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Foreign Body Obstruction(Complete/Partial)

Date Last Search Run: Jan 14, 2025
Table last updated: Jan 28, 2025
Data last added: Dec 19, 2024

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)      
2 (fair evidence exists)    
3 (weak evidence exists)    


Interventions

Abdominal Thrusts
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Relief of FBAO Patient Other Dunne CL, Cirone J, Blanchard IE, et al. Evaluation of basic life support interventions for foreign body airway obstructions: A population-based cohort study. Resuscitation May 2024; 110258. Medline
III Supportive (Green) Patient improvement Patient PH-Paramedic Soroudi A., Shipp HE., Stepanski BM., Ray LU., Murrin PA., Chan TC., et al. Adult foreign body airway obstruction in the prehospital setting. Prehosp Emerg Care 2007; 11(1):25-29. Medline
X Not Yet Graded (White) - Norii T, Igarashi Y, Yoshino Y, et al. The effects of bystander interventions for foreign body airway obstruction on survival and neurological outcomes: Findings of the MOCHI registry. Resuscitation June 2024; 199:110198. Medline

Back Blows
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Obstruction relieved Patient Other Dunne CL, Cirone J, Blanchard IE, et al. Evaluation of basic life support interventions for foreign body airway obstructions: A population-based cohort study. Resuscitation May 2024; 110258. Medline
II Supportive (Green) Survival Patient PH-Paramedic Norii T, Igarashi Y, Yoshino Y, et al. The effects of bystander interventions for foreign body airway obstruction on survival and neurological outcomes: Findings of the MOCHI registry. Resuscitation June 2024; 199:110198. Medline

Chest Thrusts
Level Direction Primary Outcome Patient/Process Setting Reference
X Not Yet Graded (White) - Dunne CL, Cirone J, Blanchard IE, et al. Evaluation of basic life support interventions for foreign body airway obstructions: A population-based cohort study. Resuscitation May 2024; 110258. Medline
X Not Yet Graded (White) - Norii T, Igarashi Y, Yoshino Y, et al. The effects of bystander interventions for foreign body airway obstruction on survival and neurological outcomes: Findings of the MOCHI registry. Resuscitation June 2024; 199:110198. Medline

Cricothyrotomy
Level Direction Primary Outcome Patient/Process Setting Reference

Direct Laryngoscopy and Magill forceps
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) Patient improvement Patient PH-Paramedic Soroudi A., Shipp HE., Stepanski BM., Ray LU., Murrin PA., Chan TC., et al. Adult foreign body airway obstruction in the prehospital setting. Prehosp Emerg Care 2007; 11(1):25-29. Medline

Oxygen
Level Direction Primary Outcome Patient/Process Setting Reference

Suction
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Airway clearance Patient PH-Bystander Dunne CL, Osman S, Viguers K, Queiroga AC, Szpilman D, Peden AE. Phase One of a Global Evaluation of Suction-Based Airway Clearance Devices in Foreign Body Airway Obstructions: A Retrospective Descriptive Analysis. Int J Environ Res Public Health. 2022 Mar 24;19(7):3846. doi: 10.3390/ijerph19073846. PMID: 35409529; PMCID: PMC8998090. Medline


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