The Heimlich maneuver as an aid in endotracheal intubation of neonates

Jay M Milstein, B. W. Goetzman

Research output: Contribution to journalArticle

Abstract

Neonates with acute respiratory failure and certain other clinical conditions may require emergency endotracheal intubation. During the procedure, one periodically encounters laryngospasm with the vocal cords tightly apposed to each other, resisting passage of the endotracheal tube. The authors have encountered four such neonates during the past 12 months. Two neonates suffered from severe birth asphyxia and required intubation in the delivery room. A third infant was intubated because of progressive hypoxemia and hypercarbia secondary to hyaline membrane disease, and the fourth was intubated for an elective surgical procedure. A brief period of forced expiration produced by a depression of the sternum, a modification of the Heimlich maneuver, opened the vocal cords, enabling a smooth, relatively atraumatic intubation in all four infants.

Original languageEnglish (US)
Pages (from-to)749-750
Number of pages2
JournalPediatrics
Volume60
Issue number5
StatePublished - 1977

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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