Cricoid pressure: the argument against
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چکیده
منابع مشابه
Resuscitation great. Brian Sellick, cricoid pressure and the Sellick Manoeuvre.
The manoeuvre consists in temporary occlusion of the upper end of the oesophagus by backward pressure of the cricoid cartilage against the bodies of the cervical vertebrae. In the cadaver it was found that when the stomach was filled with water and firm pressure was applied to the cricoid, as described below, a steep Trendelenburg tilt did not cause regurgitation of fluid into the pharynx. More...
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BACKGROUND The laryngeal tube has a potential role in patients with a difficult airway, but cricoid pressure is required if the patient is at risk of aspiration. The effect of cricoid pressure on insertion of these devices is unknown. METHODS In a randomized cross-over study, the laryngeal tube (25 patients) or the laryngeal tube-suction II (15 patients) was inserted with cricoid pressure app...
متن کاملCricoid pressure applied after placement of the laryngeal mask prevents gastric insufflation but inhibits ventilation.
We studied 50 patients, in a blind, crossover study, to assess if cricoid pressure applied after placement of the laryngeal mask prevented gastric insufflation without affecting ventilation. After induction of anaesthesia and neuromuscular block, a laryngeal mask was inserted and confirmed to be placed correctly. The lungs were ventilated with a maximum inflation pressure of 15 cm H2O. In the f...
متن کاملCricoid pressure in emergency department rapid sequence tracheal intubations: a risk-benefit analysis.
Cricoid pressure is considered an integral part of patient safety in rapid sequence tracheal intubation and emergency airway management. Cricoid pressure is applied to prevent the regurgitation of gastric contents into the pharynx and subsequent aspiration into the pulmonary tree. This review analyzes the published evidence supporting cricoid pressure, along with potential problems, including i...
متن کاملCricoid pressure decreases ease of tracheal intubation using fibreoptic laryngoscopy (WuScope System.
PURPOSE Cricoid pressure is commonly used during rapid sequence induction and intubation to minimize the risk of aspiration. The objective of the study was to evaluate the ease of fibreoptic (WuScope System(TM)) intubation in anesthetized adults receiving cricoid pressure. METHODS The intubation difficulty scale (IDS) was used to measure tracheal intubation difficulties in 33 patients undergo...
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