2017
DOI: 10.1016/j.ajem.2017.04.016
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Prehospital removal improves neurological outcomes in elderly patient with foreign body airway obstruction

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Cited by 39 publications
(36 citation statements)
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“…This study showed a significant relationship between FB removal by a bystander and favourable neurological outcome. 27 Our more recent study included 386 patients in eight EDs showed that almost half of the patients had favourable neurological outcome (CPC 1 or 2) if FBAO was resolved less than 5 min, but the rate dropped to 28% if FBAO was not successfully treated until 6–10 min. However, the studies included a relatively small number of patients, and there was also a large number of patients with missing time data due to the retrospective design.…”
Section: Discussionmentioning
confidence: 93%
“…This study showed a significant relationship between FB removal by a bystander and favourable neurological outcome. 27 Our more recent study included 386 patients in eight EDs showed that almost half of the patients had favourable neurological outcome (CPC 1 or 2) if FBAO was resolved less than 5 min, but the rate dropped to 28% if FBAO was not successfully treated until 6–10 min. However, the studies included a relatively small number of patients, and there was also a large number of patients with missing time data due to the retrospective design.…”
Section: Discussionmentioning
confidence: 93%
“…Die Leitlinien für die Behandlung von FBAO, die nach der systematische Überprüfung durch ILCOR und CoSTR [ 115 , 146 ] erstellt wurden, unterstreichen die Bedeutung einer frühzeitigen Intervention durch einen Ersthelfer [ 147 , 148 ].…”
Section: Evidenz Die Den Leitlinien Zugrunde Liegtunclassified
“…Eine Person, die bei Bewusstsein und in der Lage ist, zu husten, soll dazu ermutigt werden, da Husten einen hohen und anhaltenden Druck in den Atemwegen erzeugt und den Fremdkörper ausstoßen kann [ 147 , 149 , 150 ]. Eine aggressive Behandlung mit Rückenschlägen, Oberbauchstößen und Brustkompressionen birgt ein gewisses Verletzungsrisiko und kann die Blockierung ggf.…”
Section: Evidenz Die Den Leitlinien Zugrunde Liegtunclassified
“… Intervention Outcome Studies No. of Patients Results Back blows Survival 1 observational 277 13 All 13 patients survived Relief of obstruction 3 observational 277 , 278 , 279 75 All 75 patients had relief of obstruction Injury/harm 5 observational 280 , 281 , 282 4 3 vascular injuries, 1 thoracic injury Abdominal thrusts Survival 2 observational 283 , 284 189 All 189 patients survived Relief of obstruction 6 observational 277 , 278 , 279 , 283 , 284 , 285 417 All 417 patients had relief of obstruction Injury/harm 49 observational 281 , 282b , 286 , 287 , 288 , 289 , 290 , 291 , 292 , 293 , …”
Section: Special Circumstancesmentioning
confidence: 99%
“…For the important outcome of relief of FBAO, we identified very-low-certainty evidence from 4 case series studies 278 , 285 , 343 , 344 reporting successful relief of FBAO in 417 patients treated with Magill forceps.…”
Section: Special Circumstancesmentioning
confidence: 99%