Guildner C W, Williams D, Subitch T
JACEP. 1976 Sep;5(9):675-7. doi: 10.1016/s0361-1124(76)80099-8.
To investigate the application of a cough-creating thrust for the removal of airway-obstructing foreign material, the thrust was applied to six adult male anesthetized volunteers at the waist, at the low chest level, and at the midchest level, with the subjects in both the horizontal-lateral and the sitting positions. Air volume, peak air flow rate, and airway measurements were made. Both the low chest and midchest thrusts produced significantly better results than did the abdominal thrust. There were no side effects attributable to the thrusts. The ease of application and consistently better level of results indicate that the chest thrust is the technique of choice. The application of the chest thrust should be integrated into the concepts of basic life-support and cardiopulmonary resuscitation.
为研究用于清除气道阻塞性异物的咳嗽产生推力的应用,在六名成年男性麻醉志愿者处于水平侧卧位和坐位时,分别在其腰部、下胸部水平和中胸部水平施加该推力。进行了空气量、峰值气流速率和气道测量。下胸部和中胸部推力产生的效果均明显优于腹部推力。这些推力未产生副作用。其应用的便利性和始终较好的效果水平表明胸部推力是首选技术。胸部推力的应用应纳入基本生命支持和心肺复苏的概念中。