 2018


Leaflet review date: Mar 2019

Patient Advice and Liaison Service

For information about CPFT services or to raise an issue, contact the Patient Advice
and Liaison Service (PALS) on Free phone 0800 376 0775, or e-mail [email protected]

Out-of-hours service for CPFT mental health service users


Contact Lifeline on 0808 808 2121
7pm-11pm
365 days a year

If you require this information in another format such as braille, large print or another
language, please let us know.

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