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

被引：57

作者：

Langhelle, A ^{[1
]}

Sunde, K

Wik, L

Steen, PA

机构：

[1] Norwegian Air Ambulance, Dept Res & Educ Acute Med, N-1441 Droebak, Norway

[2] Ullevaal Univ Hosp, Inst Exp Med Res, N-04047 Oslo, Norway

[3] Natl Hosp Norway, Medinnova SF, N-0027 Oslo, Norway

[4] Ullevaal Univ Hosp, Dept Anaesthesiol, N-0407 Oslo, Norway

[5] Ullevaal Univ Hosp, Dept Emergency Med Serv, N-0407 Oslo, Norway

来源：

RESUSCITATION | 2000年 / 44卷 / 02期

关键词：

airway obstruction; basic life support (BLS); cardiopulmonary resuscitation (CPR); chest compression; education; guidelines;

D O I：

10.1016/S0300-9572(00)00161-1

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

In a previous case report a standard chest compression successfully removed a foreign body from the airway after the Heimlich manoeuvre had failed. Based on this case, standard chest compressions and Heimlich manoeuvres were performed by emergency physicians on 12 unselected cadavers with a simulated complete airway obstruction in a randomised crossover design. The mean peak airway pressure was significantly lower with abdominal thrusts compared to chest compressions, 26.4 +/- 19.8 cmH(2)O versus 40.8 +/- 16.4 cmH(2)O, respectively (P = 0.005, 95% confidence interval for the mean difference 5.3-23.4 cmH(2)O). Standard chest compressions therefore have the potential of bring more effective than the :Heimlich manoeuvre for the management of complete airway obstruction by a foreign body in an unconscious patient. Removal of the Heimlich manoeuvre from the resuscitation algorithm for unconscious patients with suspected airway obstruction will also simplify training. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：105 / 108

页数：4

共 16 条

[1]

*AM HEART ASS, 1992, JAMA-J AM MED ASSOC, V268, P2191

[2]

Bjorshol Conrad A., 1996, Tidsskrift for den Norske Laegeforening, V116, P508

[3]

DAY RL, 1982, PEDIATRICS, V70, P113

[4] Life supporting first aid training of the public - review and recommendations [J].

Eisenburger, P ;

Safar, P .

RESUSCITATION, 1999, 41 (01) :3-18

[5]

GORDON AS, 1977, ADV CARDIOPULMONARY, P39

[6]

Guildner C W, 1976, JACEP, V5, P675, DOI 10.1016/S0361-1124(76)80099-8

[7] The 1998 European Resuscitation Council guidelines for adult single rescuer basic life support - A statement from the Working Group on Basic Life Support, and approved by the executive committee of the European Resuscitation Council [J].

Handley, AJ ;

Bahr, J ;

Baskett, P ;

Bossaert, L ;

Chamberlain, D ;

Dick, W ;

Ekstrom, L ;

Juchems, R ;

Kettler, D ;

Marsden, A ;

Moeschler, O ;

Monsierurs, K ;

Parr, M ;

Petit, P ;

Van Drenth, A .

RESUSCITATION, 1998, 37 (02) :67-80

[8]

Handley AJ, 1998, RESUSCITATION, V38, P131

[9] LIFE-SAVING MANEUVER TO PREVENT FOOD-CHOKING [J].

HEIMLICH, HJ .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1975, 234 (04) :398-401

[10] THE HEIMLICH MANEUVER - BEST TECHNIQUE FOR SAVING ANY CHOKING VICTIMS LIFE [J].

HEIMLICH, HJ ;

PATRICK, EA .

POSTGRADUATE MEDICINE, 1990, 87 (06) :38-48

← 1 2 →