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Complications as a result of the Heimlich maneuver
Steven L Lee1, Stephen S Kim, Shant Shekherdimian
1Department of Surgery, Kaiser Permanente, Los Angeles Medical Center, Los Angeles, California, USA. Steven.L.Lee@kp.org
Abstract:
The Heimlich maneuver is a well-described emergency procedure for management of foreign body airway obstructions. Although rare, complications of the Heimlich maneuver do exist. The purpose of this report is to review the known complications of this procedure. All reported complications published in English on Medline and PubMed were reviewed. Additionally, we present a rare case of acute pancreatitis with associated pseudocyst formation after the administration of the Heimlich maneuver on a healthy 3-year-old boy. Although life saving, the Heimlich maneuver may be associated with significant complications; thus, symptomatic patients after this maneuver should be thoroughly evaluated with appropriate laboratory and radiographic studies.
Insights
The Heimlich maneuver can cause rare but serious complications, including acute pancreatitis. Patients experiencing symptoms after the procedure require thorough medical evaluation.
Area of Science:
- Emergency Medicine
- Gastroenterology
- Pediatric Surgery
Background:
- The Heimlich maneuver is a standard emergency treatment for foreign body airway obstruction.
- While effective, potential complications associated with this life-saving procedure are not widely recognized.
Observation:
- This report reviews documented complications of the Heimlich maneuver from English-language literature.
- A case of a healthy 3-year-old boy who developed acute pancreatitis and a pseudocyst after the Heimlich maneuver is presented.
Findings:
- Complications of the Heimlich maneuver, though rare, can be significant.
- The review identified various adverse events linked to the procedure.
- The presented case highlights a rare but severe gastrointestinal complication.
Implications:
- Healthcare providers should be aware of the potential risks associated with the Heimlich maneuver.
- Patients exhibiting symptoms post-Heimlich maneuver warrant comprehensive diagnostic workups, including laboratory tests and imaging.
- Further research into the mechanisms and prevention of Heimlich maneuver complications may be beneficial.
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