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Sequential Steps of Emergency Airway Control

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Advances in Cardiopulmonary Resuscitation
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Abstract

The purpose of this paper is to present a synthesis of various effective emergency airway control (EAC) techniques in a sequence of steps that has evolved from studies since the 1950s (39, 50, 53, 54).

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References

  1. Adair JC, Ring WH, Jordan WS, et al: Ten year experience with IPPB in the treatment of acute laryngotracheobronchitis. Anesth Analg 50: 649, 1971

    Article  PubMed  CAS  Google Scholar 

  2. Benson DM, Esposito G, Dorsch J, et al: Mobile intensive care by “unemployable” blacks trained as emergency medical technicians (EMTs) in 1967–69. J Trauma 12 /5: 408, 1971

    Article  Google Scholar 

  3. Bougas TP, Cook CD: Pressure flow characteristics of needles suggested for transtracheal resuscitation. N Engl J Med 262: 511, 1960

    Article  PubMed  CAS  Google Scholar 

  4. Brown TCK: Bronchoscopy for removal of foreign bodies in children. Anesth Int Care 1: 521, 1973

    CAS  Google Scholar 

  5. Carroll R, Hedden M, Safar P: Intratracheal cuffs: performance characteristics. Anesthesiology 31 /3: 275, 1969

    Article  PubMed  CAS  Google Scholar 

  6. Carroll RG, Kamen JM, Grenvik A, et al: Recommended performance specifications for cuffed endotracheal and tracheostomy tubes: a joint statement of investigators, inventors, and manufacturers. Crit Care Med 1 /3: 155, 1973

    Article  PubMed  CAS  Google Scholar 

  7. Don Michael TA, Lambert EH, Mehran A: Mouth-to-lung airway for cardiac resuscitation. Lancet 2: 1329, 1968

    Article  PubMed  CAS  Google Scholar 

  8. Elam JO, Brown ES, Elder JD Jr: Artificial respiration by mouth-to-mask method: a study of the respiratory gas exchange of paralyzed patients ventilated by operator’s expired air. N Engl J Med 250: 749, 1954

    Article  PubMed  CAS  Google Scholar 

  9. Elam JO, Greene DG, Schneider MA, et al: Head tilt method of oral resuscitation. JAMA 172: 812, 1960

    CAS  Google Scholar 

  10. Eross B: Nonslipping, nonkinking airway connections for respiratory care. Anesthesiology 34 /6: 571, 1971

    Article  PubMed  CAS  Google Scholar 

  11. Esmarch JF: The Surgeons Handbook on the Treatment of Wounded in War. New York, Schmidt, 1878, p 113

    Google Scholar 

  12. Fink BR: The etiology and treatment of laryngeal spasm. Anesthesiology 17: 569, 1956

    Article  PubMed  CAS  Google Scholar 

  13. Flagg, PJ: The Art of Resuscitation. New York, Reinhold, 1944

    Google Scholar 

  14. Gillespie NA: Endotracheal Anesthesia, 2nd ed. Madison, Univ of Wisconsin Press, 1950

    Google Scholar 

  15. Haugen RK: The café coronary. Sudden death in restaurants. JAMA 186: 142, 1963

    PubMed  CAS  Google Scholar 

  16. Hedden M, Ersoz CJ, Donnelly WH, et al: Laryngotracheal damage after prolonged use of orotracheal tubes in adults. JAMA 207 /4: 703, 1969

    Article  PubMed  CAS  Google Scholar 

  17. Heiberg J: A new expedient in administering chloroform. Med Times Gazette, January 10, 1874 (Abstract from Zentralbl Chir 9:141, 1874)

    Google Scholar 

  18. Heimlich HJ: A life-saving maneuver to prevent food choking. JAMA 234: 398, 1975

    Article  PubMed  CAS  Google Scholar 

  19. Heimlich HJ, Hoffmann KA, Canestri FR: Food choking and drowning deaths prevented by external subdiaphragmatic compression. Ann Thorac Surg 20: 188, 1975

    Article  PubMed  CAS  Google Scholar 

  20. Jackson C, Jackson CL: Bronchoscopy, Esophagoscopy and Gastroscopy: A Manual of Peroral Endoscopy and Laryngeal Surgery, 4th ed. Philadelphia, Saunders, 1965

