Principles of Urgent Management of Acute Airway Obstruction

Yıldırım, Erkan

doi:10.1016/j.thorsurg.2018.05.006

Cited by 17 publications

(13 citation statements)

References 46 publications

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“…Despite the rare instances of intra-abdominal complications, the Heimlich maneuver is considered a quick and inexpensive technique that does not require medical knowledge or expertise to perform [ 56 , 57 , 58 , 59 ]. Today, the Heimlich maneuver is accepted and taught during Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) for conscious adults but backslaps are still recommended for infants and chest compressions are recommended for unconscious patients.…”

Section: Discussionmentioning

confidence: 99%

Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature

Montana

Salerno

Feola

et al. 2020

IJERPH

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(1) Background: Foreign body aspiration (FBA) is a significant public health concern among the pediatric population, and fatalities are dramatic for families. It typically involves organic foreign bodies (mainly food) aspirated by children under three years old, usually at home or school. This review aimed to focus on the preventive measures around four actual cases of fatal foreign body aspiration, emphasizing the correct execution of the Heimlich maneuver and cardiopulmonary resuscitation, supervised mealtimes, and high-risk foods. (2) Methods: Four fatal cases of foreign body aspiration in children are presented here. The children were in a free environment, such as school, home, and the countryside, and were in the presence of teachers, parents, and a grandmother who did not supervise the children adequately. A literature review was performed via the MEDLINE database using the key terms: “foreign body aspiration,” “infant choking, 1.5 to 3 years,” “food and foreign body aspiration,” “common household,” “prevention of foreign body aspiration,” “guidelines,” “recommendations,” “training of caregivers (parents, educators),” “resuscitation,” “Heimlich maneuver,” and “disengagement of the upper airways.” We focused on the prevention of foreign body aspiration. (3) Results: a complete postmortem examination was performed. In three cases, the foreign bodies were food (mozzarella cheese, pear, or raw bean), while in one case, the foreign body was a pebble. (4) Conclusions: This review aimed to discuss recent scientific literature and provide a perspective on the benefits of a dedicated approach to the management of fatal foreign body aspiration in children by caregivers who usually have no experience with the best ways of supervising children in a safe environment, especially regarding the correct execution of resuscitation maneuvers, such as the Heimlich maneuver. Recommendation updates could improve healthcare quality in a pediatric setting and reduce medico-legal implications.

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Section: Discussionmentioning

confidence: 99%

Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature

Montana

Salerno

Feola

et al. 2020

IJERPH

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“…High quality of oral care can prevent VAP (14). For this patient, we check the oral mucosa every shift.…”

Section: Oral Carementioning

confidence: 99%

Challenges in the nursing care of intracranial carbapenem-resistant Escherichia coli infection after severe traumatic brain injury: a case report

et al. 2020

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has become a global public health problem with widespread rapid increase. Resulting in high morbidity, disability, and mortality, CRE brings considerable challenges to clinical treatment and severe burdens to society (2,3). It is much easier for the elderly, immunocompromised and critically ill patients to infect CRE. The mortality rate is between 40% and 50% for severe patients with CRE bloodstream infections (4). In order to effectively decrease case-fatality rates among patients with the infections owing to CRE infection, combination antibiotic schemes, including colistin

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“…(I) Dexamethasone should be administered intraoperatively to reduce stress response; (II) surgical operations should be gentle to avoid overstimulation of the trachea; (III) sharp excision is recommended at the time of separating the thyroid from the trachea; (IV) postoperative nebulized inhalation lubricates the airway to reduce its hyperresponsiveness and avoid irritable cough. Emergency tracheal intubation is performed in the event of tracheospasm, and tracheotomy is required when necessary (60). Similarly, laryngospasm after thyroidectomy could also result to dyspnea, and asphyxia.…”

Section: Tracheospasm and Laryngospasmmentioning

confidence: 99%

Narrative review of management of thyroid surgery complications

Jin¹,

Sugitani²

2021

Gland Surg

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Currently, thyroid surgery is the most common and safe operation worldwide. However, thyroidectomy is still not free from the risks of complications and death due to the anatomical structure and physiological function particularity of the thyroid gland. Postoperative complications affect the life quality and life safety of patients after surgery. The common complications include hypoparathyroidism (HP), recurrent laryngeal nerve (RLN) injury, injury to the external branch of the superior laryngeal nerve (EBSLN), postoperative bleeding (PB), thoracic duct injury, laryngeal edema, tracheospasm, tracheal injury, and esophageal injury. A severe complication, such as dyspnea, asphyxia, or thyroid crisis, might cause the death of the patient. Therefore, every thyroid surgeon's responsibility is to remain alert and aware of the occurrence of various intraoperative and postoperative complications and exercise effective prevention and treatment. This is closely related to the advancement in thyroid disease research, the increase in local anatomy knowledge, the standardization of surgical approaches, the improvement in operating skills, the application of new technologies, and the emphasis on specialty training. In addition, many complications that effect patients are much better tolerated if the patient has appropriate expectations of what the complications are and how to treat them. Open communication between surgeon and patient optimizes the potential negative effects that complications may have on patients' quality of life. This paper discusses the prevention, recognition and therapy of intraoperative and postoperative complications in thyroid surgery.

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Principles of Urgent Management of Acute Airway Obstruction

Cited by 17 publications

References 46 publications

Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature

Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature

Challenges in the nursing care of intracranial carbapenem-resistant Escherichia coli infection after severe traumatic brain injury: a case report

Narrative review of management of thyroid surgery complications

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