Sellick's Maneuver: Cricoid Pressure, Aspiration
Cricoid Pressure
Summer Magdaleno
SJVC-STT11
Abstract
Airway management is the most important clinical skill for anesthesia care providers, emergency physicians, and other care providers that help with ventilation and oxygenation to the lungs. Cricoid pressure was discovered in 1961, by Dr. Sellick, therefore cricoid pressure is also known as Sellick’s maneuver. The cricoid pressure is used to reduce the risk of aspiration prior to induction of anesthesia and continued until the endotracheal tube is placed, verified and inflated. In this paper, I will discuss the history, anatomy, technique, benefits and, contradictions.
Keywords: Sellick’s Maneuver, Cricoid Pressure, Aspiration
Cricoid Pressure
The application of cricoid pressure is preformed …show more content…
Monro. In 1961, a British anesthesiologist Dr. Brian A. Sellick conducted a study with cadavers that were filled with water and placed in the Trendelenburg position to reduce the chance of aspiration should a patient vomit. He identified that pulmonary aspiration as a significant problem during induction of anesthesia during emergency and obstetrics procedures. He proposed that the risk of aspirating could be decreased if the esophagus could be occluded by pressing the cricoid cartilage against the cervical vertebrae during induction of anesthesia or positive pressure mask ventilation. Ever since Dr. Sellick’s publication and findings, the application of cricoid pressure to the tracheal intubation is called Selleck’s maneuver. (Blackwell …show more content…
Cricoid pressure should begin before the patient is fully asleep. Firm pressure is applied with the thumb and index finger forming a “V” to the cricoid cartilage, located slightly below the thyroid cartilage. Cricoid pressure must be applied prior to the induction of anesthesia and continued until the endotracheal tube is placed, the correct position of the tube is verified, and then the cuff of the endotracheal tube is inflated. The person applying cricoid pressure does not release the pressure until directed to do so by the anesthesia care provider controlling the airway.
Summer Magdaleno
SJVC-STT11
Abstract
Airway management is the most important clinical skill for anesthesia care providers, emergency physicians, and other care providers that help with ventilation and oxygenation to the lungs. Cricoid pressure was discovered in 1961, by Dr. Sellick, therefore cricoid pressure is also known as Sellick’s maneuver. The cricoid pressure is used to reduce the risk of aspiration prior to induction of anesthesia and continued until the endotracheal tube is placed, verified and inflated. In this paper, I will discuss the history, anatomy, technique, benefits and, contradictions.
Keywords: Sellick’s Maneuver, Cricoid Pressure, Aspiration
Cricoid Pressure
The application of cricoid pressure is preformed …show more content…
Monro. In 1961, a British anesthesiologist Dr. Brian A. Sellick conducted a study with cadavers that were filled with water and placed in the Trendelenburg position to reduce the chance of aspiration should a patient vomit. He identified that pulmonary aspiration as a significant problem during induction of anesthesia during emergency and obstetrics procedures. He proposed that the risk of aspirating could be decreased if the esophagus could be occluded by pressing the cricoid cartilage against the cervical vertebrae during induction of anesthesia or positive pressure mask ventilation. Ever since Dr. Sellick’s publication and findings, the application of cricoid pressure to the tracheal intubation is called Selleck’s maneuver. (Blackwell …show more content…
Cricoid pressure should begin before the patient is fully asleep. Firm pressure is applied with the thumb and index finger forming a “V” to the cricoid cartilage, located slightly below the thyroid cartilage. Cricoid pressure must be applied prior to the induction of anesthesia and continued until the endotracheal tube is placed, the correct position of the tube is verified, and then the cuff of the endotracheal tube is inflated. The person applying cricoid pressure does not release the pressure until directed to do so by the anesthesia care provider controlling the airway.