    Google Scholar 

  21. Jacobs HB: Emergency percutaneous transtracheal catheter and ventilator. J Trauma 12: 50, 1972

    Article  PubMed  CAS  Google Scholar 

  22. Jacoby JJ, Hamelberg W, Ziegler CH, et al: Transtracheal resuscitation. JAMA 162: 625, 1956

    Google Scholar 

  23. Kampschulte S, Marcy J, Safar P: Simplified physiologic management of status asthmaticus in children. Crit Care Med 1 /2: 69, 1973

    Article  PubMed  CAS  Google Scholar 

  24. Kirimli B, King JE, Pfaeffle HH: Evaluation of tracheobronchial suction techniques. J Thorac Cardiovasc Surg 59 /3: 340, 1970

    PubMed  CAS  Google Scholar 

  25. Klain M, Smith RB: Fluidic technology, Anaesthesia 31: 25, 1976

    Article  Google Scholar 

  26. Klein RL, Safar P, Grenvik A: Respiratory care in blunt chest injury—a retrospective review of 43 cases. Annual meeting of the American Society of Anesthesiologists, New York, October 17–21, 1970. Abstracts of Scientific Papers, pp 145–146

    Google Scholar 

  27. Kreiselman J: A new resuscitation apparatus. Anesthesiology 4: 603, 1943

    Article  Google Scholar 

  28. Kristoffersen MB, Rattenborg CC, Holaday DA: Asphyxial death: the roles of acute anoxia, hypercarbia and acidosis. Anesthesiology 28: 488, 1967

    PubMed  CAS  Google Scholar 

  29. Kuhn F: Die perorale Intubation. Berlin, Karger, 1911

    Google Scholar 

  30. Lindholm C-E: Prolonged endotracheal intubation. Acta Anaesthesiol Scand (Suppl) 33: 1, 1969

    Article  Google Scholar 

  31. Lindholm C-E, Oilman B, Snyder J, et al: Flexible fiberoptic bronchoscopy in critical care medicine. Crit Care Med 2 /5: 250, 1974

    Article  PubMed  CAS  Google Scholar 

  32. Marcy JH, Beam LR, Mansmann HC: Medically irreversible status asmaticus in children. Report of three cases treated with paralysis and controlled respiration. JAMA 194 /9: 968, 1965

    Article  PubMed  Google Scholar 

  33. McGinnis GE, Shively JG, Patterson RL, et al: Engineering analysis of intratracheal tube cuffs. Anesth Analg 50: 557, 1971

    Article  PubMed  CAS  Google Scholar 

  34. Mendelson CL: Aspiration of stomach contents into lungs during obstetric anesthesia. Am J Obstet Gynecol 52: 191, 1946

    PubMed  CAS  Google Scholar 

  35. Milai AS, Davis G, Safar P: Simplified apparatus for IPPB/aerosol therapy. Anesthesiology 26: 362, 1965

    Article  PubMed  CAS  Google Scholar 

  36. Morikawa S, Safar P: Shortened guedel airways (discussion). International symposium on emergency resuscitation. Acta Anaesthesiol Scand (Suppl) 9: 1, 1961

    Google Scholar 

  37. Morikawa S, Safar P, DeCarlo J: Influence of head position upon upper airway patency. Anesthesiology 22: 265, 1961

    Article  PubMed  CAS  Google Scholar 

  38. Muendich K, Hoflehner G: Ventilation bronchoscopy. Anaesthesist 2: 121, 1953

    Google Scholar 

  39. National Academy of Sciences/National Research Council: Ad hoc committee on cardiopulmonary resuscitation. Statement on cardiopulmonary resuscitation and training. JAMA 198: 372, 1966

    Article  Google Scholar 

  40. Proctor DF, Safar P: Management of airway obstruction. In Safar P (ed): Respiratory Therapy. Philadelphia, Davis, 1965, Chap 3

    Google Scholar 

  41. Redding J, Voigt GC, Safar P: Drowning treated with intermittent positive pressure breathing. J Appl Physiol 15: 849, 1960

