Prehospital resuscitation with modified supine Heimlich maneuver, direct laryngoscopy, intubation, and ACLS achieved return of spontaneous circulation within 20 minutes in a young female myasthenia gravis patient with airway obstruction leading to cardiopulmonary arrest.
Case Report (n=1)
No
Successful prehospital ROSC is possible in myasthenia gravis patients with acute airway obstruction using modified Heimlich maneuvers and early intubation, though prevention of aspiration remains paramount to avoid fatal hypoxic brain injury.
Estimación del efecto: ROSC achieved within 10 minutes of EMS arrival (~20 minutes after collapse)
Tasa de eventos absoluta: 1% vs 0%
Our findings highlights the unique challenges of managing airway obstruction in patients with myasthenia gravis and proposes an integrated prehospital strategy for airway management. This case underscores that successful prehospital return of spontaneous circulation is possible in patients with myasthenia gravis with acute airway obstruction; however, prevention remains paramount due to the risk of fatal outcomes. It emphasizes the need for integrated prehospital strategies, patient education on aspiration risk, and protocolized airway algorithms for neuromuscular disorders.
Ruan et al. (Sat,) conducted a case report in 21-year-old Han Chinese female with myasthenia gravis experiencing cardiopulmonary arrest due to complete airway obstruction (n=1). Prehospital resuscitation including modified supine abdominal thrusts (Heimlich maneuver), direct laryngoscopy with food debris removal, endotracheal intubation, advanced cardiac life support with intravenous adrenaline was evaluated on Return of spontaneous circulation (ROSC) in prehospital setting (ROSC achieved within 10 minutes of EMS arrival (~20 minutes after collapse)). Prehospital resuscitation with modified supine Heimlich maneuver, direct laryngoscopy, intubation, and ACLS achieved return of spontaneous circulation within 20 minutes in a young female myasthenia gravis patient with airway obstruction leading to cardiopulmonary arrest.