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Cricoid pressure: Where do we stand?

In 1961, Sellick popularized the technique of cricoid pressure (CP) to prevent regurgitation of gastric contents during anesthesia induction. In the last two decades, clinicians have begun to question the efficacy of CP and therefore the necessity of this maneuver. Some have suggested abandoning it...

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Detalles Bibliográficos
Autores principales: Bhatia, Nidhi, Bhagat, Hemant, Sen, Indu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927288/
https://www.ncbi.nlm.nih.gov/pubmed/24574584
http://dx.doi.org/10.4103/0970-9185.125683
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author Bhatia, Nidhi
Bhagat, Hemant
Sen, Indu
author_facet Bhatia, Nidhi
Bhagat, Hemant
Sen, Indu
author_sort Bhatia, Nidhi
collection PubMed
description In 1961, Sellick popularized the technique of cricoid pressure (CP) to prevent regurgitation of gastric contents during anesthesia induction. In the last two decades, clinicians have begun to question the efficacy of CP and therefore the necessity of this maneuver. Some have suggested abandoning it on the grounds that this maneuver is unreliable in producing midline esophageal compression. Moreover, it has been found that application of CP makes tracheal intubation and mask ventilation difficult and induces relaxation of the lower esophageal sphincter. There have also been reports of regurgitation of gastric contents and aspiration despite CP. Further, its effectiveness has been demonstrated only in cadavers; therefore, its efficacy lacks scientific validation. These concerns with the use of CP in modern anesthesia practice have been briefly reviewed in this article.
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spelling pubmed-39272882014-02-26 Cricoid pressure: Where do we stand? Bhatia, Nidhi Bhagat, Hemant Sen, Indu J Anaesthesiol Clin Pharmacol Review Article In 1961, Sellick popularized the technique of cricoid pressure (CP) to prevent regurgitation of gastric contents during anesthesia induction. In the last two decades, clinicians have begun to question the efficacy of CP and therefore the necessity of this maneuver. Some have suggested abandoning it on the grounds that this maneuver is unreliable in producing midline esophageal compression. Moreover, it has been found that application of CP makes tracheal intubation and mask ventilation difficult and induces relaxation of the lower esophageal sphincter. There have also been reports of regurgitation of gastric contents and aspiration despite CP. Further, its effectiveness has been demonstrated only in cadavers; therefore, its efficacy lacks scientific validation. These concerns with the use of CP in modern anesthesia practice have been briefly reviewed in this article. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC3927288/ /pubmed/24574584 http://dx.doi.org/10.4103/0970-9185.125683 Text en Copyright: © Journal of Anaesthesiology Clinical Pharmacology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Bhatia, Nidhi
Bhagat, Hemant
Sen, Indu
Cricoid pressure: Where do we stand?
title Cricoid pressure: Where do we stand?
title_full Cricoid pressure: Where do we stand?
title_fullStr Cricoid pressure: Where do we stand?
title_full_unstemmed Cricoid pressure: Where do we stand?
title_short Cricoid pressure: Where do we stand?
title_sort cricoid pressure: where do we stand?
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927288/
https://www.ncbi.nlm.nih.gov/pubmed/24574584
http://dx.doi.org/10.4103/0970-9185.125683
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