Bronchiectasis: Airway clearance

A/Prof Lissa Spencer & Senior Physiotherapist Jack Reeves share their expert insights and knowledge on airway clearance for people living with bronchiectasis in this video from Lung Foundation Australia. This video provides a comprehensive introduction to respiratory physiotherapy, outlining its importance for individuals living with lung conditions such as bronchiectasis, COPD, and asthma. A respiratory physiotherapist is a specialist trained in techniques that assist in clearing mucus from the lungs, helping to reduce infection risk and improve breathing. These professionals work across hospital wards, pulmonary rehabilitation programs, and private practices, offering expert support tailored to each patient’s lung health needs. Viewers are advised to seek guidance from Lung Foundation Australia or their local hospital physiotherapy department to find a qualified respiratory physio, with GP referrals also an option for hospital-based care.

A key technique discussed is the Active Cycle of Breathing Technique (ACBT), which helps move mucus from the deeper parts of the lungs to the throat where it can be safely expelled. This cycle involves deep breathing, relaxed breathing, huffing, and controlled coughing. Each step plays a crucial role: deep breathing mobilises mucus, relaxed breathing prevents wheezing, huffing brings mucus up, and controlled coughing expels it without causing tightness. The technique is best taught by a respiratory physio, who can assess individual needs using clinical tools such as chest X-rays and CT scans.
The video also explains the role of airway clearance devices, including PEP devices and flutter devices, which help open airways and support natural mucus-clearing mechanisms like cilia function. While not everyone needs a device, they are often essential for people with bronchiectasis who have large amounts of daily mucus and are prone to lung infections. Lastly, hydration is highlighted as an important part of lung health, as it keeps mucus thin and easier to clear. Those on fluid restrictions should consult their GP. Overall, this video encourages personalised care through respiratory physiotherapy to support effective airway clearance and maintain respiratory wellness.