ArticleFrontiers in medicine2026
Rescue airway maneuvers after jaw-thrust failure in suspected cervical spine injury: a prospective post-guideline observational cohort study.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Effective ventilation is a priority during resuscitation, but clinicians may hesitate to use head tilt-chin lift after jaw-thrust failure when cervical spine injury is suspected. We evaluated rescue ventilation pathways and clinical outcomes in this setting. Methods: We conducted a prospective, single-center observational cohort study between 22 January 2026 and 10 June 2026, after institutional ethics approval had been obtained. Adults requiring bag-mask ventilation with suspected cervical spine injury were included if an initial jaw-thrust attempt with appropriate airway adjunct use failed to achieve effective ventilation and a subsequent rescue airway action was required. The primary outcome was time from jaw-thrust failure to effective ventilation. Secondary outcomes included hypoxemia, escalation to intubation, 28-day functional outcome, and new neurological deficits. Results: Among 218 patients, head tilt-chin lift was used in 64 patients (29.4%). Median time to effective ventilation was 58 s with head tilt-chin lift and 138 s in non-head tilt-chin lift pathways. Hypoxemia occurred in 21.9% of head tilt-chin lift patients versus 57.6% of patients managed with prolonged bag-mask ventilation. At 28 days, unadjusted favorable functional outcome was more frequent after head tilt-chin lift, whereas new neurological deficit rates were similar across pathways. Cervical collar application showed complete separation with head tilt-chin lift non-use, while resident physician status and manual in-line stabilization were independent predictors in the adjusted non-use model. Conclusions: In this post-guideline prospective cohort, head tilt-chin lift use after jaw-thrust failure was associated with faster effective ventilation and less hypoxemia. These observational associations do not establish superiority over other rescue strategies. New neurological deficit rates were similar across pathways, but the study was not powered to establish neurological safety or exclude rare cervical-spine-specific harm.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.