The Experts below are selected from a list of 258 Experts worldwide ranked by ideXlab platform

Eugene R Koloski - One of the best experts on this subject based on the ideXlab platform.

  • traumatic dissection and rupture of the abdominal aorta as a complication of the Heimlich Maneuver
    Journal of Vascular Surgery, 2008
    Co-Authors: Shaun C Desai, Dennis J Chute, Bharati C Desai, Eugene R Koloski
    Abstract:

    Although the Heimlich Maneuver is considered the best intervention for relieving acute upper airway obstruction, several complications have been reported in the literature. These complications can occur as a result of an increase in abdominal pressure leading to a variety of well-documented visceral injuries, including the great vessels. Acute abdominal aortic thrombosis after the Heimlich Maneuver is a rare but recognized event; however, to date no case of traumatic dissection and rupture of the abdominal aorta has been described. We report the first known case, to our knowledge, of a traumatic dissection and rupture of the abdominal aorta after a forcefully applied Heimlich Maneuver.

Rajoo Ananth - One of the best experts on this subject based on the ideXlab platform.

  • Dysphagia in psychiatric patients: Clinical and videofluoroscopic study
    Dysphagia, 1991
    Co-Authors: Patricia H. Bazemore, Joseph Tonkonogy, Rajoo Ananth
    Abstract:

    Deaths due to airway obstruction are more common in psychiatric inpatients than in the normal population. A dysphagia program was started in a 400 bed Massachusetts psychiatric hospital after 4 patients in 1 year died from asphyxia. In the year after the program was started, there were no deaths; however, 28 patients experienced 32 choking incidents. The 28 patients received clinical evaluations by speech pathologists, neurologists, psychiatrists, and internists. Of the incidents, 55% required use of the Heimlich Maneuver to open the airway. Choking incidents could be classified into five types based on results of clinical examination: bradykinetic, dyskinetic, fast eating syndrome, paralytic, and medical. Twenty-one of the 28 patients were studied by videofluoroscopy and 86% of the videos were abnormal, showing aspiration in eight, webs in five, and delay in the oral phase in five. Patients with bradykinetic dysphagia (secondary to neuroleptic-induced extra-pyramidal syndrome [EPS]) and paralytic dysphagia appeared to experience a more severe from of choking.

Shaun C Desai - One of the best experts on this subject based on the ideXlab platform.

  • traumatic dissection and rupture of the abdominal aorta as a complication of the Heimlich Maneuver
    Journal of Vascular Surgery, 2008
    Co-Authors: Shaun C Desai, Dennis J Chute, Bharati C Desai, Eugene R Koloski
    Abstract:

    Although the Heimlich Maneuver is considered the best intervention for relieving acute upper airway obstruction, several complications have been reported in the literature. These complications can occur as a result of an increase in abdominal pressure leading to a variety of well-documented visceral injuries, including the great vessels. Acute abdominal aortic thrombosis after the Heimlich Maneuver is a rare but recognized event; however, to date no case of traumatic dissection and rupture of the abdominal aorta has been described. We report the first known case, to our knowledge, of a traumatic dissection and rupture of the abdominal aorta after a forcefully applied Heimlich Maneuver.

Hiroshi Imamura - One of the best experts on this subject based on the ideXlab platform.

  • abstract 13807 influence of body position during Heimlich Maneuver to relieve supralaryngeal obstruction a mannequin study
    Circulation, 2017
    Co-Authors: Michitaro Ichikawa, Kenichi Nitta, Katsunori Mochizuki, Hiroshi Imamura
    Abstract:

    Introduction: The Heimlich Maneuver is a common —yet not always successful—first aid measure for relieving upper airway obstruction caused by choking. Using a choking simulation mannequin, we studi...

  • influence of body position during Heimlich Maneuver to relieve supralaryngeal obstruction a manikin study
    Acute medicine and surgery, 2017
    Co-Authors: Michitaro Ichikawa, Kenichi Nitta, Katsunori Mochizuki, So Oishi, Kazufumi Okamoto, Hiroshi Imamura
    Abstract:

    Aim To study the most effective body position for Heimlich Maneuver. Methods A choking simulation manikin was connected to a laryngeal model of a child or an adult, and a differential pressure transducer recorded the airway pressure and waveform during the Maneuver. A konjac jelly was placed on the larynx to mimic complete supralaryngeal obstruction. The Maneuver (five successive compressions) was carried out six times each in standing, prone, and supine positions. For cases of children, we added a supine position with a pillow under the back. Results In the adult model, airway obstruction was more frequently relieved in the supine and prone positions than in the standing position (P < 0.001). In the child model, airway obstruction was more frequently relieved in the supine position, with a pillow, and in the prone position, than in the standing position (P < 0.001). Without relief, successive Heimlich Maneuvers made the airway pressure increasingly negative (adult, from −21.9 ± 6.5 cmH2O to −31.5 ± 9.1 cmH2O in the standing position [P < 0.001]; child, from −15.0 ± 9.5 cmH2O to −30.0 ± 9.2 cmH2O in the standing position [P < 0.001] and from −35.0 ± 17.4 cmH2O to −47.3 ± 25.1 cmH2O in the supine position without a pillow [P = 0.002]). Conclusions The Heimlich Maneuver was more effective in the supine and prone positions. In children, the prone position may be most effective. Successive Heimlich Maneuvers may be harmful when the airway is not relieved after the first compression.

J. Sánchez - One of the best experts on this subject based on the ideXlab platform.

  • Rupture of the lesser gastric curvature after a Heimlich Maneuver
    Surgical Endoscopy And Other Interventional Techniques, 2003
    Co-Authors: A. Gallardo, R. Rosado, D. Ramírez, P. Medina, S. Mezquita, J. Sánchez
    Abstract:

    Background: We present a case of lesser gastric curvature injury after a Heimlich Maneuver due to obstruction of the breathing tract that was repaired by laparoscopic surgery. Methods: A patient with perforation of the lesser gastric curvature as a result of closed abdominal traumatism was operated on using the laparoscopic approach with the use of four trocars as work openings. With this technique, the diagnosis was confirmed, the injury repaired, and the abdominal cavity washed. Results: The postoperative period was favorable and the patient was released from the hospital on day 7 without any complications. Conclusions: Laparoscopic surgery can be technically reproduced in the treatment of gastric injury as a result of closed abdominal traumatism.