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Comment & Response
October 12, 2017

Treatment of Acute Upper Airway Obstruction

Author Affiliations
  • 1Medstar Georgetown University Hospital Department of Otolaryngology–Head & Neck Surgery, Washington, DC
  • 2Chairman, Medstar Washington Hospital Center Department of Otolaryngology–Head & Neck Surgery, Washington, DC
JAMA Otolaryngol Head Neck Surg. Published online October 12, 2017. doi:10.1001/jamaoto.2017.1922

To the Editor The viewpoint published by Dr Grundfast et al1 underscores the clinical vigilance and preparation critical for management of acute upper airway obstructions (AUAOs). At our level 1 trauma center we founded a multidisciplinary critical code airway (CCA) team over a decade ago, together with the trauma surgery and anesthesia departments, to improve physician response to—and treatment of—emergency cases of AUAO. It is with this perspective that the commandments offered by Grundfast et al1 resonate with us, and we would like to encourage that they be applied to adults as well as to children with a couple of amendments:

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