Department of Internal Medicine and Geriatrics, University Hospital of Montpellier, and EUROMOV, University Montpellier 1, Montpellier, France.
Am J Med. 2010 Dec;123(12):1150.e7-9. doi: 10.1016/j.amjmed.2010.07.010. Epub 2010 Oct 1.
confronted with an unconscious choking victim, it is recommended to call an ambulance and start mouth-to-mouth and cardiopulmonary resuscitation (CPR). We describe a procedure called the "table maneuver" that was successful in relieving foreign-body airway obstruction in 4 cases of choking in unconscious elderly patients over a 6-year period in the same long-term care facility.
the patients ranged in age from 70 to 89 years and were cyanosed and unconscious after choking while having a meal at a table. In a first attempt in 1 case, after failure of the Heimlich maneuver in 2 cases, and in combination with CPR in 1 person in cardiac arrest, the choking person was laid down on the table in prone position with the head facing downwards, with the arms hanging over the table, and then given sharp blows between the scapulas with the heel of the hand.
after a few back blows in 3 cases, and in combination with CPR in 1 case, the patients forcefully spit out the foreign body (pieces of beets, Brussels sprouts, a croissant soaked in milk, or pieces of banana) without either early or late complications.
these 4 case reports show that the table maneuver is a potentially life-saving technique that could be applied to patients with severe choking caused by foreign-body airway obstruction who fail to respond to the Heimlich maneuver and other conventional treatments.
面对意识不清的窒息患者，建议呼叫救护车并开始进行口对口人工呼吸和心肺复苏术（CPR）。我们描述了一种名为“桌子手法”的程序，在同一家长期护理机构的 6 年内，成功地缓解了 4 例无意识老年窒息患者的异物气道阻塞。
患者年龄在 70 至 89 岁之间，在餐桌旁进食时窒息后出现发绀和意识不清。在 1 例患者中首次尝试，在 2 例患者中海姆利克手法失败后，在 1 例心脏骤停患者中结合 CPR，将窒息者以俯卧位放在桌子上，头朝下，手臂悬在桌子上，然后用手掌根部在肩胛骨之间进行剧烈打击。
在 3 例中进行了几次背部打击，在 1 例中结合 CPR，患者用力吐出异物（甜菜块、球芽甘蓝、浸在牛奶中的羊角面包或香蕉块），没有早期或晚期并发症。
这 4 例病例报告表明，桌子手法是一种潜在的救生技术，可应用于对海姆利克手法和其他常规治疗无反应的严重异物气道阻塞导致窒息的患者。
