The Effect of Cricoid Pressure on Preventing Gastric Insufflation in Infants and Children

Moynihan, Robert J.; Brock‐Utne, John G.; Archer, John H.; Feld, Lawrence H.; Kreitzman, Ted R.

doi:10.1097/00000542-199304000-00007

Cited by 132 publications

(58 citation statements)

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“…There is evidence that significant gastric insufflation is unlikely to occur during positive pressure ventilation with correctly applied cricoid pressure [5][6][7]. We feel that the traditional teaching is potentially detrimental in certain patient subgroups, notably those with high oxygen consumption and ⁄ or low functional residual capacity where preoxygenation is less effective.…”

Section: A Replymentioning

confidence: 96%

Bag‐mask ventilation in rapid sequence induction

Brown¹,

Werrett²

2009

Anaesthesia

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Section: A Replymentioning

confidence: 96%

Bag‐mask ventilation in rapid sequence induction

Brown¹,

Werrett²

2009

Anaesthesia

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“…Segundo Moynihan e col. 37 , a pressão na cartilagem cricóide é capaz de impedir a insuflação gástrica desde que a ventilação seja aplicada com pressão menor que 40 cmH 2 O. Nessa situação, seria possível ventilar o paciente de forma suave, desde que a manobra de Sellick fosse aplicada de forma correta. Caso a visão das cordas vocais proporcionada pela laringoscopia ou a ventilação com a máscara facial não sejam adequadas, deve-se diminuir a força e reavaliar a posição onde a compressão está sendo aplicada.…”

Section: Manobra De Sellick Em Situações "Não Ventilo Não Intubo"unclassified

“…According to Moynihan et al 37 , applying pressure on the cricoid cartilage is capable of preventing gastric insufflation as long as ventilation is carried out with a pressure lower than 40 cmH 2 O. In this situation, it is possible to ventilate the patient gently only if Sellick maneuver is used properly.…”

Section: Sellick Maneuver In "I Don't Ventilate I Don't Intubate" Simentioning

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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“…172,173 Healthcare providers may insert a nasogastric or orogastric tube to decompress the stomach if gastric distention develops during resuscitation. Ideally this is done after tracheal intubation.…”

Section: I-266 Circulation August 22 2000mentioning

confidence: 99%

“…To reduce gastric inflation, a second trained provider can apply cricoid pressure, but only with an unconscious victim. 173 Cricoid pressure may also prevent regurgitation (and possible aspiration) of gastric contents. 183,184 Do not use excessive pressure on the cricoid cartilage, because it may produce tracheal compression and obstruction or distortion of the upper airway anatomy.…”

Section: Types Of Ventilation Bags (Manual Resuscitators)mentioning

confidence: 99%

Part 9: Pediatric Basic Life Support

2000

Circulation

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• The extremely complex skills sequence for lay rescuer relief of foreign-body airway obstruction (FBAO) in the unconscious victim has been simplified. The sequence for healthcare provider relief of FBAO in the unconscious victim remains unchanged (Class IIb). IntroductionPediatric BLS refers to the provision of CPR, with no devices or with bag-mask ventilation or barrier devices, until advanced life support (ALS) can be provided. The population addressed in this chapter includes infants from birth to 1 year of age and children from 1 to 8 years of age. CPR and life support in the pediatric age group should be part of a community-wide Chain of Survival that links the child to the best hope of survival following emergencies. The Chain of Survival integrates education in prevention of cardiopulmonary arrest, BLS, early access to EMS systems prepared for children's needs, early and effective pediatric Sudden cardiopulmonary arrest in infants and children is much less common than sudden cardiac arrest in adults. 4 In contrast to cardiac arrest in adults, cardiac arrest in infants and children is rarely a sudden event, and non-cardiac causes predominate. 4 The etiology of cardiac arrest in infants and children varies by age, setting, and the underlying health of the child. For these reasons, the sequence of CPR for infants and children requires a different approach from that used for adult victims.Cardiac arrest in the under-21-year-old age group occurs most commonly at either end of the age spectrum: under 1 year of age and during the teenage years. In the newly born infant, respiratory failure is the most common cause of cardiopulmonary deterioration and arrest. During infancy the most common causes of arrest include sudden infant death syndrome (SIDS), respiratory diseases, airway obstruction (including foreign-body aspiration), submersion, sepsis, and neurological disease. [5][6][7][8][9][10][11] Beyond 1 year of age, injuries are the leading cause of death. [12][13][14] Cardiac arrest in children typically represents the terminal event of progressive shock or respiratory failure. Either shock or respiratory failure may include a compensated state from which children can rapidly deteriorate to a decompensated condition with progression to respiratory or cardiac arrest. Therefore, rescuers must detect and promptly treat early signs of respiratory and circulatory failure to prevent cardiac arrest. In children, early effective bystander CPR has been associated with successful return of spontaneous circulation and neurologically intact survival. 15,16 BLS courses should be offered to target populations such as expectant parents, child care providers, teachers, sports supervisors, and others who regularly care for children. Parents and child care providers of children with underlying conditions that predispose them to cardiopulmonary failure should be particularly targeted for these courses.These guidelines are based on a review and analysis of clinical and experimental evidence. 17 Because this evidence varies widely...

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The Effect of Cricoid Pressure on Preventing Gastric Insufflation in Infants and Children

Cited by 132 publications

References 0 publications

Bag‐mask ventilation in rapid sequence induction

Bag‐mask ventilation in rapid sequence induction

Compressão da cartilagem cricóide: aspectos atuais

Part 9: Pediatric Basic Life Support

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