    PubMed  CAS  Google Scholar 

  42. Rock JJ, Pfaeffle H, Smith RB, et al: High pressure jet insufflation used to prevent aspiration and its effect on the tracheal mucosal wall. Crit Care Med 4: 135, 1976

    Article  Google Scholar 

  43. Ruben H: Combination resuscitator and aspirator. Anesthesiology 19: 408, 1958

    PubMed  CAS  Google Scholar 

  44. Safar P: Respiratory Resuscitation Techniques. Scientific documentary film produced by Walter Reed Army Institute of Research, Washington, D.C., 1958

    Google Scholar 

  45. Safar P, et al: Introduction to Respiratory and Cardiac Resuscitation. Walter Reed Army Institute of Research, MAVD, Walter Reed Hospital, Washington, D.C. Army film PMF 5349, 1961

    Google Scholar 

  46. Safar P, Benson D, Berkebile P: Public Education in Heart-lung Resuscitation, new ed. Training film by Media Production Center, University of Pittsburgh, Pittsburgh, 1973

    Google Scholar 

  47. Safar P: Introduction to Prolonged Artificial Ventilation. Walter Reed Army Institute of Re-search, MAVD, Walter Reed Hospital, Washington, D.C. Army film PMF 5348, 1961

    Google Scholar 

  48. Safar P, McMahon M: Resuscitation of the Un conscious Victim. A Manual for Rescue Breathing, 1st ed. Springfield, III, Thomas, 1959

    Google Scholar 

  49. Safar P, Brose RA: Ambulance Attendants Training Manual. Harrisburg, Pennsylvania Department of Health, 1964

    Google Scholar 

  50. Safar P: In Kennedy R (ed): Emergency Care. A Manual. Philadelphia, Saunders, 1966, Chaps 4–6, 8, 9

    Google Scholar 

  51. Safar P: Cardiopulmonary Resuscitation. A Manual for Physicians and Paramedical Instructors, 1st ed. World Federation of Societies of Anaesthesiologists, 1968 (2nd edition in preparation) Out of print.

    Google Scholar 

  52. Safar P: In Schwartz G (ed): Principles and Practice of Emergency Medicine. Philadelphia, Saunders, 1977, Chaps 2, 3, 9

    Google Scholar 

  53. Safar P: Emergency resuscitation. In Safar P (ed): Respiratory Therapy. Philadelphia, Davis, 1965, Chap 4

    Google Scholar 

  54. Safar P: Recognition and management of airway obstruction. JAMA 208 /6: 1008, 1969

    Article  PubMed  CAS  Google Scholar 

  55. Safar P: Emergency airway control, ventilation, and oxygenation. In Weil MH (ed): Critical Care Medicine. Boston, Little, Brown, 1975

    Google Scholar 

  56. Safar P: Humidification, nebulization, and bronchodilator agents. In Weil MH (ed): Handbook of Critical Care Medicine. New York, Springer, 1976

    Google Scholar 

  57. Safar P, Escarraga L, Elam J: A comparison of the mouth-to-mouth and mouth-to-airway methods of artificial respiration with the chest- pressure arm-lift methods. N Engl J Med 258: 671, 1958

    Article  PubMed  CAS  Google Scholar 

  58. Safar P: Ventilatory efficacy of mouth-to-mouth artificial respiration. Airway obstruction during manual and mouth-to-mouth artificial respiration. JAMA 167: 335, 1958

    CAS  Google Scholar 

  59. Safar P: The failure of manual artificial respiration. J Appl Physiol 14: 84, 1959

    PubMed  CAS  Google Scholar 

  60. Safar P, Aguto-Escarraga L, Chang F: A study of upper airway obstruction in the unconscious patient. J Appl Physiol 14: 760, 1959

    PubMed  CAS  Google Scholar 

  61. Safar P, Brown T, Holtey W, et al: Ventilation and circulation with closed chest cardiac massage in man. JAMA 176: 574, 1961

    PubMed  CAS  Google Scholar 

  62. Safar P, Berman B, Diamond E, et al: Cuffed tracheotomy tube vs. tank respirator for pro-longed artificial ventilation. Arch Phys Med Rehabil 43: 487, 1962

