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The jaw-thrust maneuver is a first aid and medical procedure used to prevent the tongue from obstructing the upper airways.This maneuver and the head-tilt/chin-lift maneuver are two of the main tools of basic airway management, and they are often used in conjunction with other basic airway techniques including bag-valve-mask ventilation.
Visual demonstration of jaw thrust. The jaw-thrust maneuver is an effective airway technique, particularly in patients in whom cervical spine injury is a concern. The jaw thrust is a technique used on patients with a suspected or possible cervical spinal cord injury and is used on a supine patient. The practitioner uses their index and middle ...
The head is in a dependent position so that fluid can drain from the patient's airway; the chin is well up to keep the epiglottis opened. Arms and legs are locked to stabilize the position of the patient. The jaw-thrust maneuver is an effective airway technique, particularly in the patient in whom cervical spine injury is a concern.
This maneuver and the jaw-thrust maneuver are two of the main tools of basic airway management. If cervical spine injury is a concern and/or the patient is immobilized on a long spine board and/or with a cervical collar ; the jaw-thrust maneuver can be used instead .
Unlike basic airway management, such as the head tilt/chin lift or jaw-thrust maneuver, advanced airway management relies on the use of medical equipment and advanced training in anesthesiology, emergency medicine, or critical care medicine.
A number of maneuvers have been found to be effective including Canalith Repositioning Procedures (CRP) such as the Epley maneuver, the Half Somersault Maneuver (HSM), the Semont maneuver, and to a lesser degree the non-CRP Brandt–Daroff exercises. [5] [28] Both the Epley and the Semont maneuvers are equally effective.
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The maneuver works by allowing free-floating particles, displaced otoconia, from the affected semicircular canal to be relocated by using gravity, back into the utricle, where they can no longer stimulate the cupula, therefore relieving the patient of bothersome vertigo. [2] [3] The maneuver was developed by the physician John M. Epley, and was ...
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