Evidence map›Paper›PMID 40088938›Full record

ArticleJornal de pediatria

Comparative efficacy of LifeVac® and Heimlich maneuver in simulated airway obstruction.

Maria Lucia S Hristonof, Marina C Amantéa, Fernando J Lazzaretti, Marina M Bernardes, Luiza F Xavier, Sérgio Luis Amantéa

Abstract readComparative Study
In one paragraph

Article in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. RECOVER Guidelines: First Aid in Dogs and Cats. Evidence and Knowledge Gap Analysis With Treatment Recommendations.Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) · 2026
    Article
  2. RECOVER Guidelines: First Aid for Dogs and Cats. Clinical Guidelines.Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Maria Lucia S HristonofPontifícia Universidade Católica do Rio Grande do Sul (PUCRS), School of Medicine, Porto Alegre, RS, Brazil; Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Infant Center Research Group, Porto Alegre, RS, Brazil.
Marina C AmantéaPontifícia Universidade Católica do Rio Grande do Sul (PUCRS), School of Medicine, Porto Alegre, RS, Brazil; Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Infant Center Research Group, Porto Alegre, RS, Brazil.
Fernando J LazzarettiPontifícia Universidade Católica do Rio Grande do Sul (PUCRS), School of Medicine, Porto Alegre, RS, Brazil; Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Infant Center Research Group, Porto Alegre, RS, Brazil.
Marina M BernardesPontifícia Universidade Católica do Rio Grande do Sul (PUCRS), School of Medicine, Porto Alegre, RS, Brazil; Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Infant Center Research Group, Porto Alegre, RS, Brazil.
Luiza F XavierPontifícia Universidade Católica do Rio Grande do Sul (PUCRS), School of Medicine, Porto Alegre, RS, Brazil; Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Infant Center Research Group, Porto Alegre, RS, Brazil.
Sérgio Luis AmantéaPontifícia Universidade Católica do Rio Grande do Sul (PUCRS), School of Medicine, Porto Alegre, RS, Brazil; Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Infant Center Research Group, Porto Alegre, RS, Brazil. Electronic address: sergio.amantea@pucrs.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesForeign body airway obstruction is a significant cause of morbidity and mortality, especially in infants and young children. This study aims to compare the efficacy of the Heimlich maneuver and LifeVac® in a simulated environment.

methodsA prospective experimental study was conducted using the Choking Charlie (Laerdal®) mannequin, which simulates the trunk from an adult male and is considered suitable for simulating choking events in young children. The study involved four operators: one Pediatric Advanced Life Support (PALS) instructor and professor of Trauma and Emergency Medicine, along with three members of the university's Pediatric Academic League, all previously trained in Basic Life Support (BLS). The primary outcome was the success rate of foreign body removal. Intracavitary pressures generated during the maneuvers were measured using a digital manometer.

resultsA total of 200 anti-choking maneuvers were performed, and both techniques successfully relieved airway obstruction in all cases. The LifeVac® device generated significantly lower intracavitary pressure differentials compared to the Heimlich maneuver (p < 0.000). Additionally, both techniques exhibited significant variability in applied pressure among different examiners (p < 0.000).

conclusionsBoth the Heimlich maneuver and LifeVac® are effective in relieving foreign body airway obstruction when performed by specialists in a simulated environment. Heimlich generated higher positive pressure gradients, while LifeVac® produced lower negative pressure gradients.

Indexed as

Airway ObstructionForeign BodiesManikinsHumansMaleProspective StudiesTreatment OutcomeAbdominal thrustAirway obstructionAsphyxiaHeimlich manoeuvre

Identifiers

PMID40088938
PMCPMC12039517

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.