What is the Sellick maneuver used for?
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What is the Sellick maneuver used for?
The Sellick Maneuver is performed by applying gentle pressure to the anterior neck (in a posterior direction) at the level of the Cricoid Cartilage. The Maneuver is most often used to help align the airway structures during endotracheal intubation.
How does the Sellick or burp maneuver help when intubating?
It is similar to the BURP (backwards upwards rightwards pressure) technique, but serves a completely different purpose. Though Sellick can lower aspiration risk by preventing regurgitation, BURP improves the ability to see the glottis during intubation.
Is cricoid pressure recommended?
Cricoid pressure is a technique that has become part of rapid sequence intubation to prevent aspiration of gastric contents. The technique has limited evidence to support its utility; however, it is still recommended in select populations.
What is another name for cricoid pressure?
the Sellick manoeuvre
Cricoid pressure, also known as the Sellick manoeuvre or Sellick maneuver, is a technique used in endotracheal intubation to try to reduce the risk of regurgitation.
Why do we apply cricoid pressure?
Cricoid pressure is a technique where pressure is placed on an area of bone-like tissue in the neck to flatten the oesophagus (tube that connects the mouth to the stomach). This is intended to prevent vomiting up of the stomach contents. The application of cricoid pressure for this purpose is very common.
How do you give cricoid pressure during intubation?
Cricoid pressure is applied by an assistant using the thumb and second finger; the first finger stabilizes the thumb and finger on the cricoid ring. Pressure is applied firmly as consciousness is lost and released only after the tracheal tube cuff has been inflated.
Why is routine use of cricoid pressure not recommended?
Application of cricoid pressure (CP) for patients undergoing rapid-sequence intubation is controversial. Multiple specialty societies have recommended that CP is not effective in preventing aspiration; rather it may worsen laryngoscopic view and impair bag-valve mask ventilation.
What maneuver is cricoid pressure?
Sellick maneuver
Cricoid pressure, also known as the Sellick manoeuvre or Sellick maneuver, is a technique used in endotracheal intubation to try to reduce the risk of regurgitation. The technique involves the application of pressure to the cricoid cartilage at the neck, thus occluding the esophagus which passes directly behind it.
What is meant by cricoid pressure?
cricoid pressure refers to digital pressure against the cricoid cartilage of the larynx, pushing it backwards with the intention of oesophageal compression against the vertebrae and prevention of passive regurgitation of gastric and oesophageal contents.
When should cricoid pressure be used?
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.
What is the recommended initial intervention for managing hypotension after ROSC?
A central line and arterial line should be placed, and if the patient has persistent hypotension then norepinephrine should be started. Epinephrine is a reasonable second vasopressor, and dobutamine should be considered for poor contractility.
What is ramp position?
In the ramp position, the patient’s head and torso are elevated such that the external auditory meatus and the sternal notch are horizontally aligned (black line).
What is cricoid pressure used for?
How do you perform cricoid pressure?
Place the thumb and index finger on either side of the cricoid cartilage (Figure 3) and press directly backwards at a force of 20-30 newtons against the cervical vertebrae. Maintain pressure until directed to release.
Why do you apply cricoid pressure?
Applying cricoid pressure helps to prevent the passive regurgitation and aspiration of gastric contents during bag-mask ventilation and attempted tracheal intubation (Nolan et al, 2005).
What is the first treatment priority after ROSC?
As soon as possible following ROSC, 12-lead electrocardiography (ECG) should be performed to diagnose ST-segment elevation myocardial infarction (STEMI), and an immediate coronary angiography arranged.
