Senior Registrar, Department of Anaesthetics, Royal Berkshire Hospital, Reading, Berkshire RG1 5AN.
The human wedge
A manoeuvre to relieve aortocaval compression during resuscitation in late pregnancy
Article first published online: 22 FEB 2007
Volume 47, Issue 5, pages 433–434, May 1992
How to Cite
Goodwin, A.P.L. and Pearce, A.J. (1992), The human wedge. Anaesthesia, 47: 433–434. doi: 10.1111/j.1365-2044.1992.tb02228.x
- Issue published online: 22 FEB 2007
- Article first published online: 22 FEB 2007
- Accepted 4 November 1991
- cardiac massage;
The important part of resuscitation in late pregnancy is the relief of aortocaval compression. A manoeuvre to relieve aortocaval compression (the human wedge) is described and evaluated. Eighteen qualified midwives performed basic life support in the supine and wedged position employing the human wedge. Performance was assessed using the Laerdal Resusci Anne Skillmeter. There was no difference (p = 0.4761) in performance of mouth-to-mouth expired air ventilation between the two positions. External cardiac compressions were performed significantly better (p = 0.0005) in the wedged position than in the supine position. The human wedge may provide an alternative to other methods of relieving aortocaval compression.