Upper airway obstruction is a critical medical emergency. When a patient is unconscious, unresponsive, or experiencing cardiac arrest, loss of muscle tone often causes the tongue to fall backward and block the pharynx.

Key Causes of Upper Airway Obstruction

  • Anatomical / Soft Tissue: The tongue (most common in comatose or cardiac arrest patients).

  • Swelling / Edema: Angioedema, allergic reactions, burns, or inflammation of the oropharynx and larynx.

  • Trauma: Maxillofacial fractures, laryngeal trauma, or hematomas.

  • Foreign Body: Choking on food or objects (requiring maneuvers like abdominal thrusts if conscious, or emergency airway protocols if unresponsive).

  • Infection: Epiglottitis, retropharyngeal abscess, or severe croup.

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