Upper airways obstruction
TL;DR: The tongue falling backwards and blocking the nasopharynx is the commonest cause of upper airway obstruction, however, it may be due to blood, vomit, oedema, or trauma, and the mouth should be inspected and any foreign material removed manually or by suction.
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Abstract: The tongue falling backwards and blocking the nasopharynx is the commonest cause of upper airway obstruction. However, it may be due to blood, vomit, oedema, or trauma. The mouth should be inspected and any foreign material removed manually or by suction.
There are three manoeuvres to improve upper airway obstruction.
1. Head tilt. The neck is extended as far as possible using one hand.
2. Chin lift. The centre of the chin is pulled forward using the other hand.
3. Jaw thrust. The angle of the jaw is located. The index and other fingers are placed on both sides, between the angle of the jaw and the ear, and the jaw pulled forward (fig 1).
Figure 1
There is always a worry about manipulation …
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Citations
Sleep apnea and cardiovascular disease: an American Heart Association/American College of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing.
Virend K. Somers,David P. White,Raouf S. Amin,William T. Abraham,Fernando Ferreira Costa,Antonio Culebras,Stephen R. Daniels,John S. Floras,Carl E. Hunt,Lyle J. Olson,Thomas G. Pickering,Richard O. Russell,Mary Woo,Terry Young +13 more
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Virend K. Somers,David P. White,Raouf S. Amin,William T. Abraham,Fernando Ferreira Costa,Antonio Culebras,Stephen R. Daniels,John S. Floras,Carl E. Hunt,Lyle J. Olson,Thomas G. Pickering,Richard O. Russell,Mary Woo,Terry Young +13 more
TL;DR: This first American Heart Association/American College of Cardiology Scientific Statement on Sleep Apnea and Cardiovascular Disease seeks to highlight concepts and evidence important to understanding the interactions between sleep apnea and cardiovascular disease, with particular attention to more recent advances in patient-oriented research.
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