Cricoid Compression is Effective in Obliterating the Esophageal Lumen in the Presence of a Nasogastric Tube

Salem, M. Ramez; Joseph, Ninos J.; Heyman, Harold J.; Belani, B.; Paulissian, Robert; Ferrara, Thomas P.

doi:10.1097/00000542-198510000-00016

Cited by 78 publications

(31 citation statements)

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“…The nasogastric tube does not interfere with compression of the pharynx, as originally suggested by Sellick [6] cadavers, that 'firm' cricoid pressure can still prevent regurgitation despite the presence of an oesophageal tube; in our cadaver study, using measured values of cricoid force, a 14 FG oesophageal tube seemed to increase rather than decrease the efficacy of cricoid pressure [l]. Therefore, if a nasogastric tube is inserted to decrease the volume of gastric contents, it need not be removed before a rapid sequence induction of anaesthesia.…”

Section: Sc Beardsmentioning

confidence: 90%

Nasogastric tubes and cricoid pressure

Vanner

Pryle

1993

Anaesthesia

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Section: Sc Beardsmentioning

confidence: 90%

Nasogastric tubes and cricoid pressure

Vanner

Pryle

1993

Anaesthesia

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“…Sellick recomenda, em seu trabalho original 2 , que a sonda seja retirada antes da indução da anestesia. Porém, dois estudos em cadáveres mostraram que a eficácia da manobra de Sellick não está diminuída com a sua presença 19,41 . Assim, a sonda funcionaria como passagem segura do conteúdo gástrico quando uma compressão eficaz na cartilagem cricóide fosse aplicada.…”

Section: Manobra De Sellick E a Sonda Gástricaunclassified

“…In his original work, Sellick 2 recommends removal of the tube before anesthesia induction. However, two studies in cadavers demonstrated that the efficacy of the Sellick maneuver is not reduced with the presence of the nasogastric tube 19,41 . Vol.…”

Section: Sellick Maneuver and Nasogastric Tubementioning

confidence: 99%

Compressão da cartilagem cricóide: aspectos atuais

Moro¹,

Goulart²

2008

Rev. Bras. Anestesiol.

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Rev Bras AnestesiolARTIGO DE REVISÃO 2008; 58: 6: 643-650 REVIEW ARTICLE RESUMO Moro ET, Goulart A -Compressão da Cartilagem Cricóide. Aspectos Atuais. JUSTIFICATIVA E OBJETIVOS:Sellick descreveu a importância da pressão aplicada na cartilagem cricóide para a prevenção da regurgitação do conteúdo gástrico durante a indução da anestesia. Desde então a manobra tem sido universalmente aceita pelos anestesiologistas como um passo fundamental durante a indução com a técnica de seqüência rápida. O presente artigo teve como objetivo discutir as indicações, a técnica, as complicações e os motivos pelos quais alguns autores têm contestado a eficácia dessa técnica. CONTEÚDO:Foram revisadas as indicações, a técnica e as complicações da manobra de compressão da cartilagem cricóide. Também foram discutidos os aspectos que têm motivado alguns autores a abandonar a manobra de Sellick durante a indução anestésica com a técnica de seqüência rápida. CONCLUSÕES:A aplicação da manobra de compressão da cartilagem cricóide exige o conhecimento da anatomia da via aérea superior e da força correta a ser empregada. Estudos endoscópicos e radiológicos, assim como pacientes que apresentaram aspiração pulmonar a despeito da aplicação da manobra de Sellick, têm colocado em questão a utilidade da técnica. Além disso, quando mal empregada, pode causar deformidade dessa cartilagem, fechamento das cordas vocais e dificuldade de ventilação. Apesar do papel de destaque representado pela manobra de Sellick na prevenção da aspiração pulmonar, não há garantia de proteção das vias aéreas para todos os pacientes, sobretudo quando a técnica não é corretamente aplicada.

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“…A plastic NG tube should be left open to atmospheric pressure to vent liquid or gas and, therefore, limit increases in gastric pressure during induction. 24 Impact on airway management The most limiting feature of CP is that it causes anatomical distortion of the upper airway making airway management more difficult. Problems arise due to interference with laryngoscope blade placement, pharyngeal compression, distortion/malalignment of the larynx/trachea, and activation of upper airway reflexes.…”

Section: Cricoid Forcementioning

confidence: 99%

Cricoid pressure

1997

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MS CI-IB FRCA Purpose: Although crico~d pressure (CP) is a superficially simple and appropriate mechanical method to protect the patient from regurgitation and gastric insuffiation, in practice it is a complex manoeuvre which is difficult to perform optimally. The purpose of this review is to examine and evaluate studies on the application of (CP). It deals with anatomical and physiological considerations, techniques employed, safety and efficacy issues and the impact of CP on airway management with special mention of the laryngeal mask airway.Source of material: Three medical databases (48 Hours, Medline, and Reference Manager Update) were searched for citations containing key words, subject headings and text entries on CP to October 1996.Principle Findings: There have been no studies proving that CP is beneficial, yet there is evidence that it is often ineffective and that it may increase the risk of failed intubation and regurgitation. After evaluation of all available data, potential guidelines are suggested for optimal use of CP in routine and complex situations.Conclusions: If CP is to remain standard practice during induction of anaesthesia, it must be shown to be safe and effective. Meanwhile, further understanding of its advantages and limitations, improved training in its use, and guidelines on optimal force and method of application should lead to better patient care.Objectif : Bien qu'elle salt une m&hocle m&anique en apparence simple et appropnEe ex&utEe pour protEger contre la regurgitation et I'insufflation gastrique, la compression du cricoide (CC), en pratique, constitue une manoeuvre complexe et difficile ~ rEaliser parfaitement. Cette revue vise I'analyse et I'Evaluation des Etudes publiEes sur son usage, Elle porte sur les considerations anatomiques et physiologiques, les techniques utilisEes, les probl~mes de sEcuritE et d'eflicacitE et I'impact de la CC sur la gestion des voles aEriennes avec une attention spEciale envers le masque laryngE. Sara'c 9 : Trois bases de donnEes mEdicaies (48 Hours, Medline et Reference Manager Update) ant EtE scrutEes au regard des citations contenant les mats des, les titres des sujets et les entr~es de texte concemant la CC lusqu'au mois d'octobre 1996.Principales constatations 9 Aucune Etude n'a prouvE les bienfaits de la CC, alors qu'il est dEmontr~ qu'elle est souvent inefficace et qu'elle peut augmenter l'incidence des intubations EchouEes et des regurgitations. Apr~s une Evaluation de toutes les donnEes disponibles, des lignes de conduites sont suggErEes en vue d'une pratique optimale de la CC dans les situations courantes et complexes.Conclusions : Si la CC dart demeurer une manoeuvre standard pendant l'induction de l'anesthEsie, il faut faire la preuve qu'elle est sore et efficace. En attendant, une meilleure comprehension de ses avantages et de ses limitations, un enseignement amEliorE et des donnEes plus pr&ises sur la pression exercEe idEale et son mode d'utilisation devraient nous aider ~ foumir de meilleurs soins. RICOID pressure (CP) has been des...

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Cricoid Compression is Effective in Obliterating the Esophageal Lumen in the Presence of a Nasogastric Tube

Cited by 78 publications

References 0 publications

Nasogastric tubes and cricoid pressure

Nasogastric tubes and cricoid pressure

Compressão da cartilagem cricóide: aspectos atuais

Cricoid pressure

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