Perforated stomach following the Heimlich maneuver

Cowan, Mark D.; Bardole, Judy; Dlesk, Andrea

doi:10.1016/0735-6757(87)90088-x

Cited by 26 publications

(7 citation statements)

References 5 publications

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“…These have included rare traumatic injuries such as perforation of the stomach, jejunum, or esophagus. [7][8][9][10][11][12][13][14][15][16] In addition, cases of pneumomediastinum, aortic valve cusp rupture, diaphragmatic herniation, acute thrombosis of an abdominal aortic aneurysm, mesenteric laceration, splenic laceration, and retinal detachment have been reported. 3,[17][18][19][20][21][22][23] Also reported are slightly more benign complications including pharyngeal abrasion, vomiting, and mild abdominal tenderness.…”

Section: Discussionmentioning

confidence: 96%

Complications as a Result of the Heimlich Maneuver

Lee

Kim

Shekherdimian

et al. 2009

Journal of Trauma: Injury, Infection &Amp; Critical Care

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The Heimlich maneuver is a well-described emergency procedure for management of foreign body airway obstructions. Although rare, complications of the Heimlich maneuver do exist. The purpose of this report is to review the known complications of this procedure. All reported complications published in English on Medline and PubMed were reviewed. Additionally, we present a rare case of acute pancreatitis with associated pseudocyst formation after the administration of the Heimlich maneuver on a healthy 3-year-old boy. Although life saving, the Heimlich maneuver may be associated with significant complications; thus, symptomatic patients after this maneuver should be thoroughly evaluated with appropriate laboratory and radiographic studies.

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Section: Discussionmentioning

confidence: 96%

Complications as a Result of the Heimlich Maneuver

Lee

Kim

Shekherdimian

et al. 2009

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…Other complications include retinal detachment, pneumomediastinum, rupture of the oesophagus, gastric rupture, jejunum rupture, mesenteric laceration, rupture of the aortic valve cusp and bioprosthetic valve and thrombosis of abdominal aortic aneurysms. [11][12][13][14][15][16][17][18][19][20][21][22][23][24] In many of the reported complications, the Heimlich manoeuvre was performed by untrained lay persons. 14 Hughes reported that approximately 70% of rescuers using the Heimlich manoeuvre were untrained for cardiopulmonary resuscitation.…”

Section: Complications Of the Heimlich Manoeuvrementioning

confidence: 99%

“…In some of the reported cases, the stomach was found to be distended with food. [12][13][14] In other cases, cardiopulmonary resuscitation was performed at the same time. 12,13,27 Interestingly, in all the cases, the site of gastric rupture was found to be on the anterior lesser curvature.…”

Section: Complications Of the Heimlich Manoeuvrementioning

confidence: 99%

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Review of the Heimlich manoeuvre

1999

Annals of the College of Surgeons of Hong Kong

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“…2 Other rare complications have been seen, the most common of which is rupture of the stomach, the esophagus, and the jejunum. [3][4][5][6][7][8][9][10] This usually occurs in patients who have consumed large quantities of food leading to gastric distention. There are also reports of other rare traumatic complications of the Heimlich maneuver, including pneumomediastinum, diaphragmatic herniation, and mesenteric/splenic laceration.…”

Section: Heimlich Maneuvermentioning

confidence: 99%

Approaches to Manual VentilationDiscussion

2014

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Manual ventilation is a basic skill that involves airway assessment, maneuvers to open the airway, and application of simple and complex airway support devices and effective positive-pressure ventilation using a bag and mask. An important part of manual ventilation is recognizing its success and when it is difficult or impossible and a higher level of support is necessary to sustain life. Careful airway assessment will help clinicians identify what and when the next step needs to be taken. Often simple airway maneuvers such as the head tilt/chin lift and jaw thrust can achieve a patent airway. Appropriate use of airway adjuncts can further aid the clinician in situations in which airway maneuvers may not be sufficient. Bag-mask ventilation (BMV) plays a vital role in effective manual ventilation, improving both oxygenation and ventilation as well as buying time while preparations are made for endotracheal intubation. There are, however, situations in which BMV may be difficult or impossible. Anticipation and early recognition of these situations allows clinicians to quickly make adjustments to the method of BMV or to employ a more advanced intervention to avoid delays in establishing adequate oxygenation and ventilation.

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Perforated stomach following the Heimlich maneuver

Cited by 26 publications

References 5 publications

Complications as a Result of the Heimlich Maneuver

Complications as a Result of the Heimlich Maneuver

Review of the Heimlich manoeuvre

Approaches to Manual VentilationDiscussion

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