FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2287100420> ?p ?o ?g. }

• W2287100420 endingPage "e13" @default.
• W2287100420 startingPage "e13" @default.
• W2287100420 abstract "It is estimated that choking can result in tens of thousands of deaths each year (incidence of 0.66 per 100,000 population).1Mittleman R.E. Wetli C.V. The fatal cafe coronary: foreign-body airway obstruction.JAMA. 1982; 247: 1285-1288Crossref PubMed Scopus (83) Google Scholar For conscious adults showing signs of severe airway obstruction, the European Resuscitation Council recommends applying back blows followed by abdominal thrusts. One important limitation of current recommendations for FBAO treatment is that it requires the assistance of another person, and in approximately 30–40% of FBAO cases, the victim is alone.2Berzlanovich A.M. Fazeny-Dörner B. Waldhoer T. Fasching P. Keil W. Foreign body asphyxia: a preventable cause of death in the elderly.Am J Prev Med. 2005; 28: 65-69Abstract Full Text Full Text PDF PubMed Scopus (82) Google Scholar Surprisingly, even if other people are present during FBAO, in only 5–13% of these cases are the observers or medical personnel able to make a correct diagnosis and initiate the appropriate treatment.2Berzlanovich A.M. Fazeny-Dörner B. Waldhoer T. Fasching P. Keil W. Foreign body asphyxia: a preventable cause of death in the elderly.Am J Prev Med. 2005; 28: 65-69Abstract Full Text Full Text PDF PubMed Scopus (82) Google Scholar These statistics underscore the importance of developing an alternative method of treatment which could be self-applied without relying on the presence or knowledge of other people. Multiple evidence suggest, that one of promising approaches to improve FBAO treatment in adults could be by applying the head-down (inversed) position (Fig. 1). The head-down position is already recommended during choking incidents that occur in children below one year of age.3Maconochie I.K. Bingham R. Eich C. et al.European Resuscitation Council guidelines for resuscitation 2015: Section 6. Paediatric life support.Resuscitation. 2015; 95: 223-248Abstract Full Text Full Text PDF PubMed Scopus (314) Google Scholar Similarly, it is suggested that in older children that back blows are more effective if the child is positioned head down.3Maconochie I.K. Bingham R. Eich C. et al.European Resuscitation Council guidelines for resuscitation 2015: Section 6. Paediatric life support.Resuscitation. 2015; 95: 223-248Abstract Full Text Full Text PDF PubMed Scopus (314) Google Scholar There is also evidence that combining the inverse position with other treatment methods improves its effectiveness in adults. One of the most rigorous studies supporting this was conducted by Ruben and Macnaughton.4Ruben H. Macnaughton F. The treatment of food-choking.Practitioner. 1978; 221: 725-729PubMed Google Scholar They studied FBAO in artificial larynxes attached to the endotracheal tubes of intubated volunteers. They reported that successful removal of the obstructing food could be achieved only when maneuvers were aided by gravity. One other advantage of the head-down position is that it could help remove saliva and other fluids which may further obstruct airflow during choking; particularly during partial obstruction or when a foreign object is semisolid. Moreover, I also experienced food choking, and using the upside-down position helped me to remove the object from my airway, which later prompted me to investigate this procedure. The main concern for head-down position is that when an object is lodged below the glottis (vocal cords), then inversion may cause a complete obstruction when the object falls on the vocal cords. Nevertheless, the infraglottic obstruction accounts for only about 25% of cases.2Berzlanovich A.M. Fazeny-Dörner B. Waldhoer T. Fasching P. Keil W. Foreign body asphyxia: a preventable cause of death in the elderly.Am J Prev Med. 2005; 28: 65-69Abstract Full Text Full Text PDF PubMed Scopus (82) Google Scholar Therefore in majority of FBAO cases inversion should be a viable option, especially when applied as last resort method to minimize this concern. Another potential concern is that the head-down position could reduce the effectiveness of a natural cough. However, this seems unlikely as gravity-assisted positioning was reported to be more effective than cough alone in subjects with excessive bronchial secretions.5Lokin M.I. Denning C.R. Evaluation of postural drainage by measurement of sputum volume and consistency.Am J Phys Med Rehabil. 1971; 50: 215-219Google Scholar Nevertheless, considering scarcity of data, the safest option could be to apply the inversed position as the last option if all other maneuvers fail. Further studies on this subject would be beneficial. In conclusion, the available data suggest that the head-down position could be an effective method of rescuing adults suffering from a FBAO when other methods are not successful or not available (especially when a choking person is alone), thus potentially saving lives. I do not have any conflicts of interests and I have nothing to disclose." @default.
