• How to blow Baby's nose
• Kinesitherapy of deduttering
• Kinesitherapy in ENT
• Control of asthma

How to blow Baby's nose ?

Baby's nose :

The infant, under three months of age, breathes only through the nose; therefore, any prolonged nasal obstruction can cause major respiratory distress.  After three months and until the age of two, the risk remains present, even if lesser.

Indication of Baby Nose Cleaner by aspiration :

It is an almost indispensable complementary use.  It is made with 0.9% saline instillation at room temperature.  It is preferable, in my opinion, to use small unit-doses as the instillation pressure is less aggressive for the Baby than the instillation pressure displayed by the pressurized bomb systems.

• The head of the Baby or infant is kept to the side to avoid any risk of inhalation.  The instillation pressure and the amount of instilled water must be sufficient to realize a real nose wash (it is why I recommend to keep the head to the side).
• The instillation is made in the upper nostril (given that the baby is positioned on the side).
• The aspiration is made in the lower nostril to allow good communication between the two nostrils, thus causing the mucus as well as the inflammatory and infectious components contained in the mucus to be pulled out.  Note that the salt contained in the solution is helpful to the antimicrobial fight and remains non aggressive due to its osmotic dosage.
• If, on first attempt, water fails to reach the lower nostril, there is likely to be a mucus plug: simply inhale the upper nostril, re-instill it and this time, you should get a good flow … if not, repeat the operation until the desired result is obtained.

• CAUTION:  When you will see that secretions have accumulated in the Belvital Baby Nose-Blow Cleaner device, you should remove them to be able to pursue the nose cleaning operation.  To do so, NEVER BLOW INTO THE NOSE BLOW ASPIRATOR as your breath would contaminate that part of the nose-blow device then in contact with the Baby's nose.
• The correct method is to tap a handkerchief on the Baby Nose-Blow Aspirator so as to extract the mixture of salt water and mucus from the device.

Useful link: http://pagesperso-orange.fr/jcboerner/desobstructionRP.html

Afterwards, it is beneficial to slightly block the Baby's mouth to a closed position to provoke intense inhaling through the nose.  This action will clear the rear nose (cavum), located near the Eustachian tubes: this release will prevent the spread of infection to the ear.

The nose-blowing must be regular.  Simply think of a few basic rules:

• proper washing of hands;
• use disposable paper handkerchiefs;
• at the end of each use, wipe the Baby blow-nose aspirator with mild soap and make sure to sterilize it each day (10 minutes in boiling water).

Remarks:

• From age 2 to 6 years, complete the work by learning how to blow the nose, nostril by nostril:  the child inhales through the mouth and then rapidly exhales by the nose, one nostril at a time .
• Proper cleaning of the Baby's nose will - not only greatly reduce the risk of ear infections - but will also avoid a lot of impacts on the bronchi and bronchioles.

Decluttering Kinesitherapy

It bears repeating:  in nine cases out of ten, bronchiolitis is mild and healed within eight days with respiratory kinesitherapy sessions, together with careful trimming and cleaning of the nose .

In some well documented cases, however, rushing to an emergency hospitalization might be in order: when the child shows signs of severe respiratory distress (polynea, rapid breathing, circulation, difficulty in swallowing ...), when the baby is younger than three months old and even more so when he/she is less than 6 weeks old, if he/she is premature at less than 32 weeks, when he/she suffers from an abnormal lung or heart disease.  But in any case, there is only one remedy: chest kinesitherapy."

Some medications are sometimes prescribed in addition to kinesitherapy: Antibiotics - when secretions turn green, when they are obviously infected, when the fever is too high or the child suffers from otitis (a 20% complication of bronchiolitis).  Prescription of bronchodilatory drug (eg ventolin), see corticosteroid (Flovent) in some resistant cases, sometimes gives rise to discussions within the medical world.

In conclusion :

If parents learn how to quickly evacuate the secretions of their children, they already limit the risk of infection.  But if, in addition, they bring their babies in for a respiratory consultation, they increase the chances of seeing their little ones heal without the intake of antibiotics.

The Baby should be seen upon the very first appearance of symptoms of congested lungs - signs of an invasion of the lungs by a bacterial or viral infection.  The kinesitherapist will perform a massage, a pressure on the lungs which will allow the removal of secretions and therefore a better air circulation.  The freed-up lungs will immediately regain energy and the immune system will work very promptly.  The child, in most cases, will heal quickly.

The respiratory kinesitherapy sessions are challenging for the parents because such sessions are impressive, intense and exhausting for the child who often cries, coughs and spits.  The therapist will then use part of the first meeting to explain what is involved prior to commencing the fifteen-minute treatment.

Usually, the norm is of 3 sessions at 24-hour intervals before or after the first visit to the doctor.  If infection was detected too late, if the lung congestion is too severe or if the immune system is already failing, there are chances that the treatment of respiratory kinesitherapy be not effective.  Therefore, the child will be promptly referred to a doctor for a prescription of antibiotics.

Useful link: http://pagesperso-orange.fr/jcboerner/kines.html

Kinesitherapie in ENT

Specific maneuvers :

In cases of otitis, these maneuvers serve as a complement to the medical treatment and can be performed by a specialized therapist.

These maneuvers, undertaken subsequent to a prior check-up, serve to stimulate the flow of the fluid behind the eardrum through small cranial stimulations and the liquid will be thereafter discharged from the inside through lymphatic drainage.

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