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Effect of body position on relieve of foreign body from the airway

Canadian Centre for Behavioural Neuroscience, Department of Neuroscience, University of Lethbridge, 4401 University Drive, Lethbridge, AB, T1K 3M4, Canada

† Note: This mini review is an expanded version of a letter to editor (Luczak A, 2016, doi: 10.1016/j.resuscitation.2016.02.015.).

Foreign body airway obstruction (FBAO), or commonly known as choking, is an extremely dangerous event. The European Resuscitation Council recommends that back blows and abdominal thrusts should be performed for relieving FBAO in conscious adults. Reviewed here evidence suggests that applying a prone or a head-down position increases effectiveness of the above standard approaches to relieve obstruction, due to help of gravity.
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Citation: Artur Luczak. Effect of body position on relieve of foreign body from the airway. AIMS Public Health , 2019, 6(2): 154-159. doi: 10.3934/publichealth.2019.2.154


  • 1. Sayre MR (2005) Management of airway obstruction. Cardiopulmonary Resuscitation, eds., Springer, 111–121.
  • 2. Tucker Jr GF (1969) Report of the committee for the prevention of foreign body accidents. Trans Am Bronchoesophagol Assoc 49: 181.
  • 3. Mittleman RE, Wetli CV (1982) The fatal cafe coronary: foreign-body airway obstruction. JAMA 247: 1285–1288.    
  • 4. Langhelle A, Sunde K, Wik L, et al. (2000) Airway pressure with chest compressions versus Heimlich manoeuvre in recently dead adults with complete airway obstruction. Resuscitation 44: 105–108.    
  • 5. Montoya D (1986) Management of the choking victim. CMAJ 135: 305.
  • 6. Perkins GD, Handley AJ, Koster RW, et al. (2015) European Resuscitation Council Guidelines for Resuscitation: Section 2. Adult basic life support and automated external defibrillation. Resuscitation 95: 81–99.
  • 7. Heimlich HJ (1979) Back blows are death blows. Emerg Med Serv 8: 88–95.
  • 8. Bintz M, Cogbill TH (1996) Gastric rupture after the Heimlich maneuver. J Trauma 40: 159–160.    
  • 9. Wolf DA (2001) Heimlich trauma: a violent maneuver. Am J Forensic Med Pathol 22: 65–67.    
  • 10. Bradley R, Council SA (2012) Existing research is inadequate for the development of guidelines for the basic life support management of airway obstruction in adults: Results of a systematic review. Circulation 126: A86.
  • 11. Hoffman JR (1982) Treatment of foreign body obstruction of the upper airway. West J Med 136: 11.
  • 12. Berzlanovich AM, Muhm M, Sim E, et al. (1999) Foreign body asphyxiation-an autopsy study. Am J Med 107: 351–355.    
  • 13. Berzlanovich AM, Fazeny-Dörner B, Waldhoer T, et al. (2005) Foreign body asphyxia: a preventable cause of death in the elderly. Am J Pre Med 28: 65–69.
  • 14. Greensher J, Mofenson HC (1982) Emergency treatment of the choking child. Pediatrics 70: 110–112.
  • 15. Biarent D, Bingham R, Eich C, et al. (2010) European resuscitation council guidelines for resuscitation 2010 section 6. Paediatric life support. Resuscitation 81: 1364–1388.
  • 16. Briole N (1996) Obstructions Aigues Des Voies Aeriennes Superieures Par Un Corps Etranger: Techniques De Desobstruction Manuelles Et Prise En Charge Medicale Prehospitaliere: A Propos De 15 CAS.
  • 17. Leffler S (2006) An unusual method for the removal of a foreign body from a child's airway. Pediatr Emerg Care 22: 173–174.    
  • 18. Gomez-Acevedo HH (2010) Maneuver for the recovery of a foreign body causing a complete airway obstruction: Illustrative Case. Pediatr Emerg Care 26: 39–40.    
  • 19. Rouillon I, Charrier J, Devictor D, et al. (2006) Lower respiratory tract foreign bodies: a retrospective review of morbidity, mortality and first aid management. Int J Pediatr Otorhinolaryngol 70: 1949–1955.    
  • 20. Marder A (1997) The Complete Dog Owner's Manual: How to Raise a Happy, Healthy Dog. Can Vet J 39: 659–660.
  • 21. Dolkas L, Stanley C, Smith AM, et al. (2007) Deaths associated with choking in San Diego county. J Forensic Sci 52: 176–179.    
  • 22. National Safety Council (2004) Injury facts: 2004 edition. Itasca, IL.
  • 23. Blain H, Bonnafous M, Grovalet N, et al. (2010) The table maneuver: a procedure used with success in four cases of unconscious choking older subjects. Am J Med 123: 1150.e1157–1150.e1159.
  • 24. Ruben H, Macnaughton F (1978) The treatment of food-choking. Practitioner 221: 725–729.
  • 25. Ichikawa M, Oishi S, Mochizuki K, et al. (2017) Influence of body position during Heimlich maneuver to relieve supralaryngeal obstruction: a manikin study. Acute Med Surg 4: 418–425.    
  • 26. Sanuki T, Sugioka S, Son H, et al. (2009) Comparison of two methods for abdominal thrust: a manikin study. Resuscitation 80: 499–500.
  • 27. Lippmann J, Taylor DM, Slocombe R, et al. (2013) Lateral versus anterior thoracic thrusts in the generation of airway pressure in anaesthetised pigs. Resuscitation 84: 515–519.    
  • 28. Luczak A (2016) Head-down self-treatment of choking. Resuscitation 103: e13.    
  • 29. Nelson H (1934) Postural drainage of the lungs. Br Med J 2: 251.
  • 30. Pryor J (1999) Physiotherapy for airway clearance in adults. Eur Respir J 14: 1418–1424.    
  • 31. Tsubaki A, Deguchi S, Yoneda Y (2009) Influence of posture on respiratory function and respiratory muscle strength in normal subjects. J Phys Ther Sci 21: 71–74.    
  • 32. Lokin MI, Denning CR (1971) Evaluation of postural drainage by measurement of sputum volume and consistency. Am J Phys Med 50: 215–219.


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