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[DYSPHAGIA] CPR/Heimlich maneuver
I'd think you'd remove the valve and use the trach to ventilate in most
cases. But I can see where it would be individual- some people could
probably be facemask or mouth to mouth ventilated very well. The main
caution with a Passy is that dangerous air trapping can occur if there is
no route for exhalation around the tube and through the larynx above; this
could occur in a choking situation even if no problem with that before
and the Passy was indicated and used properly.
Vikki Stefans, pediatric physiatrist (rehab doc for kids), e-mail junkie,
working Mom of Sarah T. and Michael C., and wife of Henry "My Travel Agent",
Arkansas Children's Hospital/ U of A for Medical Sciences, Little Rock, aka
vstefans@care.ach.uams.edu ...and EVERY mom is a working mom! (OK, dads too.)
On Mon, 26 Nov 2001, Maggie Richardson wrote:
> Does anyone know of a printed "protocol" for CPR/Heimlich maneuver for a
> child who wears a Passy-Muir valve? I have a high-school aged student who
> is a choking risk, and we usually establish a feeding protocol for high
> risk students, including what to do if the student chokes. I assume the
> protocol would be much the same as for any other student due to the
> one-way valve situation with the Passy-Muir. I contacted the Passy-Muir
> representative, and she indicated that the company does not have a
> standard protocol regarding CPR/Heimlich. Would you recommend using a
> standard method with this student? If the valve accidently becomes
> dislodged during CPR/Heimlich, then what? Replace it and continue? Any
> information you can supply would be greatly appreciated!
>
> Maggie Richardson
> Speech-Language Pathologist
> Piedra Vista High School
> mrichardson@fms.k12.nm.us
>
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