4. Tracheal stimulation
Tracheal stimulation, sometimes called a tracheal tickle, may be used with infants or disoriented patients who cannot cooperate in the treatment.
This is somewhat uncomfortable maneuver, performed to elicit a reflexive cough.
The therapist places two fingers at the sternal, notch and applies a circular motion with pressure downward into the trachea to facilitate a reflexive cough.
3. Humidification
If secretion are very thick, work with the patient after humidification therapy or ultrasonic nebulizer (USN) therapy, both of which enhance the mucociliary transport system and facilitate a productive cough.