• W2287100420 created "2016-06-24" @default.
• W2287100420 creator A5047020510 @default.
• W2287100420 date "2016-06-01" @default.
• W2287100420 modified "2023-10-15" @default.
• W2287100420 title "Head-down self-treatment of choking" @default.
• W2287100420 cites W2917840625 @default.
• W2287100420 cites W4317639808 @default.
• W2287100420 doi "https://doi.org/10.1016/j.resuscitation.2016.02.015" @default.
• W2287100420 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26923159" @default.
• W2287100420 hasPublicationYear "2016" @default.
• W2287100420 type Work @default.
• W2287100420 sameAs 2287100420 @default.
• W2287100420 citedByCount "3" @default.
• W2287100420 countsByYear W22871004202019 @default.
• W2287100420 countsByYear W22871004202020 @default.
• W2287100420 countsByYear W22871004202022 @default.
• W2287100420 crossrefType "journal-article" @default.
• W2287100420 hasAuthorship W2287100420A5047020510 @default.
• W2287100420 hasBestOaLocation W22871004201 @default.
• W2287100420 hasConcept C105702510 @default.
• W2287100420 hasConcept C105922876 @default.
• W2287100420 hasConcept C120665830 @default.
• W2287100420 hasConcept C121332964 @default.
• W2287100420 hasConcept C141071460 @default.
• W2287100420 hasConcept C17744445 @default.
• W2287100420 hasConcept C187212893 @default.
• W2287100420 hasConcept C199539241 @default.
• W2287100420 hasConcept C2778333281 @default.
• W2287100420 hasConcept C2779473830 @default.
• W2287100420 hasConcept C2779630263 @default.
• W2287100420 hasConcept C2779914510 @default.
• W2287100420 hasConcept C2779995113 @default.
• W2287100420 hasConcept C2908647359 @default.
• W2287100420 hasConcept C545542383 @default.
• W2287100420 hasConcept C61511704 @default.
• W2287100420 hasConcept C71924100 @default.
• W2287100420 hasConcept C83867959 @default.
• W2287100420 hasConcept C99454951 @default.
• W2287100420 hasConceptScore W2287100420C105702510 @default.
• W2287100420 hasConceptScore W2287100420C105922876 @default.
• W2287100420 hasConceptScore W2287100420C120665830 @default.
• W2287100420 hasConceptScore W2287100420C121332964 @default.
• W2287100420 hasConceptScore W2287100420C141071460 @default.
• W2287100420 hasConceptScore W2287100420C17744445 @default.
• W2287100420 hasConceptScore W2287100420C187212893 @default.
• W2287100420 hasConceptScore W2287100420C199539241 @default.
• W2287100420 hasConceptScore W2287100420C2778333281 @default.
• W2287100420 hasConceptScore W2287100420C2779473830 @default.
• W2287100420 hasConceptScore W2287100420C2779630263 @default.
• W2287100420 hasConceptScore W2287100420C2779914510 @default.
• W2287100420 hasConceptScore W2287100420C2779995113 @default.
• W2287100420 hasConceptScore W2287100420C2908647359 @default.
• W2287100420 hasConceptScore W2287100420C545542383 @default.
• W2287100420 hasConceptScore W2287100420C61511704 @default.
• W2287100420 hasConceptScore W2287100420C71924100 @default.
• W2287100420 hasConceptScore W2287100420C83867959 @default.
• W2287100420 hasConceptScore W2287100420C99454951 @default.
• W2287100420 hasLocation W22871004201 @default.
• W2287100420 hasLocation W22871004202 @default.
• W2287100420 hasOpenAccess W2287100420 @default.
• W2287100420 hasPrimaryLocation W22871004201 @default.
• W2287100420 hasRelatedWork W2019856732 @default.
• W2287100420 hasRelatedWork W2044497024 @default.
• W2287100420 hasRelatedWork W2124810174 @default.
• W2287100420 hasRelatedWork W2291664853 @default.
• W2287100420 hasRelatedWork W2410323317 @default.
• W2287100420 hasRelatedWork W2552530695 @default.
• W2287100420 hasRelatedWork W2955802191 @default.
• W2287100420 hasRelatedWork W2997829031 @default.
• W2287100420 hasRelatedWork W3092209006 @default.
• W2287100420 hasRelatedWork W4296280856 @default.
• W2287100420 hasVolume "103" @default.
• W2287100420 isParatext "false" @default.
• W2287100420 isRetracted "false" @default.
• W2287100420 magId "2287100420" @default.
• W2287100420 workType "article" @default.