Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Takeshi Shimazu⁸  Atsushi Hiraide²  Yasuyuki Kuwagata⁷  Osamu Tasaki¹  Hiroshi Ogura⁸  Tadahiko Shiozaki⁸  Taro Irisawa⁸  Kentaro Kajino⁵  Tatsuya Nishiuchi²  Sumito Hayashida⁴  Kayo Tanigawa-Sugihara³  Chika Nishiyama⁶  Taku Iwami³  Tetsuhisa Kitamura⁹  Tomohiko Sakai⁸ 

[1] Nagasaki University Hospital Emegency Medical Center, 1-7-1, Sakamoto, Nagasaki 852-8501, Japan;Department of Acute Medicine, Kinki University Faculty of Medicine, 377-2 Ohno-Higashi Osaka-Sayama, Osaka 589-8511, Japan;Kyoto University Health Services, Yoshida-Honmachi, Sakyo-ku, Kyoto 606-8501, Japan;Osaka Municipal Fire Department, 1-12-54 Kujo Minami, Nishi-ku, Osaka 550-8566, Japan;Department of Acute Madicine & Critical Care Medical Center, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, Japan;Department of Critical Care Nursing, Kyoto University Graduate School of Human Health Science, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan;Department of Emergency and Critical Care Medicine, Kansai Medical University Hirakata Hospital, 2-3-1 Shinmachi, Hirakata, Osaka 573-1191, Japan;Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, 2-15 Yamadaoka Suita, Osaka 565-0871, Japan;Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka Suita, Osaka 565-0871, Japan

关键词: Emergency medical service;    Cardiac arrest;    Magill forceps;    Foreign body airway obstruction;   

Others  :  1151926
DOI  :  10.1186/s13049-014-0053-3

 received in 2014-05-28, accepted in 2014-08-21,  发布年份 2014

【 摘 要 】

Background

Although foreign body airway obstruction (FBAO) accounts for many preventable unintentional accidents, little is known about the epidemiology of FBAO patients and the effect of forceps use on those patients. This study aimed to assess characteristics of FBAO patients transported to hospitals by emergency medical service (EMS) personnel, and to verify the relationship between prehospital Magill forceps use and outcomes among out-of-hospital cardiac arrests (OHCA) patients with FBAO.

Methods

We retrospectively reviewed ambulance records of all patients who suffered FBAO, and were treated by EMS in Osaka City from 2000 through 2007, and assessed the characteristics of those patients. We also performed a multivariate logistic-regression analysis to assess factors associated with neurologically favorable survival among bystander-witnessed OHCA patients with FBAO in larynx or pharynx.

Results

A total of 2,354 patients suffered from FBAO during the study period. There was a bimodal distribution by age among infants and old adults. Among them, 466 (19.8%) had an OHCA when EMS arrived at the scene, and 344 were witnessed by bystanders. In the multivariate analysis, Magill forceps use for OHCA with FBAO in larynx or pharynx was an independent predictor of neurologically favorable survival (16.4% [24/146] in the Magill forceps use group versus 4.3% [4/94] in the non-use group; adjusted odds ratio, 3.96 [95% confidence interval, 1.21¿13.00], p?=?0.023).

Conclusions

From this large registry in Osaka, we revealed that prehospital Magill forceps use was associated with the improved outcome of bystander-witnessed OHCA patients with FBAO.

【 授权许可】

   
2014 Sakai et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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