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How Do You Open Blocked Airways?

Published in Emergency Medicine 2 mins read

Opening a blocked airway depends on the cause of the blockage and the person's condition, but common methods include manual techniques, instrument-assisted removal, and surgical procedures.

Here's a breakdown of the methods used to open blocked airways:

  • Manual Techniques:

    • Heimlich Maneuver: This is used when someone is choking on a foreign object. It involves abdominal thrusts to dislodge the obstruction.
    • Back Blows: Used in conjunction with the Heimlich maneuver, especially for children and infants.
    • Finger Sweep: If you can see the object, a finger sweep may be used to remove it, being careful not to push it further down the airway. Note: This is generally only recommended if you can clearly see the object.
  • Instrument-Assisted Removal:

    • Laryngoscope and Forceps: Medical professionals may use a laryngoscope to visualize the airway and then use forceps to remove the obstructing object.
    • Suction: Suction devices can remove liquids, mucus, or small objects from the airway.
  • Airway Insertion:

    • Endotracheal Intubation: A tube (endotracheal tube) is inserted through the mouth or nose into the trachea (windpipe) to provide a clear and secure airway for breathing.
    • Nasopharyngeal Airway (NPA) / Oropharyngeal Airway (OPA): These devices are used to keep the tongue from blocking the airway, typically in unconscious individuals. NPAs are inserted through the nose, and OPAs are inserted through the mouth.
  • Surgical Procedures:

    • Cricothyrotomy: This involves making an incision through the skin and cricothyroid membrane in the neck to create an emergency airway. This is a last resort when other methods have failed, or are not possible.
    • Tracheostomy: Similar to a cricothyrotomy, but involves creating a surgical opening (stoma) in the trachea. This may be performed in emergency situations or as a planned procedure for long-term airway management.

The specific technique used will depend on factors like the patient's age, the nature of the obstruction, and the availability of medical professionals and equipment. It is crucial to seek immediate medical assistance if someone has a blocked airway.

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