Resuscitation great. Brian Sellick, cricoid pressure and the Sellick Manoeuvre.
نویسندگان
چکیده
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. Moreover, the flow of water from the pharynx could be controlled by varying the pressure on the cricoid cartilage [1].
منابع مشابه
Compression of the cricoid cartilage. Current aspects.
BACKGROUND AND OBJECTIVES Sellick described the importance of applying pressure in the cricoid cartilage during anesthesia induction to prevent regurgitation of gastric contents. Since then, the maneuver has been widely accepted by anesthesiologists as a fundamental step during induction with the rapid sequence technique. The objective of the present report was to discuss the indications, techn...
متن کاملCricoid pressure: indications and complications.
Cricoid pressure to occlude the upper end of the oesophagus, also called the Sellick manoeuvre, may be used to decrease the risk of pulmonary aspiration of gastric contents during intubation for rapid induction of anaesthesia. Effective and safe use of the technique requires training and experience. Cricoid pressure is contraindicated in patients with suspected cricotracheal injury, active vomi...
متن کاملCricoid pressure results in compression of the postcricoid hypopharynx: the esophageal position is irrelevant.
BACKGROUND Sellick described cricoid pressure (CP) as pinching the esophagus between the cricoid ring and the cervical spine. A recent report noted that with the application of CP, the esophagus moved laterally more than 90% of the time, questioning the efficacy of this maneuver. We designed this study to accurately define the anatomy of the Sellick maneuver and to investigate its efficacy. M...
متن کاملUltrasound-guided esophageal occlusion during rapid sequence induction.
To the Editor, In 1961, Dr. B.A. Sellick demonstrated cricoid pressure (CP), a technique used for esophageal occlusion to prevent gastric regurgitation during tracheal intubation. The ‘‘Sellick Maneuver’’ has since become common practice during induction of anesthesia when risk of regurgitation is suspected. Recent investigations refute the presumed benefits of this maneuver. Magnetic resonance...
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ورودعنوان ژورنال:
- Resuscitation
دوره 61 1 شماره
صفحات -
تاریخ انتشار 2004