    PubMed  CAS  Google Scholar 

  63. Safar P, Kunkel HG: Prolonged artificial ventilation. In Safar P (ed): Respiratory Therapy. Philadelphia, Davis, 1965, Chap 5

    Google Scholar 

  64. Safar P: Ventilating bronchoscope. Anesthesiology 19: 407, 1958

    Google Scholar 

  65. Safar P, Grenvik A: Speaking cuffed tracheostomy tube. Crit Care Med 3 /1: 23, 1975

    Article  PubMed  CAS  Google Scholar 

  66. Safar P: Pocket mask for emergency artificial ventilation and oxygen inhalation. Crit Care Med 2 /5: 273, 1974

    Article  PubMed  CAS  Google Scholar 

  67. Safar P, Lind B: Emergency artificial ventilation and oxygenation by mouth-to-mask and bag- valve-mask techniques. Proceedings, National Research Council/American Heart Association Cardiopulmonary Resuscitation/Emergency Cardiac Care Standards Conference, May 1973, Washington, D.C. Dallas, American Heart Association Distribution Section, 1975

    Google Scholar 

  68. Safar P, Penninckx J: Cricothyroid membrane puncture with special cannula. Anesthesiology 28 /5: 943, 1967

    Article  PubMed  CAS  Google Scholar 

  69. Safar P, Redding J: The “tight jaw” in resuscitation. Anesthesiology 20: 701, 1959

    Article  PubMed  CAS  Google Scholar 

  70. Saklad M, Gulati R: Adaptation of Ambu respirator for high oxygen concentration. Anesthesiology 24: 877, 1963

    Article  PubMed  CAS  Google Scholar 

  71. Schofferman J, Oill P, Lewis AJ: The esophageal obturator airway. A clinical evaluation. Chest 69: 67, 1976

    Article  PubMed  CAS  Google Scholar 

  72. Sellick BA: Cricoid pressure to control regurgitation of stomach contents during induction of anesthesia. Lancet 2: 404, 1961

    Article  PubMed  CAS  Google Scholar 

  73. Smith RB: Transtracheal ventilation during anesthesia. Anesth Analg 53: 225, 1974

    PubMed  CAS  Google Scholar 

  74. Smith RB, Babinski M, Pfaeffle H: Percutaneous transtracheal ventilation in emergency medicine. Proceedings of the Fifth Annual Society of Critical Care Medicine Meeting, and the International Congress on Emergency and Critical Care Medicine, Pittsburgh, May 4–8, 1976. Crit Care Med 4: 135, 1976

    Google Scholar 

  75. Smith RB, Schaer WB, Pfaeffle H: Percutaneous transtracheal ventilation for anesthesia and re-suscitation: a review and report of complications. Can Anaesth Soc J 22: 607, 1975

    Article  PubMed  CAS  Google Scholar 

  76. Smith RB, Myers EN, Sherman H: Transtracheal ventilation in paediatric patients. Case reports. Br J Anaesth 46 /4: 313, 1974

    Article  PubMed  CAS  Google Scholar 

  77. Snow RG, Nunn JF: Induction of anaesthesia in the foot-down position with a full stomach. Br J Anaesth 31: 493, 1959

    Article  PubMed  CAS  Google Scholar 

  78. Spoerel WE, Narayanan PS, Singh NP: Trans-tracheal ventilation. Br J Anaesth 43: 932, 1971

    Article  PubMed  CAS  Google Scholar 

  79. Stept WJ, Safar P: Rapid induction/intubation for prevention of gastric-content aspiration. Anesth Analg 49: 633, 1970

    Article  PubMed  CAS  Google Scholar 

  80. Visintine RE, Baick CH: Ruptured stomach after Heimlich maneuver. JAMA 234: 415, 1975

    Article  PubMed  CAS  Google Scholar 

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Safar, P. (1977). Sequential Steps of Emergency Airway Control. In: Safar, P., Elam, J.O. (eds) Advances in Cardiopulmonary Resuscitation. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-6338-8_4

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  • DOI: https://doi.org/10.1007/978-1-4612-6338-8_4

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-6340-1

  • Online ISBN: 978-1-4612-6338-8

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