The inverse breathing or swing breathing is a breathing disorder , the in the thorax contracts during inspiration and abdominal bulging. On the other hand, when you exhale, the chest expands and the abdomen sinks. This is an inversion of normal breathing movements. Functionally, inverse breathing means that breathing has stopped and the lungs are not ventilated. Inverse breathing occurs when there is a total obstruction of the larynx or windpipe . This can happen , for example, by inhaling a foreign body (foreign body aspiration) or a bolus , allergic swelling in the area of the larynx or a glottic spasm, for example after extubation . Without treatment, a total blockage of the airways inevitably leads to respiratory arrest due to a lack of oxygen and death from suffocation ; accordingly, it is therefore an absolute emergency.
The symptoms are somewhat similar to paradoxical breathing , but the cause is different, so a correct differential diagnosis is necessary. Diagnosis is made through inspection. The first therapeutic goal is to clear the airways again. To do this, the mouth is opened using the Esmarch handle and the mouth and throat are cleared out manually. Foreign bodies can often be pushed outward between the shoulder blades with strong blows with the flat of the hand on the back. Adults lie on their side, children are lifted by their feet. There are different statements about the effectiveness of the Heimlich maneuver ; it should only be carried out if a bolus is present and the aforementioned measures did not lead to success.
To be distinguished from the inverse respiration is the inverse ventilator (engl. Inverse ratio ventilation ) in which the temporal ratio of inhalation and exhalation is changed in favor of the inhalation.
- Klaus-Peter W. Schaps, Oliver Kessler, Ulrich Fetzner: The second - compact: Health disorders - GK2 . Springer, Berlin 2008, ISBN 978-3-540-46342-9 , p. 155.
- Friedrich W. Ahnefeld: Seconds decide: Emergency medical emergency measures . Volume 32 of Heidelberger Taschenbücher , 2nd edition, Springer, Berlin 2013, ISBN 978-3-662-09845-5 , p. 43.
- Friedrich W. Ahnefeld: Seconds decide: Emergency medical emergency measures . Volume 32 of Heidelberger Taschenbücher , 2nd edition, Springer, Berlin 2013, ISBN 978-3-662-09845-5 , pp. 48-50.