Airway pressure with chest compressions versus Heimlich manoeuvre in recently dead adults with complete airway obstruction

Langhelle, Audun; Sunde, Kjetil; Wik, Lars; Steen, Petter Andreas

doi:10.1016/s0300-9572(00)00161-1

Cited by 103 publications

(41 citation statements)

References 9 publications

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“…After 2 minutes, if someone has not already done so, the healthcare provider should activate the emergency response system. A randomized trial of maneuvers to open the airway in cadavers 282 and 2 prospective studies in anesthetized volunteers 281,283 showed that higher sustained airway pressures can be generated using the chest thrust rather than the abdominal thrust. Each time the airway is opened during CPR, the rescuer should look for an object in the victim's mouth and if found, remove it.…”

Section: Relief Of Foreign-body Airway Obstructionmentioning

confidence: 99%

Part 5: Adult Basic Life Support

Berg¹,

Robin²,

Abella³

et al. 2010

Circulation

698

495

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Basic life support (BLS) is the foundation for saving lives following cardiac arrest. Fundamental aspects of BLS include immediate recognition of sudden cardiac arrest (SCA) and activation of the emergency response system, early cardiopulmonary resuscitation (CPR), and rapid defibrillation with an automated external defibrillator (AED). Initial recognition and response to heart attack and stroke are also considered part of BLS. This section presents the 2010 adult BLS guidelines for lay rescuers and healthcare providers. Key changes and continued points of emphasis from the 2005 BLS Guidelines include the following:• Immediate recognition of SCA based on assessing unresponsiveness and absence of normal breathing (ie, the victim is not breathing or only gasping) Despite important advances in prevention, SCA continues to be a leading cause of death in many parts of the world. 1 SCA has many etiologies (ie, cardiac or noncardiac causes), circumstances (eg, witnessed or unwitnessed), and settings (eg, out-of-hospital or in-hospital). This heterogeneity suggests that a single approach to resuscitation is not practical, but a core set of actions provides a universal strategy for achieving successful resuscitation. These actions are termed the links in the "Chain of Survival." For adults they include When these links are implemented in an effective way, survival rates can approach 50% following witnessed out-ofhospital ventricular fibrillation (VF) arrest. 2 Unfortunately survival rates in many out-of-hospital and in-hospital settings fall far short of this figure. For example, survival rates following cardiac arrest due to VF vary from approximately 5% to 50% in both out-of-hospital and in-hospital settings. 3,4 This variation in outcome underscores the opportunity for improvement in many settings.Recognition of cardiac arrest is not always straightforward, especially for laypersons. Any confusion on the part of a rescuer can result in a delay or failure to activate the emergency response system or to start CPR. Precious time is lost if bystanders are too confused to act. Therefore, these adult BLS Guidelines focus on recognition of cardiac arrest with an appropriate set of rescuer actions. Once the lay bystander recognizes that the victim is unresponsive, that bystander must immediately activate (or send someone to activate) the emergency response system. Once the healthcare provider recognizes that the victim is unresponsive with no breathing or no normal breathing (ie, only gasping) the healthcare provider will activate the emergency response system. After activation, rescuers should immediately begin CPR.Early CPR can improve the likelihood of survival, and yet CPR is often not provided until the arrival of professional emergency responders. 5 Chest compressions are an especially critical component of CPR because perfusion during CPR

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Section: Relief Of Foreign-body Airway Obstructionmentioning

confidence: 99%

Part 5: Adult Basic Life Support

Berg¹,

Robin²,

Abella³

et al. 2010

Circulation

698

495

View full text Add to dashboard Cite

show abstract

“…160,167 One randomized trial of maneuvers to clear the airway in cadavers (LOE 5 168 ) and 2 prospective studies in anesthetized volunteers (LOE 5 166,169 ) showed that higher airway pressures could be generated by using the chest thrust rather than the abdominal thrust. In a few case reports, a finger sweep was effective for relieving FBAO in unconscious adults and children aged Ͼ1 year (LOE 4 161,162,170 ).…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 5: Adult Basic Life Support

Sayre¹,

Koster²,

Botha³

et al. 2010

Circulation

151

136

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“…23 This study found chest compressions created a greater mean airway pressure than sub-diaphragmatic thrusts. Airway pressure from chest compressions were 40.8 <>16.4 cmH2O, while abdominal thrust yielded pressures of 26.4 <>19.8 cmH20.…”

Section: Acfasp Re-evaluation Of Scientific Data (2009)mentioning

confidence: 70%